Payer Issues Archives - Page 11 of 161 - Becker's Payer Issues

Another BCBS plan offers employee buyouts | UnitedHealth targets critics | An impending one-two punch on employer healthcare costs | 4 new CEOs at UnitedHealthcare | 7 MA updates

July 14, 2025 1. UnitedHealth cites CEO's killing in moves to stymie criticism: NYT Full story 2. Independence Blue Cross offers employee buyouts Full story 3. What's next for value-based care? Aetna, Emblem & BCBS are scaling smarter models —…

BCBS La. loses star ratings lawsuit | How UnitedHealthcare is rethinking diabetes care | Humana names digital leader | Where payers own the most primary care | NJ state plan facing major rate hikes

July 11, 2025 1. How UnitedHealthcare is rethinking diabetes care in the GLP-1 era Full story 2. BCBS Louisiana loses Medicare Advantage star ratings lawsuit Full story 3. Joint care planning is no longer optional in VBC. See what works…

UnitedHealth names Medicaid CEO | BCBS sues 'fake' health plan | Payers' slice of primary care grows | UCare scales back | Trump eyes 200% tariffs on pharma

July 10, 2025 1. UnitedHealth Group names new Medicaid CEO Full story 2. Elevance, BCBS Association allege firm sold 'fake employee benefits' using their branding Full story 3. Double-digit HEDIS gains. How Healthfirst & InterSystems used real-time data to improve care…

DOJ probes former UnitedHealth employees | CVS to pay $949M in fraud penalties | NY payer president departs | Alignment wins star ratings lawsuit | Insurers' ACA risk payments hit $10.4B

July 9, 2025 1. WSJ: Former UnitedHealth employees questioned in DOJ investigation Full story 2. CVS' Omnicare hit with $949M penalty in False Claims case Full story 3. BCBS, Cigna & Humana are rethinking cost, access and experience. Their game plan —…

Humana to buy 10 clinics | Calif. payer CEO details budget impact | Centene faces possible junk rating | UnitedHealthcare cuts CRNA reimbursements | Tariffs delayed again

July 8, 2025 1. Centene faces potential junk rating Full story 2. California payer CEO details GOP budget impact Full story 3. The 5 AI disruptors every healthcare exec should know: here. 4. Humana to acquire 10 Florida clinics Full…

Another payer cuts 2025 outlook | GOP budget bill effects employee benefits | Insurers shake up MA commissions | Wis. payer exits ACA market | CMS under Dr. Oz: 12 notes

July 7, 2025 1. The One Big Beautiful Bill and employee benefits: 6 notes Full story 2. Health insurers stumble: 5 things to know Full story 3. Medicare Advantage, AI: What's really shaping payer strategy in 2025? Find out at…

Insurer downturn 'just beginning,' former CEO warns | Layoffs at BCBS Tenn. | UnitedHealthcare losses Minn. Medicaid challenge | False Claims Act task force to focus on MA | 4 PBM updates

July 3, 2025 1. BCBS Tennessee to lay off 150, close subsidiary Full story 2. Former Molina CEO: 'Just the beginning of a major downturn' for insurers Full story 3. New Jersey provider cut MSK costs 81% with home-based care —…

Centene pulls earnings outlook | Senate passes GOP budget bill, payers urge House reversal | Hospital CEOs side-eye prior auth promises | The best, worst states for healthcare | 5 GLP-1 updates

July 2, 2025 1. Centene withdraws 2025 earnings guidance: 5 things to know Full story 2. Senate passes GOP budget bill, heads to House: 9 things to know Full story 3. What's next for value-based care? Aetna, Emblem & BCBS…

Feds charge 324 in $14.6B healthcare fraud bust | Memorial Sloan Kettering, UnitedHealthcare reach deal | Top insurers for customer experience | 5 MA bills in Congress | Mark Cuban: Another way to lower Medicaid spending

July 1, 2025 1. Feds unveil largest healthcare fraud takedown: $14.6B in alleged schemes, 324 charged Full story 2. Prior authorization in 2025: What to know Full story 3. Still using legacy systems? Learn what it's costing your data strategy…

Medicare explores prior auth | SCOTUS upholds ACA preventive care mandate | Wis. payer to cut jobs | Blue Shield Calif. cuts MA broker payments | Humana strikes another GLP-1 partnership

June 30, 2025 1. CMS to add prior authorization for traditional Medicare services Full story 2. Supreme Court upholds ACA preventive coverage mandate Full story 3. BCBS, Cigna & Humana are rethinking cost, access and experience. Their game plan —…