Becker's Payer Issues | Payer News

UnitedHealthcare will stop requiring prior authorization for more than 2,000 pediatric care codes for members under 18 starting Dec. 1. The payer published the full list of CPT codes Nov. 2. The codes span common services, diagnostic imaging, sleep studies,…

Insurers are rolling out commercial offerings for 2027, and many are navigating a landscape of greater affordability pressures on employers and, ultimately, their employees.  Professional services firm Aon projected that average employer healthcare costs could surpass $19,000 per employee in…

Inland Empire Health Plan is in preparation mode as the Medicaid managed care plan faces the loss of up to 350,000 members as a result of the impending impact of HR 1. “We’ve got to do everything we can to…

As the payer industry moves through the fourth quarter of 2026, leadership continues to evolve. Some insurers, including Humana and Centene, are reconfiguring their workforces more broadly.  Here are five of the latest executive moves to know:

From Optum Health’s earnings rebound to a new chief marketing officer, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since Oct. 7: 1. UnitedHealthcare and the Ohio Chamber of Commerce agreed to settle a…

The Federal Trade Commission is warning 25 companies that market healthcare plans or generate sales leads to review their advertising practices as the agency increases scrutiny during open enrollment. The FTC sent warning letters to companies that market or advertise…

UnitedHealthcare and the Ohio Chamber of Commerce have agreed to settle a lawsuit that accused the insurer of using its role as the chamber’s health plan administrator to steer small businesses toward its own products. U.S. District Judge Algenon Marbley…

In the first six months of Medicare’s Wasteful and Inappropriate Service Reduction pilot, the use of targeted services fell in participating states relative to the rest of the country, according to a research letter published Oct. 26 in JAMA. The…