Payer Issues Archives - Page 15 of 183 - Becker's Payer Issues

Centene loses 2 million ACA members | Employers' GLP-1 coverage dilemma grows | UnitedHealth sells UK business | BCBS Ala. posts $3M loss | Oscar's highest-paid execs

Centene raises outlook amid ACA declines and employers’ GLP-1 pressures aren’t easing up April 28, 2026 1. Centene posts $1.5B profit in Q1, ACA membership declines by 2 million Full story 2. Employers' GLP-1 coverage dilemma grows Full story 3. How can…

10 Centene updates | Hospital files for bankruptcy amid Medicaid recoupment | 5 states reforming prior auth | Ark. BCBS posts $4.8M profit | Humana exec heads to Aledade

April 16, 2026 1. Centene in the headlines: 10 updates Full story 2. Mississippi hospital files for bankruptcy amid Medicaid recoupment Full story 3. Transform care delivery with strategic, data-driven solutions. Visit Strategies for Quality Care for insights on supporting patient outcomes.…

7 BCBS updates | Va. enacts prior auth reform | Ark. & Neb. to launch early Medicaid work rules | Priority Health received $4M in MA overpayments: OIG | IBX parent posts $423M loss

Two states are enacting early Medicaid work rules and Virginia has passed prior auth reform April 10, 2026 1. 7 Blue Cross Blue Shield updates Full story 2. Independence Blue Cross parent reports $423M loss in 2025 Full story 3.…

Medicare director breaks down '27 rate hike | States ranked by bronze ACA growth | Premera files No Surprises abuse lawsuit | Noncitizen Medicaid coverage guidance issued | 13 potential benefits of GLP-1s

Medicare lead talks 2027 rate hike and bronze ACA enrollment is on the rise April 9, 2026 1. 'The days of unlimited increases in rate must end': CMS leader breaks down the 2027 Medicare Advantage pay hike Full story 2.…

Jefferson Health sues Aetna over MA policy | Payers offering best digital experience: JD Power | States eye higher MCO taxes | $243M Minn. Medicaid deferral moves forward | 10 providers seeking payer talent

Jefferson sues Aetna over its new MA inpatient pay policy and JD Power ranks payers’ digital offers April 8, 2026 1. Jefferson Health sues Aetna over Medicare Advantage inpatient reimbursement policy Full story 2. Payers ranked by 2026 digital experience:…

CMS bumps MA pay | Insurers cut prior auth by 11%: Survey | Antitrust repricing case against 5 insurers moves forward | States ranked by avg. premium for ACA subsidy recipients | 7 M&A updates

CMS is raising MA pay by $13 billion and insurers say they’ve cut down on prior auth April 7, 2026 1. CMS hikes Medicare Advantage rate 2.48% for 2027: 6 notes Full story 2. Insurers have cut prior auth requirements…

CEO pay rises at CVS | Centene taps 2 group presidents | Elevance expanding out-of-network penalty policy to NY | BCBS urges fix to MA fraud gaps | 10 UnitedHealth updates

Elevance is expanding a controversial network policy and Centene shuffles its C-suite April 6, 2026 1. CVS Health's 6 highest-paid executives in 2025 Full story 2. Centene debuts 2 group president roles Full story 3. This fall: 500+ payer execs…

CMS finalizes MA star ratings changes | How useful is the new prior auth data? | Elevance 'ghost network' lawsuit moves forward | 15 payer leaders on adapting to policy shifts | 19 systems dropping MA plans

How useful is the new prior auth data? + CMS enacts star ratings changes in MA final rule April 3, 2026 1. CMS finalizes 2027 Medicare Advantage and Part D rule: 10 notes Full story 2. Public prior authorization data…

BCBS Texas, Memorial Hermann split | UnitedHealthcare beats web tracking suit | Feds zero in on hospital contracting | BCBS Minn. posts $353M operating loss | Anthem Blue Cross extends E/M policy pause

UnitedHealthcare beats a web tracking lawsuit and a major network split in Texas April 2, 2026 1. UnitedHealthcare beats website tracking lawsuit Full story 2. Memorial Hermann goes out of network with BCBS Texas Full story 3. Disconnected analytics hurt…

Cuban backs big insurer breakup bill | Steward trustee sues Aetna | CMS extends Elevance MA sanction deadline | 4 HSA policy updates | CareSource closes Wis. MCO deal

Steward’s trustee is suing another payer and Mark Cuban backs the big insurer breakup bill April 1, 2026 1. Mark Cuban backs bill to break up vertically integrated insurers Full story 2. Steward trustee sues Aetna, seeking $6.3M in unpaid…