Becker's Payer Issues | Payer News

Centene’s headcount has dropped 11.8% between the end of 2025 and the third quarter of 2026, down from 61,100 to 53,900 employees. According to Centene’s Oct. 27 earnings report, severance costs resulting from enterprise optimization and contract exits were $276…

Thirty of the 44 states required to implement Medicaid work requirements next year are holding a gubernatorial election Nov. 3. Most winners will take office in January, just as the new rules take effect. HR 1 requires states to begin…

CareSource promoted David Thomas and Deirdra Yocum to regional market president and Ohio market president, respectively. According to an Oct. 26 LinkedIn post, Mr. Thomas’ widened role will encompass the New York and Ohio markets, as well as expansion into…

CMS is granting a special enrollment period to Medicare Advantage enrollees in northern Nevada affected by provider network changes at Kaiser Permanente. On Dec. 13, Kaiser Nevada will terminate providers from its Senior Care Plus Medicare Advantage network, the Nevada…

Medicare Advantage annual enrollment kicked off Oct. 15, and the ACA open enrollment period is around the corner. Employers are also navigating cost pressures, opening the door to innovative plans. Insurers have been primed to consider new health plans across…

Ghost networks have long been a point of frustration, with health plan members sometimes left scrambling to check if a provider is in network — or available at all. Several health insurers — including Elevance Health and Blue Shield of…

Centene has become the latest payer to sue HHS and CMS over its 2027 Medicare Advantage star ratings, filing a complaint Oct. 22 in the U.S. District Court for the Southern District of Georgia. The action comes under the Administrative…

Kraft Heinz and Ralph Lauren are among a group of six large self-insured employers suing UnitedHealth, alleging the insurer routinely approved and paid false, fraudulent and inflated medical claims with their employee health plan money while pocketing undisclosed fees. The…