August 19, 2025 1. Top Medicare Advantage plans for member satisfaction in 2025: J.D. Power Full story 2. UnitedHealth's SCA Health acquires U.S. Digestive Health Full story 3. Personalization without compliance risk? How some health plans are doing it: here.…
Payer Issues
August 18, 2025 1. Providence sues Kaiser over ED claims Full story 2. CBO report warns of nearly $500B in potential Medicare cuts Full story 3. Medicare Advantage growth strategies: Find out what's working in markets across the nation at…
August 15, 2025 1. Employers expect 10% rise in healthcare costs for 2026: 4 notes Full story 2. Where Sanford Health Plan's CEO is eyeing a 'significant opportunity for growth' in Medicare Advantage Full story 3. $28B in Medicare wound care…
August 14, 2025 1. UnitedHealth, Amedisys complete merger Full story 2. Man accused of cyberstalking, threatening family of slain UnitedHealthcare CEO Full story 3. Real-time prior auth? Highmark, AHN & Abridge partner to cut prior auth delays from months to…
August 13, 2025 1. Investor sues Medicare Advantage broker after DOJ alleges insurer kickback scheme Full story 2. Optum acquires 200-provider medical group Full story 3. As competition intensifies and regulations evolve, payer leadership strategies must be redefined. BCBS, Cigna…
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August 12, 2025 1. Nearly 6,500 providers opt out of $2.8B BCBS settlement Full story 2. Florida payer replaces president with COO Full story 3. Prepayment review takes a proactive approach, helping payers spot and resolve issues before claims are processed—unlike…
August 11, 2025 1. Big payers ranked by CEO tenure Full story 2. As payers stumble, hospitals eye their Medicare Advantage members Full story 3. From GLP-1 costs to chronic care ROI: Hear what payer CFOs are prioritizing at Becker's Payer…
August 8, 2025 1. UnitedHealth reaches deal with Justice Department to move Amedisys deal forward Full story 2. BCBS Louisiana cutting jobs amid industry challenges Full story 3. 5 AI innovators are redefining care. See how they're delivering real impact…
August 7, 2025 1. Senators launch probe into UnitedHealth's nursing home practices Full story 2. Arkansas governor urges rejection of 'insane' ACA rate hikes from Centene, BCBS Full story 3. Nonexistent providers, real penalties. Fix your directory before the audit hits…
August 6, 2025 1. Insurers pull Medicare Advantage plans as profit pressures mount Full story 2. Schumer introduces bill to reverse 'OBBB' healthcare cuts, permanently extend ACA subsidies Full story 3. Gaps in care slowing improvements? Embed alerts in the EHR.…