Becker's Payer Issues | Payer News

On Feb. 25, physician staffing groups filed a federal antitrust lawsuit in California against the BCBS Association and over 30 of its licensees — along with plan owners Elevance Health, Highmark, GuideWell, Cambia Health Solutions and Health Care Service Corp.…

Across healthcare, executives point to critical choices around technology investment, benefit design, care models and financial sustainability as key drivers of long-term success.  Many health plan leaders told Becker’s success will depend on moving from incremental improvements to more intentional,…

Elevance Health is shifting management across healthcare services arm Carelon and health benefits, according to a Feb. 26 news release.  Mark Kaye, executive vice president and CFO, will oversee Carelon. Peter Haytaian will no longer serve as EVP and president…

BCBS Tennessee COO Scott Pierce voiced concerns over pending state bills — accusing them of eventually “forcing higher prices”  — in Feb. 26 op-ed columns published in the Leaf Chronicle and The Tennessean. Mr. Pierce took issue with four state…

Researchers identified 13.4% of young adults with and 35.6% without complex medical conditions ended up disenrolled from Medicaid at 19 years old, according to a study published Feb. 16 in JAMA Pediatrics. Researchers from the University of Chicago, the University…

Business services provider Conduent’s data breach affected at least 25 million people across the U.S., according to a February update from Wisconsin’s Department of Agriculture, Trade and Consumer Protection. The Conduent breach took place between the end of 2024 and…

UnitedHealth Group’s board of directors has authorized a cash dividend of $2.21 per share to be paid March 17.  The dividend will be paid to all shareholders of record as of the close of business March 9, according to a…

CMS is freezing $259.5 million in federal Medicaid funding to Minnesota, citing unsupported or potentially fraudulent claims in the state’s program. “We have decided to temporarily halt certain amounts of Medicaid funding that are going to the state of Minnesota…

Medicare Advantage margins are outperforming other lines of business, according to a Feb. 23 KFF data brief. The analysis relied on 2024 insurer-reported financial data found in Mark Farrah Associates’ Health Coverage Portal database, looking across individual, group, Medicaid and…

HHS released its third annual report Feb. 9 that evaluates how the No Surprises Act has affected healthcare markets. The report was produced with analytical support from RAND, and extends claims data trends through 2022, the first full year after…