Editor's note: This article and its headline were updated Oct. 4 to reflect the fact that HCA and Cigna Healthcare came to a contract agreement that allows Cigna employer-sponsored and Medicare Advantage plan members to access all HCA facilities in Tennessee and Kentucky. Cigna's exchange plans remain out of network with HCA.

There's a lack of commercial coverage for digital healthcare services compared to publicly-funded health plans, which is limiting access to care for more than half of the U.S. population, according to new research published by the AMA on Sept. 19.

Updated COVID-19 boosters have started rolling out to pharmacies nationwide, but some individuals are reporting a high price tag associated with getting a shot.

Elevance Health's pharmacy benefit manager, CarelonRx, is launching a new integrated cost savings program to automatically offer members the lowest price for generic prescription drugs while at their preferred pharmacy.

Bright Health owes CMS $380 million in risk adjustment payments from its shuttered insurance business, the company said Sept. 19. 

Medicare Advantage beneficiaries with Alzheimer's disease and related dementia are 1.4 times more likely to switch to traditional Medicare than their counterparts without the disease, a study published Sept. 15 in JAMA Health Forum found. 

Magellan Health, a subsidiary of Centene, has named Arthur Hennig as senior vice president and chief business officer for payer markets and Sara Pierce as senior vice president and chief business officer for the employer market.

Former Cigna employee Jonathan Ferrie will pay more than $33,000 to settle insider trading allegations from the U.S. Securities and Exchange Commission. 

Greater access to care and making such care more affordable may be on the horizon for lower-income older adults and people with disabilities after the Department of Health and Human Services and CMS finalized a rule to streamline enrollment in the Medicare Savings Programs. The move was described in a Sept. 18 news release as the most significant HHS action in a decade for such care.

Aetna has filed to offer individual health plans on the Maryland ACA exchange in 2024.