STAT

JANUARY 13, 2023

Oscar Health has excelled at one thing in particular since its inception a decade ago: burning cash. The health insurance company did not plan to be profitable immediately. It was staking its future on the new Affordable Care Act marketplaces and had to grow quickly to compete with larger insurance carriers.

Insurance 143

Insurance Health Insurance Companies 143

STAT

APRIL 28, 2023

Bright Health Group started as a health insurance company. Bright is looking to sell off the Medicare Advantage plans it manages in California, the company said Friday. But it will no longer be one.

Insurance 106

Insurance Health Insurance Companies 106

STAT

JUNE 14, 2023

A top executive at UnitedHealth Group said Tuesday that the health insurance and services conglomerate has noticed “a meaningfully higher number” of outpatient visits among Medicare patients in the second quarter of this year. Those outpatient centers are seeing “strong volumes,” according to Rex.

Insurance 101

Insurance Health Insurance Companies 101

STAT

MARCH 31, 2023

WASHINGTON — The Biden administration backed off some of its plans to rein in billions of dollars from wasteful spending in Medicare Advantage next year, after intense lobbying from health insurance companies.

Insurance 98

Insurance Health Insurance Companies 98

The Checkup by Singlecare

SEPTEMBER 19, 2024

Without insurance, the average cost of Synjardy is $789 for 60, 12.5-1000 Is Synjardy covered by insurance? Coverage varies depending on your specific insurance plan. Each health insurance company has certain eligibility requirements, including its drug formulary. 1000 mg tablets. 1000 mg tablets.

Insurance 52

Insurance Insurance Coverage Health Insurance Companies Independent Pharmacies 52

STAT

JUNE 14, 2024

The federal government is rescoring the quality ratings of this year’s Medicare Advantage plans, which could lead to an additional $1 billion of taxpayer money flowing into the coffers of health insurance companies. The Wall Street Journal reported earlier about the government’s pending action.

Health Insurance Companies 141

Health Insurance Companies Insurance 141

The Checkup by Singlecare

OCTOBER 3, 2024

Although it’s effective for treating pain from endometriosis, it may be difficult for some people to pay for, at over $1,600 for a month’s supply without insurance. We’ll go over the specifics about paying for Orilissa with or without insurance and share some ways to save. Is Orilissa covered by insurance?

Insurance 52

Insurance Health Insurance Companies Dosage Pharmaceutical Companies 52

STAT

JULY 25, 2024

UnitedHealth Group started out as a small, Minnesota health insurance company and has since morphed into a modern-day Standard Oil, exerting unmatched dominance over health care in the United States.

Health Insurance Companies 145

Health Insurance Companies Insurance Hospitals 145

STAT

JANUARY 3, 2023

For almost three years, hospitals and health insurers have been riding the waves of the Covid-19 pandemic. The pandemic’s “public health emergency” has been a boon for state Medicaid rolls and the health insurance companies that manage those programs.

Insurance 98

Insurance Hospitals Health Insurance Companies 98

STAT

OCTOBER 23, 2024

Having worked as a medical director for several large health insurance companies and having suffered through the Change fiasco herself as a rehab doctor with a private practice in Kansas City, she figured that if her data had been exposed in that February breach, she would have been notified by now.

HIPAA 135

HIPAA Health Insurance Companies Insurance 135

STAT

OCTOBER 2, 2024

It worked maybe a little too well for CVS, as the surge in new customers backfired when the medical costs for those sporty seniors spiraled well beyond the company’s expectations. Now, after the Woonsocket, R.I.-based

Health Insurance Companies 117

Health Insurance Companies Insurance 117

The Checkup by Singlecare

JULY 3, 2024

Without insurance, the cash price of cyclosporine as Gengraf can cost around $245 for 30, 100 mg tablets. Some other ophthalmic cyclosporine formulations are slightly less expensive without insurance, but there are no over-the-counter alternatives. Is cyclosporine covered by insurance? It has also been approved by the U.S.

