Payer Issues Archives - Page 13 of 161 - Becker's Payer Issues

Humana's CMO details ambient AI pilot | Former UnitedHealth employees drop WARN violation claims | 6 payers recently fined | The Trump admin's approach to MA | Cigna adds new AI tools

June 13, 2025 1. Humana's top physician details ambient AI pilot: 5 notes Full story 2. Former UnitedHealth employees drop claims alleging WARN Act violations Full story 3. New chronic wound research could shift coverage policies. What payers should know…

Layoffs at BCBS Mich. | Lawmakers backtrack on MA reforms | Blue Shield Calif., U of Calif. Health face split | Ill. physician sentenced for billing fraud | Iowa enacts PBM law

June 12, 2025 1. BCBS Michigan lays off 220 Full story 2. Lawmakers backtrack on Medicare Advantage changes in budget bill Full story 3. Experts talk proven UM strategies to boost member outcomes & trust. Join them, here. 4. Blue…

CVS, Cigna settle exec noncompete case | Moody’s downgrades UnitedHealth | Payers oppose MA changes in GOP budget bill | Growth slows for BCBS plans | Ga. system backs ICHRA startup

June 11, 2025 1. CVS settles with Cigna in executive noncompete case Full story 2. Moody's downgrades UnitedHealth's outlook to negative, affirms credit ratings Full story 3. What's next for value-based care? Payer execs talk strategy for future success here. 4. Insurers…

Molina lays off 250+ | Lawmakers: Expand UnitedHealth probe | Aetna subsidiary received $7M in MA overpayments: OIG | Ore. enacts corporate physician limits | Cigna, Allegheny Health Network face split

June 10, 2025 1. Molina lays off 250+ after contract loss Full story 2. Ocasio-Cortez calls for expanded UnitedHealth investigation after nursing home report Full story 3. DRG claim review uncovered $95K in overpayments on a $440K heart procedure due…

UnitedHealth eyes South America exit | Payers seek double-digit ACA hikes | Neb. enacts prior auth reform | Senate GOP weighs Medicare changes | Top insurance stories so far in '25

June 9, 2025 1. UnitedHealth looking to sell Colombia, Chile businesses: Report Full story 2. Payers seek double-digit exchange rate hikes for 2026 Full story 3. BCBS, Cigna & Humana are rethinking cost, access and experience. Their game plan — here.…

Payers back MA reform | How AI-faked celebrities drove deceptive ACA enrollment | Top insurance stories of '25 | Ariz. law bans AI-driven denials | Vt. allowing hospital pay cuts to protect insurers

June 6, 2025 1. Insurers back Medicare Advantage reform Full story 2. Top health insurance stories in first half of 2025 Full story 3. Payers are closing care gaps + enhancing member experience with new UM strategies. Find out how,…

UnitedHealth sues The Guardian | Judge greenlights MultiPlan lawsuits | GOP bill would uninsure 11 million: CBO | CVS' $20B bet on integrated care | Humana, Longevity extend partnership

June 5, 2025 1. 'Unquestionably defamatory': UnitedHealth sues The Guardian after nursing home report Full story 2. GOP bill would leave 11 million more uninsured: CBO Full story 3. 7 best practices for delegating credentialing — see the guide: here.…

15 payer CEO moves | 10 CMS actions under Dr. Oz | UnitedHealth cancels stock units for former CEO | Healthcare costs rise 6.7% in '25 | NH eyes ban on surprise ambulance bills

June 4, 2025 1. 15 recent payer CEO moves Full story 2. UnitedHealth cancels performance-based stock grants for former CEO Full story 3. AI is expanding autism care access. Discover what it can and can't replace here. 4. CMS under…

UnitedHealth's new CEO: 'We have gotten things wrong' | 10 providers seekings payer talent | Point32Health taps new leader | Vt. bill allows hospital pay cuts to protect insurers | States take aim at PBMs

June 3, 2025 1. 'We have gotten things wrong': UnitedHealth's new CEO addresses investors Full story 2. Point32Health names new CEO Full story 3. Medicare Advantage, AI: What's really shaping payer strategy in 2025? Find out at Becker's roundtable, here.…

BCBS Minn. drops stars lawsuit | Layoffs at Devoted | Aetna, UW Medicine split | Fortune 500's top 25 healthcare orgs | Blue Shield Calif. posts $103M profit in '24

June 2, 2025 1. BCBS Minnesota drops star ratings lawsuit against CMS Full story 2. Devoted Health lays off 120 Full story 3. What's next for value-based care? Aetna, Emblem & BCBS are scaling smarter models — learn how, here.…