Payer Issues Archives - Page 10 of 161 - Becker's Payer Issues

HHS to gut preventive care task force: Report | Molina CFO questions Medicaid, ACA duplicative enrollment numbers | Centene CEO details ACA risk pool shifts | Where the public stands on prior auth | 10 states with best, worst healthcare

July 28, 2025 1. RFK Jr. reportedly threatens to fire preventive care task force Full story 2. Molina CFO: 'A lot of errors' in Medicaid, ACA duplicative enrollment estimates Full story 3. Your feedback at Becker's Payer Issues Roundtable — we…

Centene posts $253M Q2 loss | UnitedHealth targets GLP-1 adherence | Inside the Humana-Mercy partnership | Insurers, hospitals urge ACA tax credit extension | Priority expands to Wis.

July 25, 2025 1. Centene posts $253M loss in Q2 Full story 2. UnitedHealthcare targets GLP-1 adherence rates Full story 3. Cut friction across member touchpoints — a proven personalization roadmap here. 4. Inside the Humana-Mercy partnership that's shaping the…

UnitedHealth acknowledges DOJ investigation | Molina cuts earnings guidance again | Inside Humana's prior auth redesign | The latest around enhanced ACA subsidies | 5 No Surprises updates

July 24, 2025 1. UnitedHealth complying with DOJ investigation: 5 things to know Full story 2. Molina cuts earnings guidance again Full story 3. Payment integrity is at a turning point—learn what’s driving this shift and how payers can prepare Learn…

Ore. payer lays off 80 | Humana refiles MA stars challenge | Mass. rejects 2 payers' ACA rates | Medicare Part D's 'uncertain' future | AHA calls for more MA audits

July 23, 2025 1. CareOregon lays off 80 Full story 2. Humana refiles Medicare Advantage ratings challenge Full story 3. CMS mandates won't wait. Learn how to modernize data exchange fast here. 4. Medicare Part D's 'uncertain' future: 5 things to know…

Humana speeds up prior auth reforms | Oscar cuts earnings outlook | Ohio system reduces ACA offerings | UnitedHealthcare division CEO departs | HHS to probe 'misleading' MA marketing

July 22, 2025 1. Humana to cut prior auth requirements, introduce gold card program Full story 2. Oscar Health is latest insurer to cut earnings guidance Full story 3. Avoid costly rip-and-replace projects — meet CMS mandates with existing tech…

Aetna dragged into Mangione trial | Judge tosses Humana's star ratings challenge | More layoffs at Blue Shield Calif. | CMS to share Medicaid data with ICE | Insurers request major ACA rate hikes

July 21, 2025 1. Luigi Mangione's attorneys say prosecutors wrongfully received medical records from Aetna Full story 2. Blue Shield of California to conduct another round of layoffs Full story 3. Join leaders at Becker's Payer Issues Roundtable + share…

21 states challenge new ACA rule | Medicaid cuts tied to 1,000 more deaths annually | Employers to shift costs in '26 | How a payer uses AI against heat waves | 10 UnitedHealth updates

July 18, 2025 1. 21 states sue CMS over new ACA restrictions Full story 2. How 1 payer is using AI to counter heat waves Full story 3. Build real-time interoperability and compliance now. Playbook here. 4. 1,000+ additional deaths,…

Elevance cuts outlook | UnitedHealth made up of 2,694 subsidiaries | Humana partners with MyChart | Who's gaining, losing ACA members? | 10 recent billing fraud cases

July 17, 2025 1. Elevance Health cuts 2025 earnings guidance Full story 2. UnitedHealth is composed of nearly 2,700 subsidiaries: 10 notes Full story 3. Your feedback at Becker's Payer Issues Roundtable — we want to hear it. Apply to…

UnitedHealth's quiet move to boost margins | Geisinger Health Plan cuts jobs | CalPERS swaps Optum for CVS | Calif. targets insurance fraud scheme | HHS layoffs resume

July 16, 2025 1. Geisinger to cut jobs from health insurance division Full story 2. UnitedHealth quietly sold assets to improve margins: Bloomberg Full story 3. Close care gaps faster with EHR-integrated alerts. Get next steps: here. 4. California issues…

GOP eyes deeper cuts to Medicaid, Medicare | The state of MA market consolidation | AdventHealth hospital sues BCBS plan | Highmark names WV leader | 22 payers cutting jobs

July 15, 2025 1. House GOP eyes deeper Medicaid, Medicare cuts in next budget bill: Bloomberg Full story 2. Medicare Advantage market consolidation: 5 things to know Full story 3. Medical transport brokers can hinder care access. Payers are going in-house…