Insurance 52

Insurance Insurance Coverage Health Insurance Companies Immunization 52

Fierce Healthcare

DECEMBER 4, 2023

million in seed funding to hone its go-to-market strategy, hire more talent and launch its first pilot in partnership with a cancer center and health insurance company. . | Maia Oncology raised $4.25

Health Insurance Companies 124

Health Insurance Companies Insurance 124

The Checkup by Singlecare

JULY 10, 2024

Without insurance, the average cost of Novolog Flexpen is $147 for a single 3 mL pen of 100 units/mL (typically providing a 30-day supply). Is Novolog Flexpen covered by insurance? Novolog FlexPen is typically covered by insurance plans and Medicare Part D , but copays will vary by health plan.

Insurance 52

Insurance Insurance Coverage Health Insurance Companies Dosage 52

PhRMA

MARCH 2, 2023

These include things like making sure patients aren’t paying more for their medicines than their health insurance company or requiring first-dollar coverage, so insurance companies cover the cost of certain lifesaving medicines from day one of the plan year.

Health Insurance Companies 295

Health Insurance Companies Hospitals Insurance 295

STAT

OCTOBER 4, 2024

  Italian pharma company Recordati said it will buy from Sanofi the global rights to an approved drug to treat cold agglutinin disease , a rare autoimmune disorder, for $825 million, Reuters reports.    The Medicare Advantage market is expected to grow in 2025, despite big changes from insurers , STAT reports.

Health Insurance Companies 108

Health Insurance Companies Insurance 108

The Checkup by Singlecare

AUGUST 20, 2024

Without insurance, the cost of Stiolto Respimat can be over $600 per month. For many people, the retail price of Stiolto Respimat can make getting treatment difficult without insurance coverage. Is Stiolto Respimat covered by insurance? Yes, some insurance companies may include Stiolto Respimat in their coverage plans.

Insurance 52

Insurance Insurance Coverage Health Insurance Companies FDA 52

STAT

FEBRUARY 5, 2024

Devoted Health has been one of the most prominent health insurance and provider startups of the past decade — founded and overseen by several alumni of former President Barack Obama’s administration. And Devoted isn’t sharing many details about its progress, either.

Health Insurance Companies 128

Health Insurance Companies Insurance 128

STAT

OCTOBER 2, 2023

Arbitration, the land where nobody is happy After Congress officially outlawed most types of surprise medical bills last year, there’s been endless, litigious debate as to how health insurance companies and providers should settle their differences while patients are held harmless.

Health Insurance Companies 137

Health Insurance Companies Insurance Hospitals 137

The Checkup by Singlecare

FEBRUARY 6, 2024

Is Xiidra covered by insurance? | How much does Xiidra cost without insurance? | How to get Xiidra without insurance Xiidra is a prescription drug known by its generic name, lifitegrast ophthalmic solution. Is Xiidra covered by insurance? Insurance coverage for Xiidra can vary widely.

Insurance 52

Insurance Insurance Coverage Health Insurance Companies Dosage 52

STAT

NOVEMBER 22, 2023

The lawsuit builds on the Federal Trade Commission’s complaint filed in September, which argued USAP and Welsh Carson illegally bought up anesthesia practices across Texas as a way to concentrate market power, gain negotiating leverage over health insurance companies, and raise prices.

Health Insurance Companies 137

Health Insurance Companies Insurance Hospitals 137

STAT

OCTOBER 2, 2023

Health care providers and health insurance companies are closing the books on their third quarters, and one major question continues to hang over them: How much care is everyone actually getting, now that Covid-19 isn’t scaring so many away from doctors and hospitals?

Hospitals 113

Hospitals Health Insurance Companies Insurance 113

STAT

JANUARY 8, 2024

Medicare Advantage members continue to go to the doctor and get health care procedures a lot more than predicted, CVS Health executives said at the J.P. Morgan Healthcare Conference on Monday.

