Payer Issues Archives - Page 15 of 177 - Becker's Payer Issues

Payer CEOs to testify before Congress | House passes ACA subsidy extension | Senators widen UnitedHealth nursing home probe | 2 Mass. payers to merge | Fla. loses Medicaid unwinding case

Federal lawmakers are scrutinizing big insurers and Florida has lost a major Medicaid unwinding laws January 9, 2026 1. 5 payer CEOs to testify before Congress on rising healthcare costs Full story 2. House approves 3-year ACA subsidy extension Full…

Anthem sues 11 Prime hospitals | ACA subsidy talks continue | Insurers take ownership of health data group | NY Blues plans decry new state mandates | Catastrophic coverage in '26: 6 notes

Anthem is continuing its fight against No Surprises ‘abuse’ and talks continue around ACA subsidy so January 8, 2026 1. Anthem sues 11 Prime hospitals, alleges $15M in fraudulent No Surprises Act awards Full story 2. Senators near plan to…

Trump floats meeting with insurers | State prior auth reforms take effect | HHS pushes cervical cancer screening coverage rules | UnitedHealthcare adds hurdle for radiology pay | Sanford, Security Health Plans tap new leadership

Trump says he will meet with insurers and several states have new prior auth laws on the books January 7, 2026 1. Trump says he will meet with 14 insurers over pricing Full story 2. State laws now in effect…

BCBS Texas sues over No Surprises 'abuse' | NYC employee insurance fund insolvent: Audit | Priority expands to 4th state | States ranked by MLR rebates | 40M Americans use ChatGPT for healthcare

Another insurer takes aim at No Surprises Act ‘abuse’ and Priority Health is expanding into new mark January 6, 2026 1. BCBS Texas sues medical billing company, claiming No Surprises Act 'abuse' Full story 2. New York City employee health insurance…

Optum begins Minn. Medicaid audit | CMS lifts enrollment freeze on Fla. MA plan | HonorHealth acquires Cigna care group | NM sees record ACA enrollment | Wegovy pill hits market

Optum has started reviewing Minnesota Medicaid claims and New Mexico’s move to replace ACA subsidies January 5, 2026 1. Optum begins Minnesota Medicaid audit; governor won't seek reelection Full story 2. CMS lifts enrollment freeze on Florida Medicare Advantage plan…

Insurance policy changes: A 2026 breakdown | Medi-Cal ends weight loss drug coverage | Anthem, Mount Sinai split | 14 systems dropping MA plans | 11 UnitedHealth updates

ACA enhanced subsidies have expired and the nation’s largest Medicaid program is cutting weight loss January 2, 2026 1. Notable health insurance policies taking effect in 2026 Full story 2. California Medicaid ends weight loss drug coverage Full story 3.…

Payers face 'deteriorating' 2026 outlook | Optum CEO, Mark Cuban square off | How states are responding to expiring ACA subsidies | 15 health systems dropping MA plans | 6 GLP-1 updates

Optum’s CEO and Mark Cuban tussled over drug rebates and Fitch says insurers are facing a tough 2026 December 31, 2025 1. 'Give me a name of one of your biggest customers so I can call them': Optum CEO, Mark…

CMS pitches new payer price transparency rules | States most affected as ACA subsidies expire | Change cyberattack lawsuit to move forward | What 6 Elevance leaders told Becker's in '25 | OIG flags $289M in Medicaid payments for deceased enrollees

GOP-led states are likely to be most affected by expiring ACA subsidies and price transparency rules December 30, 2025 1. States facing steepest coverage losses as ACA subsidies expire Full story 2. CMS proposes new price transparency rules Full story…

Lawmakers want probe of Elevance's new hospital penalty | Judge blocks Idaho's MA moves against UnitedHealth | CMS under Dr. Oz: 20 key actions | Anesthesia providers sue Aetna, Cigna | GLP-1 coverage in '25: 4 notes

Federal lawmakers are weighing in on Elevance’s new 10% hospital penalty and we recap Dr. Oz’s first December 29, 2025 1. Lawmakers call for investigation of Elevance's new hospital penalty for using out-of-network providers Full story 2. Federal judge blocks…

Tenet, Cigna negotiations heat up | CMS' GLP-1 model: 7 notes | Health insurance is a top benefit for workers | SCAN CEO talks regional MA plans | Americans face unaffordable care: Study

Tenet launched a campaign amid Cigna negotiations, and CMS' BALANCE model December 26, 2025 1. Tenet, Cigna tensions heat up as contract deadline nears Full story 2. CMS kicks off GLP-1 model: 7 notes Full story 3. Autonomous & proactive…