Payer Issues Archives - Page 15 of 161 - Becker's Payer Issues

Feds probe UnitedHealth: WSJ | Calif. governor eyes ending Medicaid for noncitizens | GOP pushes for HDHP, HSA reform | ACA enrollment hits record high | 8 MA updates

May 15, 2025 BHR Newsletter 1. UnitedHealth under criminal investigation for alleged Medicare Advantage fraud: WSJ Full story 2. California governor proposes rolling back Medi-Cal coverage for undocumented immigrants: 5 notes Full story 3. 43% drop in MSK spend. How…

UnitedHealth's new CEO: 5 notes | Converging threats loom for uninsured rate | Inside CMS' new innovation strategy | 7 prior auth updates | Aetna invests in home health pilot

May 14, 2025 BHR Newsletter 1. 5 things to know about UnitedHealth Group's new CEO Full story 2. Converging threats loom for the nation's uninsured rate Full story 3. BCBS, Cigna & Humana are rethinking cost, access and experience. Their game…

UnitedHealth CEO resigns | Payers split on GLP-1s | Hospital vs. insurer CEO salaries | What’s the salary of a BCBS CEO? | Trump's drug price order: 7 notes

May 13, 2025 BHR Newsletter 1. UnitedHealth Group CEO steps down Full story 2. Payers split on GLP-1 strategy Full story 3. AI is expanding autism care access. Discover what it can and can't replace here. 4. Health system vs.…

Ill. payer to lay off 600+ | Mental health parity paused | GOP unveils plan for Medicaid cuts | Will insurers fill the Medicaid gap? | Big system, payer CEO salaries ranked

May 12, 2025 BHR Newsletter 1. House Republicans release Medicaid cuts proposal Full story 2. Illinois insurer to lay off 612 Full story 3. Medicare Advantage, AI: What's really shaping payer strategy in 2025? Find out at Becker's roundtable, here.…

Boom times for small insurers | Ala. passes 'unregulated' health plan law | Oscar sees opportunity in Aetna ACA exit | MA crackdown better than Medicaid cuts, some lawmakers say | HHS taps AI chief

May 9, 2025 BHR Newsletter 1. Boom times for small insurers Full story 2. Medicare Advantage crackdown could offer alternative to Medicaid cuts, lawmakers say Full story 3. Cancer care costs are going up. How to improve access & affordability…

UnitedHealth shareholders sue over CEO death fallout | GOP backs off some Medicaid cuts: 5 notes | BCBS NC wants hospital sanctioned | Optum launches AI RCM platform | 8 Aetna updates

May 8, 2025 BHR Newsletter 1. UnitedHealth shareholders sue over corporate strategy following CEO's death Full story 2. GOP drops some Medicaid cuts from budget plan: 5 things to know Full story 3. What's next for value-based care? Aetna, Emblem &…

Dr. Oz eyes 'generational' Medicaid reforms | Insurers innovate to meet rising costs | Oscar, Clover report Q1 earnings | NC prior auth bill advances | 10 UnitedHealth updates

May 7, 2025 BHR Newsletter 1. Dr. Oz talks 'generational opportunity' to reform Medicaid Full story 2. Insurers innovate to keep up with rising commercial costs Full story 3. Employer healthcare costs to rise 8% in 2025. 3 steps to find…

UnitedHealth has 1K AI applications | Elevance faces another 'ghost network' lawsuit | Arizona settles long-term care contract dispute | More systems ditch their health plans | 6 drugs in shortage

May 6, 2025 BHR Newsletter 1. UnitedHealth has 1,000 AI use cases: Report Full story 2. Elevance faces another 'ghost network' lawsuit Full story 3. Direct-to-consumer care is surging — how payers can keep pace without sacrificing outcomes: here. 4. Arizona…

Payers ranked by Q1 profits | Cigna doubles down on GLP-1s | Highmark BCBS Del. president resigns | Amedisys, UnitedHealth find clinic buyers | Texas system aims preserve its Medicaid plan

May 5, 2025 BHR Newsletter 1. Payers ranked by Q1 profits Full story 2. Cigna doubles down on GLP-1 investments: 5 notes Full story 3. BCBS, Cigna & Humana are rethinking cost, access and experience. Their game plan — here.…

DOJ sues MA insurers, brokers | Cigna posts $1.3B Q1 profit | Alignment taps CFO from MultiPlan | Humana, Novo Nordisk expand GLP-1 partnership | Allegheny Health Network adopts new prior auth system

May 2, 2025 BHR Newsletter 1. DOJ sues major insurers, brokers over alleged Medicare Advantage kickbacks Full story 2. Cigna posts $1.3B profit in Q1 Full story 3. Hospitals and payers are aligning on pricing strategy. What it means for…