Health Insurance Companies 134

Health Insurance Companies Insurance 134

STAT

OCTOBER 17, 2022

The Department of Justice filed a new lawsuit against Cigna Monday, alleging the health insurance company overcharged the federal government by purposefully inflating how sick its Medicare Advantage members were. Read the rest…

Health Insurance Companies 113

Health Insurance Companies Insurance 113

STAT

JANUARY 12, 2024

The Medicare Payment Advisory Commission, a group that advises Congress on Medicare policy, gathered to discuss its pending March report on the state of Medicare Advantage, the alternative to traditional Medicare that is run by health insurance companies. Continue to STAT+ to read the full story…

Health Insurance Companies 113

Health Insurance Companies Insurance 113

STAT

NOVEMBER 14, 2023

The nation’s largest health insurance company pressured its medical staff to cut off payments for seriously ill patients in lockstep with a computer algorithm’s calculations, denying rehabilitation care for older and disabled Americans as profits soared, a STAT investigation has found.

Health Insurance Companies 145

Health Insurance Companies Insurance Documentation 145

STAT

JUNE 4, 2024

The federal government inappropriately lowered the 2024 Medicare Advantage star ratings of SCAN Health Plan, which led to the health insurance company in California losing hundreds of millions of dollars in bonuses from the government, a judge ruled Monday.

Health Insurance Companies 136

Health Insurance Companies Insurance Hospitals 136

STAT

JUNE 3, 2024

Geisinger’s 10 hospitals and 1,700 employed physicians are now officially part of the group, known as Risant Health. Kaiser, which is both a health insurance company and a network of providers, said it wants to add at least five to six more health systems by 2028.

Hospitals 123

Hospitals Health Insurance Companies Insurance 123

STAT

JANUARY 10, 2024

A lawsuit between a large hospital system and a dominant vendor that works for health insurance companies is getting a lot more heated — with one party calling the other an “economic parasite.”

Hospitals 129

Hospitals Health Insurance Companies Insurance 129

STAT

NOVEMBER 14, 2023

We reveal that the nation’s largest health insurance company pursued a strategy to pressure its medical staff to cut off payments for seriously ill patients in lockstep with a computer algorithm’s calculations, denying rehabilitation care for older and disabled Americans as profits soared.

Health Insurance Companies 125

Health Insurance Companies Documentation Insurance 125

STAT

AUGUST 10, 2023

AdventHealth, a large religious-affiliated hospital system, has sued MultiPlan, alleging the company has worked with health insurers to create a “cartel” that systematically underpays hospitals and doctors for care that is delivered out of an insurance company’s network.

Health Insurance Companies 98

Health Insurance Companies Insurance Hospitals 98

The Checkup by Singlecare

DECEMBER 26, 2023

How much does an MRI cost without insurance? According to Michael Yudelevich, MD , an independent patient advocate at My Personal Health Advocate in New York City, an MRI can range from $400 to $12,000. You may have to pay the full price if you don’t have health insurance. How much does an MRI cost with insurance?

Insurance 64

Insurance Insurance Coverage Hospitals Mayo Clinic 64

STAT

OCTOBER 2, 2023

After Congress officially outlawed surprise medical bills last year, there’s been endless, litigious debate as to how health insurance companies and providers should settle their differences over how much to pay for out-of-network medical bills. Continue to STAT+ to read the full story…

Health Insurance Companies 125

Health Insurance Companies Insurance Hospitals 125

STAT

SEPTEMBER 7, 2022

A federal judge in Texas has ruled that parts of the Affordable Care Act mandating health insurance companies cover many preventive services and drugs for free are unconstitutional.

Health Insurance Companies 104

Health Insurance Companies Insurance 104

STAT

MARCH 21, 2023

People and organizations that sometimes make it difficult to access medication can include doctors, methadone clinics, health insurance companies, recovery groups, law enforcement agencies, jails, prisons, drug courts, and labor unions. Read the rest…

Health Insurance Companies 98

Health Insurance Companies Insurance 98

STAT

JANUARY 30, 2023

The federal government and health insurance companies have been clashing for more than a decade over how Medicare Advantage plans should be audited and how the well-documented overpayments to those plans should be clawed back.

Health Insurance Companies 113

Health Insurance Companies Insurance Documentation 113

Fierce Healthcare

OCTOBER 12, 2023

The partnership will allow the Green Mountain State insurer to gain access to better technology and other innovations without losing its appeal as a local health insurance company, according to plan officials.

Health Insurance Companies 62

Health Insurance Companies Insurance 62