The Latest

Anthem BCBS in New York and New York City-based Mount Sinai Health System have been entrenched in a heated contract dispute, with physicians and facilities going out of network at the beginning of the year and in March, respectively. Becker’s…

A judge denied a motion to dismiss a lawsuit alleging a broker kickback scheme involving CVS Health’s Aetna, Elevance Health and Humana, according to a March 25 filing in the U.S. District Court in Massachusetts. The judge also ruled that…

HHS and CMS have launched a healthcare advisory committee to help strengthen and modernize U.S. healthcare. The committee, which comprises 18 members, will advise both HHS Secretary Robert F. Kennedy Jr. and CMS Administrator Mehmet Oz, MD, on how to…

As value-based care continues to reshape the health insurance landscape, health plans face mounting pressure to evolve by continuing to become a true partner in care delivery. The shift demands more than operational adjustment — it requires a fundamental rethinking…

Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Albany (N.Y.) Medical Center seeks an assistant director of system payer contracting.  2.…

A March analysis from KFF aims to shed light on CMS’ upcoming BALANCE model for GLP-1 coverage — highlighting financial requirements, operational mandates and unresolved policy questions — ahead of its 2027 launch.  The model, announced in December, builds on the…

Federal lawmakers have introduced bipartisan legislation that would cap patients’ insulin costs at $35 per month. Sens. Jeanne Shaheen, D-N.H., Susan Collins, R-Maine, Raphael Warnock, D-Ga., and John Kennedy, R-La., introduced the bill March 25. The $35 monthly price cap…

A Canadian religious group, Mission Fund, is suing UnitedHealth Group because the company did not include the group’s proposal for reporting on acquisition consequences in its 2026 proxy materials, according to a March 20 filing in the federal district court…