Payer Issues Archives - Page 14 of 177 - Becker's Payer Issues

Payer CEOs urge 'deescalation of tensions' | ND approves BCBS, Cambia deal | CareFirst sues over MA star ratings | Mangione trial to begin in Sept. | Alignment taps Optum exec for chief digital role

Payer CEOs urge calm after weekend of violence in Minnesota and CareFirst is the latest to sue CMS January 26, 2026 1. Payer CEOs call for 'deescalation of tensions' in Minnesota Full story 2. CareFirst BCBS sues over 2026 Medicare Advantage…

Congress grills payer CEOs | Ind. bill targets Elevance's out-of-network penalty | Payers prep for major winter storm | House passes health spending package | Mo. eyes prior auth reform

Payer CEOs squared off for hours with House lawmakers and Indiana is targeting Elevance’s out-of-net January 23, 2026 1. 'Vertical integration is destroying people's ability to access care': Payer CEOs face bipartisan congressional grilling Full story 2. Hospital, provider groups…

False Claims Act settlements hit record | Trump's health plan: 3 big unanswered questions | 3 drugs to watch: Optum | Improper Medicare payments reach $28B | 5 'most admired' insurers

Big questions loom over Trump’s healthcare plan and False Claims Act settlements hit a record high i January 22, 2026 1. False Claims Act settlements, judgments top $6.8B in 2025: 6 notes Full story 2. 3 big questions about Trump's…

Payer CEOs prep for Congress | Congress' bipartisan health deal: 8 notes | ACA plans unaffordable in most markets: Study | The case for copay-only plans | 5 prior auth updates

Payer CEOs are headed to D.C. this week and Congress has pitched a new healthcare package January 21, 2026 1. Payer CEOs point to hospitals, drug manufacturers for rising costs ahead of congressional hearings Full story 2. Congress pitches bipartisan…

States ranked by ACA enrollment change | Hawaii BCBS, Hawaii Pacific Health proposal under fire | U of Utah Health Plans names part-time CFO | Alignment CEO at JPM | Missouri sues PBMs over insulin

States in order of ACA enrollment change, and affiliation tensions January 20, 2026 1. States ranked by ACA enrollment change since 2025 Full story 2. 'Too good to be true': Providers, insurers weigh in on potential HMSA, Hawaii Pacific Health…

Trump's 'Great Healthcare Plan': 3 notes | ACA open enrollment wraps | Top-rated plans for member experience | Wash. fines Kaiser over mental health parity | Mass. considers prior auth reform

Trump pitches a health policy framework and ACA open enrollment has wrapped January 16, 2026 1. Trump pitches healthcare policy outline aimed at lowering costs: 3 takeaways Full story 2. ACA open enrollment wraps: 6 things to know Full story…

Kaiser to pay $556M to settle MA case | Calif. payer to cut 3% of workforce | 4 Corewell hospitals leave UHC network | NY to reform prior auth | 4 payer M&A deals

Kaiser Permanente’s settlement, and L.A. Care Health Plan to lay off 225 January 15, 2026 1. Kaiser Permanente agrees to pay $556M to resolve Medicare Advantage whistleblower allegations Full story 2. California payer laying off 3% of workforce amid Medicaid…

UnitedHealthcare seeks to speed up rural MA pay | Ga. fines 11 insurers $25M | Senate delays ACA subsidy bill | BCBSND names president | 10 recent billing fraud cases

Georgia clamps down on mental health parity violations and an ACA subsidy bill is pushed again January 14, 2026 1. UnitedHealthcare launches accelerated Medicare Advantage payment program for rural hospitals Full story 2. Georgia issues $25M in fines to 11…

Where ACA subsidies stand | 5 healthiest, least healthy states: UnitedHealth | Humana, Lilly ink employer GLP-1 deal | Study flags AI-driven prior auth risks | 11 No Surprises updates

ACA enrollment is on the decline nationally and the No Surprises Act has become a legal battleground January 13, 2026 1. Where ACA subsidies stand: 5 updates Full story 2. 5 healthiest states in 2025 — and the least healthy:…

UnitedHealth used 'aggressive tactics' for MA pay: Senate report | Insurance industry sheds 28K jobs | BCBSA applauds House ACA vote | NY audit flags $19M in Anthem lapses | Details emerge in HMSA, Hawaii system's affiliation

A new Senate report calls out UnitedHealth’s ‘aggressive’ MA payment tactics and the insurance secto January 12, 2026 1. Senate finds UnitedHealth used 'aggressive strategies' in Medicare Advantage Full story 2. New York state employee plan audit identifies $19.3M in Anthem…