Becker's Payer Issues | Payer News

This February, BCBS Michigan shared how it will cut reimbursement by 50% for nonpreventive evaluation/management services with modifier 25 that were billed on the same day as procedure codes with global periods of zero, 10 or 90 days. Modifier 25…

Younger employees are posing a more substantial cost risk, according to a Feb. 4 whitepaper from UnitedHealthcare and Health Action Council, which focuses on employer healthcare programs. The research relied on data from more than 225,000 HAC members with UnitedHealthcare plans.…

Elevance Health bid on 11 national accounts in competing Blue Cross Blue Shield markets last year and won nine of them, the company said on its 2025 earnings call with investors, offering the first look at how a landmark antitrust…

About 4,000 Maryland Health Benefit Exchange customers “were mistakenly notified” of 2026 auto-renewal for CareFirst BCBS coverage, the insurer told Becker’s Feb. 5. CareFirst attributed the error to a “data synchronization issue” with the marketplace and said these individuals did…

Molina Healthcare will exit the Medicare Advantage Part D business in 2027, the company announced alongside its fourth quarter and full year 2025 earnings report published Feb. 5. The MAPD product represents approximately $1 billion in annual premiums. Molina said…

Centene lost nearly 500,000 Medicaid members in 2025, but posted 26% enrollment growth in its marketplace segment, according to the company’s fourth quarter and full year earnings report published Feb. 6. Total revenues in the fourth quarter were $49.7 billion,…

The Cigna Group’s board of directors on Feb. 5 declared a per-share cash dividend of $1.56 to be paid on March 19.  The dividend will be paid to shareholders of record as of the close of business on March 5.…

Negotiations to extend the ACA enhanced tax credits that expired at the end of 2025 have collapsed, likely ending hopes of a revival, The Wall Street Journal reported Feb. 5.  A bipartisan group of senators were discussing a plan to…

Indiana Medicaid will seek proposals from insurers for $68 billion in contracts for Medicaid managed care services, according to a Jan. 30 presentation by the state’s Family and Social Services Administration. The state plans to issue the request for proposals…

CareSource promoted Jason Bearden to regional market president and tapped David Donohue and Eric Van Allen as market presidents for Georgia and Arkansas, respectively, according to Jan. 13 news releases. Mr. Bearden previously oversaw the Georgia market but will now…