April 18, 2025 BHR Newsletter 1. UnitedHealth shifts tone on Medicare Advantage as CMS changes impact earnings Full story 2. Elevance assures investors with reaffirmed 2025 earnings guidance Full story 3. BCBS Massachusetts drops weight loss drug coverage: 5 things…
Payer Issues
April 17, 2025 BHR Newsletter 1. UnitedHealth cuts earnings guidance amid rising Medicare Advantage costs Full story 2. Humana loses star ratings appeal Full story 3. Anthem reaches settlement in mental health parity case: 3 notes Full story 4. AI…
April 16, 2025 BHR Newsletter 1. 9 prior authorization updates Full story 2. Kaiser's Cone Health buys Novant Health out of Medicare Advantage plan Full story 3. Indiana governor signs 9 healthcare executive orders, reforms Medicaid eligibility Full story 4. AI-driven…
April 15, 2025 BHR Newsletter 1. DOJ's UnitedHealth-Amedisys antitrust case moves to mediation Full story 2. Around 1 in 4 small businesses are dropping insurance coverage: 5 notes Full story 3. Medicare Advantage rate boost likely to 'significantly support' payers' financial recovery:…
April 14, 2025 BHR Newsletter 1. AMA challenges Optum's 'strict' loan repayment demands following Change hack Full story 2. CMS tightens guardrails on state Medicaid funding: 4 things to know Full story 3. Employers are evolving — how 1 payer keeps…
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April 11, 2025 BHR Newsletter 1. Questions swirl around Centene's $10M donation to Florida charity Full story 2. Dr. Oz outlines vision for CMS: 8 notes Full story 3. 13 payers cutting jobs Full story 4. Clinical data feed connection time…
April 10, 2025 BHR Newsletter 1. When Medicare Advantage plans exit markets, where do their members go? Full story 2. Dr. Oz promotes AI avatars in 1st meeting as CMS chief Full story 3. 2 payers among Fortune's top employers…
April 9, 2025 BHR Newsletter 1. Judge tosses MultiPlan, UnitedHealthcare antitrust lawsuit Full story 2. CMS rebrands Medicare Advantage health equity program Full story 3. CareSource purchases struggling Massachusetts payer Full story 4. Reimagine value-based care. See how Catalight empowers…
April 8, 2025 BHR Newsletter 1. CMS grants Medicare Advantage $25B funding increase Full story 2. UnitedHealthcare sues Broadcom over 'exorbitant' software pricing threat Full story 3. Payers ranked by 2025 digital experience: JD Power Full story 4. Reimagine value-based care. See…
April 7, 2025 BHR Newsletter 1. CMS tables GLP-1, AI prior auth policies in Medicare Advantage final rule: 14 things to know Full story 2. CVS Health's highest-paid executives in 2024 Full story 3. CMS fines 7 payers over Medicare Part…