Medicare Advantage is intended to prevent insurers from favoring healthier people, but it also leaves room for insurers to make more money by making their patients appear as sick as possible.
At issue is the relationship between the PBM and group purchasing organization that allegedly obscured rebates paid by drug manufacturers but that should have been sent on to the state.
UnitedHealth Group expects costs from the massive cyberattack against its Change Healthcare unit to reach $2.3 billion to $2.45 billion this year, the company said in a second quarter earnings report on Tuesday.
This is the latest report from the Healthcare Affordability Index, which tracks how many in the U.S. have been forced to avoid medical care or haven't been able to fill their prescriptions in the last three months—and how many would struggle to pay for care if it was needed.