The Latest - Page 95 of 1587 - Becker's Payer Issues

Always Ready, Every Stage: What the New CMS Survey Standard Means for HR — and How Leading Health Systems Are Preparing Now

A new CMS rule effective June 2027 eliminates any advance notice before accreditation surveys — closing the gap between what the standard has always required and what hospitals have been able to rely on in practice. Perpetual survey-readiness is no…

Sep 8, 2026 1:00 PM - 1:45 PM CDT

Presenter:

Sunny Gahir, Manager, HR Compliance & Employee Experience Center, UCLA Health

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Expand, reduce or reinvent: How hospitals are mapping their next service line moves

Financial pressure, shifting patient expectations, regulatory burden and workforce shortages are forcing leaders to ask a direct question: which service lines should we expand, reduce or reinvent to stay relevant in the years ahead? Declining market share and a shifting…

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How WellSpan saw a 66% decrease in DART incidents

For many health systems, fragmented emergency notification workflows delay response times, limit visibility across facilities and leave safety trends hidden until after an incident. As organizations grow, siloed reporting compounds the problem and the operational cost lands on both staff…

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Judge denies Cigna bid to have health data-tracking lawsuit tossed

A Pennsylvania federal judge ruled that four of the five claims in a lawsuit alleging Cigna violated privacy protections through third-party vendors using tracking technologies on its website can proceed. The complaint dates to May 2025, with the most recent…

Humana elects Anthropic exec to board of directors

Humana’s board of directors has elected Paul Smith and Frederick Crawford as new members. Mr. Smith serves as chief commercial officer at Anthropic, where he leads commercial strategy and global go-to-market operations. He’s previously held leadership roles at ServiceNow, Salesforce…

CMS to end Medicare Part D stabilization program

CMS will discontinue the Part D premium stabilization program at the end of this year, returning the standalone prescription drug plan market to what the agency called “traditional market conditions.” CMS said July 28 its analysis of 2027 bids indicated…

Humana turns $694M Q2 profit amid Medicare Advantage, CenterWell growth

Humana reported a $694 million profit for the second quarter, up more than 27% year over year, according to its July 29 earnings report. Revenue reached $40.8 billion, a 26% increase from the same period in 2025, driven by Medicare…

HHS launches behavioral health pledge as Optum preps new services

As HHS hosts payers and medical associations in Washington, D.C., it will introduce a pledge July 29 to advance mental health and addiction care nationwide. Optum CEO Patrick Conway, MD, told Becker’s on July 27 that his company will be…

ACA subsidy fallout favors insurers, pressures hospitals' payer mix

The expiration of the ACA’s enhanced premium tax credits appears to be playing out positively for several insurers, while some of the nation’s largest hospital operators are absorbing a wave of newly uninsured patients who continue to seek care. The…

GuideWell taps Health Net CEO to lead commercial business

GuideWell, the parent organization of Florida Blue, named Brian Ternan as its executive vice president of commercial business. Mr. Ternan has more than 35 years leading health coverage, GuideWell said in a July 28 LinkedIn post. According to his LinkedIn…