Payer Issues Archives - Page 101 of 183 - Becker's Payer Issues

Pa. inks prior auth reform law | What payer CEOs said about MA in Q3 | Jefferson exec to lead Highmark market | Texas asks Friday Health Plans to leave marketplace | How Kaiser built high-quality health plans | Is MA fraudulent? 7 expert thoughts

November 8, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. Pennsylvania prior authorization reform bill signed into law Full story 2. Touting growth, sweating star ratings: What payer CEOs said about Medicare Advantage this fall Full story 3. Texas asks…

Kaiser posts $1.5B Q3 loss | 'Do you not see this as an arms race?' Cigna CEO questioned on M&A | VillageMD buys Summit Health for $8.9B | 'Difficult decisions' loom for hospitals | UnitedHealthcare holds 28% of MA market | CVS expecting $2B revenue hit

November 7, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. 'Do you not see this as an arms race?' Cigna CEO questioned on M&A activity Full story 2. For hospitals, 'difficult decisions' loom after 9 months of negative margins Full…

3 states take on prior auth reform | Big payer profits recall 'the house always wins' | Cigna spending $200M on Centene PBM deal | Senate panel pushes more MA marketing rules | L.A. Care Health Plan nabs Oscar CMO | States with least competitive markets

November 4, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. 'The house always wins': Insurers' record profits clash with hospitals' hardship Full story 2. 3 states taking on prior authorization reforms in 2022 Full story 3. Cigna spending $200M to integrate…

Cigna's 70% boost in profits | What we've learned from payer price data | Payer, hospital relations are worsening | 26 payers entering, exiting markets | Medicare members aren't switching plans | The most-liked insurers in 2022 | 8 Centene headlines

November 3, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. What we've learned so far from payer price transparency data Full story 2. Cigna Q3 profits up 70% Full story 3. 78% of hospitals say their relationships with payers are getting…

CMS' 4 final payment rules: 15 takeaways | CVS chalks up Q3 loss to $5B opioid settlement | Humana's $1.2B Q3 | ACA call center workers strike | 2,273 hospitals dinged for readmissions | BCBS Mass., Caremark partner | 10 providers seeking payer talent

November 2, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. CVS Health attributes $3.4B Q3 loss to opioid lawsuit settlement Full story 2. CMS releases 4 final payment rules for 2023: 15 takeaways Full story 3. Top health insurance stories in…

25 payer exec moves | ACA open enrollment begins: 6 key changes | JPMorgan's new healthcare venture team | UnitedHealth, Broward strike deal | Health systems zero in on C-suites | Miss. orders payer to shut down | Aetna, Amedisys partner on MA

November 1, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. 25 payer exec moves in October Full story 2. ACA open enrollment period begins: 6 changes to know Full story 3. JPMorgan creates healthcare venture capital team Full story 4. Price transparency requires…

CMS adds Medicare special enrollment periods | Hospital finances set for worst year in decades | Why states are blocking Medicaid home monitoring | Anthem BCBS, Aspirus Health hit contract impasse | How Centene plans to boost MA star ratings

October 31, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. CMS rule change adds Medicare special enrollment periods Full story 2. Hospitals on track for worst financial year in decades Full story 3. State Medicaid offices are blocking home patient monitoring.…

CMS cracks down on MA TV ads | DC official who took Elevance job fired | Optum denies settling with Ohio | UnitedHealthcare expands ACA plans to 22 states | Aetna, Waymark partner in Va. | 14 fastest growing healthcare cos. | 15 MA headlines

October 28, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. CMS cracks down on Medicare Advantage TV marketing Full story 2. OptumRx denies it settled with Ohio in overcharging case Full story 3. DC mayor fires official who took Elevance job,…

Pa. lawmakers pass prior auth reform bill | Molina's Q3 profits jump 61% | CareFirst, Johns Hopkins ink contract | UnitedHealthcare, Apple extend fitness partnership | Kaiser Permanente's telehealth plans | Elevance expands post-acute program to 15 states

October 27, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. Pennsylvania lawmakers pass prior authorization reform bill Full story 2. Molina's 61% net income boost in Q3: 5 notes Full story 3. CareFirst BCBS, Johns Hopkins end dispute, ink contract Full story…

Walmart Health expands in Fla. | UnitedHealth sells $9B in bonds for Change purchase | CMS seeks input on ending PHE | OptumRx settles Ohio overbilling claim for $15M | Apple Fitness free for Aetna MA members | Fla. Blue adds Amazon Pharmacy

October 26, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. UnitedHealth sells $9B of bonds to support Change Healthcare purchase Full story 2. Walmart Health expands Florida footprint Full story 3. CMS seeking input on end of public health emergency Full story…