Payer Issues Archives - Page 14 of 179 - Becker's Payer Issues

Payers, employers urge action on No Surprises arbitration | 6 SOTU healthcare notes | Anthem Calif. pauses E/M downcoding policy | GoodRx goes direct-to-employer | Ala. eyes prior auth-AI restrictions

Trump touches on healthcare in SOTU and payers are urging reform to No Surprises arbitration February 25, 2026 1. Trump's State of the Union: 6 healthcare takeaways Full story 2. Payers, employers urge federal action on No Surprises arbitration 'manipulation' Full…

CMS plans national provider directory | Kaiser sues insurers over MA settlement | Geisinger Health Plan names president | Ariz. providers may face risks under No Surprises bill | UCare's shutdown: 4 updates

More details emerge on CMS’ planned provider directory and Kaiser is suing over its MA settlement February 24, 2026 1. CMS plans beta launch of federal provider directory Full story 2. Kaiser sues liability insurers over $556M Medicare Advantage settlement…

Insurer job cuts climb | Cigna defeats GLP-1 disability bias suit | DOJ sues Ohio system for allegedly blocking cheaper plans | Conn. renews Anthem contract | Nev. eyes mental health parity fines for insurers

Cigna wins a major GLP-1 coverage case and insurer job cuts are up in 2026 February 23, 2026 1. Cigna defeats class action alleging GLP-1 coverage exclusions are disability discrimination Full story 2. Insurance industry job cuts continue to climb…

Aetna's president talks fixing payer-provider trust | Elevance names 2 Anthem presidents | MA's 'sunk-cost' problem | EmblemHealth fined $2.5M for mental health network issues | 10 recent billing fraud cases

Aetna’s president weighs in on payer-provider tensions and Elevance names new market leaders February 20, 2026 1. 'The finger pointing isn't working': Aetna's president talks rebuilding payer-provider trust Full story 2. Medicare Advantage's 'sunk-cost' problem Full story 3. 500+ payer executives.…

10% of MA enrollees forced to switch plans | Optum worker guilty in $1.2M fraud scheme | 'Our new normal': This payer CEO says do more with less | BCBS Mich. saves $147M with biosimilars | Centene taps D-SNP chief

10% of MA enrollees had to switch plans for 2026 and a former Optum worker is found guilty of fraud February 19, 2026 1. Former Optum director found guilty in $1.2M fraud scheme against company Full story 2. 10% of…

MA growth stalls | Centene to sell Magellan | Ala. may let BCBS reorganize | AmeriHealth Caritas to shutter PBM | Okla. to form state-run exchange

Medicare Advantage growth stalled during annual enrollment and another BCBS plan may soon reorganize February 18, 2026 1. Medicare Advantage grows less than 1% during annual enrollment: 7 notes Full story 2. Alabama lawmakers move bill forward to allow insurers…

Humana buys MaxHealth | Where workers pay most, least for insurance | Conn. pitches state-backed health plan | Inside Michigan's $780M Medicaid plan | 3 new GLP-1 trends

Humana expands its primary care business and Connecticut backs ICHRA February 17, 2026 1. Humana closes on acquisition of MaxHealth primary care clinics Full story 2. Connecticut governor pitches state-backed health plan, ICHRA perk for small employers Full story 3.…

Steward trustee sues 5 payers | Why Scripps' MA exit worked | Payers ranked by '25 MLRs | BCBS Mich. to sell workers' comp unit | 6 Medicaid expansion updates

The latest Steward update involves 5 payers and Scripps details its MA exit success February 16, 2026 1. Steward trustee sues 5 payers over $57M, alleging exploitation of financial distress Full story 2. Why Scripps Health's Medicare Advantage exit paid…

Payers ranked by '25 profits | Humana in talks to buy Fla. primary care chain | 14 payers pledge ACCESS support | Texas to probe BCBS over data breach | 10 UnitedHealth updates

Humana eyes a Florida primary care chain + payers record profit declines February 13, 2026 1. Humana approaches $1B deal with Florida primary care chain Full story 2. Payers ranked by 2025 profits Full story 3. How a top plan found…

Calif. payer preps for 45% membership loss | UnitedHealth-U of Minn. class draws scrutiny | Best insurers of '26 | Tenet projects 20% ACA enrollment drop | 13 recently fined insurers

How a Calif. Medicaid plan is prepping for OBBBA changes + the top payers of 2026 February 12, 2026 1. How this California insurer is preparing as it faces up to 45% membership loss Full story 2. The best health…