Today's Top 20 Stories
  1. Humana posts $693M loss in Q4

    Humana lost $693 million in the fourth quarter of 2024, according to the company's year-end earnings report published Feb. 11.
  2. UnitedHealth to pay $20M to settle emergency claims lawsuit from Labor Department

    UnitedHealth Group reached a $20.25 million settlement with the U.S. Department of Labor on Feb. 7, resolving allegations that its subsidiary, UMR, improperly denied claims for emergency room visits and urinary drug screenings for thousands of patients. 
  3. Longtime BCBS Vermont CEO to retire

    Don George, president and CEO of Blue Cross and Blue Shield of Vermont, will retire at the end of 2025 after serving more than 16 years as the payer's chief executive. 

Becker's Spring Payer Issues Roundtable

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Becker's is gathering 500+ payer execs in Chicago next April. Learn how your company can join them — here.
  1. Why a California Medicaid plan is turning to the ACA marketplace

    CalOptima Health, a Medi-Cal insurer in Orange County, Calif., is planning to offer coverage on the state’s ACA marketplace in an effort to improve continuity of care and expand access to more than 15,000 people.
  2. North Carolina fines UnitedHealthcare $3.4M for balance billing issues

    North Carolina has fined UnitedHealthcare $3.4 million following a four year investigation into the company's claims handling practices involving balance billing.
  3. BCBS Massachusetts names 2 senior leaders

    Blue Cross Blue Shield of Massachusetts has promoted Prem Somasundaram to CIO and named Dennis Charland Jr. as senior vice president of commercial and pharmacy sales.
  4. Phoenix Children's, Arizona Blue back in-network after 3 month split

    After more than three months out of network, Phoenix Children's and Blue Cross Blue Shield of Arizona have reached a multiyear agreement. 

Becker's Spring Payer Issues Roundtable

Sponsored
Becker's is gathering 500+ payer execs in Chicago next April. Learn how your company can join them — here.
  1. Payers brush off Medicaid cut threats

    Executives at two of the largest Medicaid managed care providers aren't expecting large federal funding cuts to the program. 
  2. Federal Medicaid work requirement bill introduced: 5 things to know

    A pair of federal lawmakers have introduced a bill to require some Medicaid recipients to work to receive benefits. 
  3. UnitedHealth asks regulators to exclude shareholder proposals on prior authorizations, denied claims

    UnitedHealth Group has asked the SEC to exclude two shareholder proposals from its 2025 annual meeting proxy materials that raise concerns about the company’s handling of prior authorization requirements and denied claims.
  4. Former Humana CEO named board advisor for AI health company

    Former Humana CEO Bruce Broussard has been named a board advisor to AI care company Sword Health.  

Becker's Spring Payer Issues Roundtable

Sponsored
Becker's is gathering 500+ payer execs in Chicago next April. Learn how your company can join them — here.
  1. Elevance Health to buy insurance business from Google sister company

    Elevance Health plans to acquire a stop-loss insurance subsidiary from Verily, a sister company of Google, the company confirmed in a statement to Becker's Feb. 7. 
  2. Massachusetts lawmakers reintroduce single payer proposal

    A bill to establish a single payer healthcare system in Massachusetts has been refiled in the state legislature, aiming to replace private insurers with a publicly funded program that guarantees health coverage for all residents. 
  3. New York system drops lawsuit against payer, strikes new contract

    Albany (N.Y.) Med Health System and Capital District Physicians' Health Plan reached a new two-year contract agreement and ended a dispute over alleged underpayments.
  4. 'A scary time right now': Inside UPMC's Medicaid contingency plan

    In 2025, the Medicaid program is facing another period of uncertainty.
  5. Humana's 'back to basics' strategy: 5 notes

    Humana saved $11 billion through value-based care in 2023 compared to fee-for-service Medicare. 
  6. Payers with the most active digital strategies 

    In 2024, health insurers made 482 updates to their public and members-only websites.
  7. UnitedHealth reports investor who suggested SEC investigate profits

    UnitedHealth Group raised concerns with the SEC after hedge fund manager Bill Ackman suggested the company's profitability could be "massively overstated," Bloomberg reported Feb. 5. 
  8. Humana to sell Louisville tower

    Humana is planning to list its downtown Louisville, Ky. tower for sale, the Louisville Courier Journal reported Feb. 5.
  9. Elevance Health's food-as-medicine roadmap: 5 things to know 

    Elevance Health has more than 60 food-as-medicine programs across its health plans, according to a new report. 

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