Payer Issues Archives - Page 145 of 179 - Becker's Payer Issues

CMS issues new rules for Medicare Advantage | Payers, hospitals set 2-day prior authorization limit | Telemedicine owners charged in $56M Medicare fraud scheme | Percent of federal funds that go to Medicaid in each state

Payer Issues E-Newsletter February 6, 2020 1. CMS releases proposed Medicare Advantage rule: 5 things to know Full story 2. Providers, payers launch national 2-day prior authorization limit Full story 3. Centene delays 2020 forecast because of WellCare…

10 biggest health insurers | CMS cuts payments to 786 hospitals | Walmart Health: 5 notes | Ex-Aetna CEO says he's being pushed off CVS board | 100 hospital CIOs to know

Payer Issues E-Newsletter February 4, 2020 1. 10 largest health insurers Full story 2. United Healthcare notifies nearly 1,000 members of data breach Full story 3. CMS cuts payments to 786 hospitals over high rates of infection, injury…

CMS overhauls Medicaid funding | HCSC to lay off 400 | The 635 hospitals with most + fewest stars from CMS | 22 payer exec moves | Healthcare's top 10 billionaires

Payer Issues E-Newsletter January 30, 2020 1. CMS to allow Medicaid funding caps: 5 things to know Full story 2. Anthem profit nears $1B in Q4, but misses expectations Full story 3. 22 payer exec moves Full story…

Neb. surgeon lets patients pay by volunteering | Mont. hospital insurer once competed with BCBS — what happened? | Coronavirus death count 100+, cases near 5k | Healthcare CFO fired after questioning ambulance billing, suit says

Payer Issues E-Newsletter January 28, 2020 1. Coronavirus death count passes 100 with nearly 5k cases reported Full story 2. Montana hospitals made an insurer to compete with BCBS. It worked — until hospital leaders wanted out Full…

Trump 'going to look' at Medicare cuts | WellCare, Centene deal to close today | 7 things to know about the coronavirus outbreak | Advocate Aurora to partner with Wis. hospitals on Medicare product

Payer Issues E-Newsletter January 23, 2020 1. Trump 'going to look' at Medicare cuts Full story 2. BCBS, Civica Rx create subsidiary to cut generic drug costs Full story 3. WellCare, Centene deal to close today: 3 things…

Medicaid block grant guidance coming | BCBS, Texas hospital must arbitrate $21M suit | Miss. hospital sued over failure to pay for employees' insurance | State: Ohio Medicaid dropped 272 pharmacies because of Walgreens, CVS

Payer Issues E-Newsletter January 21, 2020 1. Trump administration to issue guidance on Medicaid block grants: 5 things to know Full story 2. BCBS of North Dakota didn't mail required papers to 10,000 customers because of glitch Full…

Ex-Cigna exec: I regret making coverage 'choice' a talking point | Not a MinuteClinic: UnitedHealth exec outlines Walgreens sites | CVS to add 600 HealthHUBs, link them to lower Aetna copays | Insurers to SCOTUS: Review ACA case

Payer Issues E-Newsletter January 16, 2020 1. Not a MinuteClinic: UnitedHealthcare Medicare Part D CEO outlines Walgreens centers Full story 2. CVS to add 600 HealthHUBs, link them to lower Aetna copays Full story 3. Ex-Cigna exec: I…

Cigna partners with Oscar | Physician, salesperson charged in $12M fraud scheme against insurer | Next Gen ACOs aren't lowering hospital spend | 4 NY hospital execs on what 'Medicare for All' would mean for them

Payer Issues E-Newsletter January 14, 2020 1. Cigna, Oscar strike partnership: 5 things to know Full story 2. Hospital groups sue HHS, seek to block site-neutral pay cuts Full story 3. Dignity Health isn't owed millions from Medicaid…

Houston Methodist ad: UnitedHealth members still have 'out-of-network benefits' | 50 states of healthcare affordability | Ind. health system accused of Medicare fraud | BCBS of Minn. CEO: Look to incumbents for reinvention

Payer Issues E-Newsletter January 9, 2020 1. Feds accuse Indianapolis health system of Medicare billing fraud Full story 2. Houston Methodist says UnitedHealth members can still use 'out-of-network benefits' Full story 3. BCBS of Minnesota CEO Dr. Craig…

CMS proposes risk adjustment updates to Medicare Advantage | 2 Calif. physicians settle billing fraud allegations | Oscar Health drops Walgreens from network | Steward Health sells health plan | Molina to acquire Ill. Medicaid plan for $50M

Payer Issues E-Newsletter January 7, 2020 1. CMS proposes risk adjustment updates to Medicare Advantage: 5 things to know Full story 2. 2 San Diego physicians pay $949K to settle billing fraud allegations Full story 3. 'No guarantee…