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Insurance

Recent stories include insurers balking at the cost of new weight loss drugs, PBM conflicts of interest, whistleblower claims of tax evasion, controversial coverage denials, surprise bills for patients and eye-popping executive compensation.

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Insurance Bob Herman

STAT Plus: What to know about this year’s Medicare open enrollment period

Insurance Bob Herman

STAT Plus: UnitedHealth’s profit jumps as medical costs come in lower than expected

Insurance Bob Herman

STAT Plus: Humana CEO Bruce Broussard to step down next year

First Opinion Sean Scanlon

Connecticut’s comptroller explains his thinking about GLP-1s for state employees

Health Care Inc. Bob Herman

The stability of $0 premiums in Medicare Advantage

Hospitals Bob Herman

STAT Plus: More hospital and outpatient visits expected to persist through fall and winter

Insurance Brittany Trang

STAT Plus: New lawsuit highlights another wrinkle for settling disputes over surprise medical bills

Insurance Bob Herman

STAT Plus: Cigna to pay $172 million in Medicare Advantage fraud settlement

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Politics John Wilkerson

STAT Plus: Senate committee chair tries to spark negotiations to keep Medicare solvent

Insurance Tara Bannow

STAT Plus: Elevance’s embattled bid to buy Louisiana’s Blues plan was a stretch to begin with

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First Opinion Amelia Mercado and J. Wesley Boyd

How medical schools are failing students who need mental health care

Health Tech Mario Aguilar

STAT Plus: Pear’s shadow effect: Data from a Medicaid digital health experiment does the policy rounds

Hospitals Tara Bannow

STAT Plus: Patients, doctors press FTC to beef up hospital merger scrutiny

Hospitals Brittany Trang

STAT Plus: Walmart may buy concierge Medicare Advantage provider ChenMed. But will it scale?

Hospitals Tara Bannow

STAT Plus: Experts fear private equity will pour gas on cardiology’s overuse problem

Insurance Bob Herman

STAT Plus: Covid hospitalizations on the rise, Humana says

Insurance Bob Herman

STAT Plus: Humana sues Biden administration over Medicare Advantage audit rule

Hospitals Bob Herman

STAT Plus: As pharmaceutical companies bemoan Medicare’s drug negotiations, hospitals and doctors stay mum

Insurance Bob Herman

STAT Plus: Feds fine Medicare Advantage plans for overcharging their members

Insurance Bob Herman

STAT Plus: Blue Shield of California overhauls drug pricing operation — by adding more vendors

Special Report Bob Herman, J. Emory Parker, Adam Feuerstein, Lizzy Lawrence and Mohana Ravindranath

STAT Plus: Health care CEOs hauled in $4 billion last year as inflation pinched workers, analysis shows

Insurance Bob Herman

STAT Plus: After Optum Health’s lowest profit margin in a decade, UnitedHealth makes changes

Insurance Bob Herman

STAT Plus: AdventHealth sues MultiPlan, alleging a ‘cartel’ that underpays out-of-network medical claims

The Obesity Revolution Elaine Chen

STAT Plus: Alarmed by popularity of Ozempic and Wegovy, insurers wage multi-front battle

Insurance Bob Herman

STAT Plus: Uninsured rate hits ‘record low’ — right before millions start losing Medicaid coverage

Insurance Tara Bannow

STAT Plus: With new acquisitions, Humana and CVS hope to turn members into patients

Insurance Tara Bannow

STAT Plus: Labor Department says UnitedHealth Group unit illegally denied emergency room, drug screen claims

Hospitals Tara Bannow

STAT Plus: UHS finance chief said company favors patients whose insurance pays more

Insurance Tara Bannow

STAT Plus: Lawsuit says Cigna illegally denies claims in bulk, sticking patients with unexpected bills