Becker's Payer Issues | Payer News

Humana has filed a lawsuit against ChenMed, which operates medical centers for older patients, in Delaware over breach of contract and other alleged harms, according to a heavily redacted Nov. 7 court filing. Humana and ChenMed jointly operate JenCare Senior…

Managing rising health benefits costs has surpassed talent retention as the top strategic priority for health systems in 2025, according to Aon’s twentieth annual Benefits Survey of Hospitals. The report includes insights from 155 health systems, representing more than 1,500…

Cigna Healthcare has partnered with Magic Johnson to produce “Magic Sounds,” a six-track album designed to boost mental health, according to a news release. Cigna pulled from peer-reviewed research and worked with clinical experts and music therapists to determine tempo,…

Elevance Health’s Medicaid business is expected to reach a low point on profits in 2026, according to the company’s CFO, Mark Kaye. While speaking at the UBS Global Healthcare Conference on Nov. 11, Mr Kaye said the company anticipates its…

North Carson City, Nev.-based Carson Tahoe Health and the Nevada Health Authority are extending the health system’s contract with UMR, a UnitedHealthcare subsidiary, according to a Nov. 11 post. State of Nevada employees will stay in network with CTH through…

From lawmakers seeking to halt an upcoming Medicare pilot to BCBS of Alabama and physicians outlining shared commitments, here are six updates on prior authorization that Becker’s has reported since Oct. 8: 1. Six Democratic House representatives introduced legislation to…

Eli Lilly is dropping CVS Caremark as the administrator of drug benefits for its 50,000 employees next year, Bloomberg reported Nov. 12.  Lilly selected Rightway as its new PBM partner. The move comes after Caremark selected Novo Nordisk’s Wegovy over…

The Wasteful and Inappropriate Service Reduction initiative from CMS will take effect next year, adding prior authorization requirements to traditional Medicare. Providers in Arizona, Washington, New Jersey, Texas, Ohio and Oklahoma will pilot the new protocol. Here are eight things…

President Donald Trump proposed that federal healthcare funds bypass insurers and be directed straight to individuals in a Nov. 8 post on Truth Social. “I am recommending to Senate Republicans that the Hundreds of Billions of Dollars currently being sent…

From the company’s CFO outlining financial turnaround plans to Optum launching an AI-powered claims system, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since Oct. 21: 1. UnitedHealth Group CFO Wayne DeVeydt laid out…