Payer Issues Archives - Page 16 of 161 - Becker's Payer Issues

Aetna exits the exchange | CMS eyes prior auth reforms | Humana posts $1.2B Q1 profit | Elevance pulls MA from broker platforms | Payers face 'modest short-term effect' from tariffs: Fitch

May 1, 2025 BHR Newsletter 1. Aetna to exit ACA market Full story 2. CMS weighing prior authorization reforms: Report Full story 3. CMS-0057-F: What's required and what's not? Get answers here. 4. Elevance Health pulls Medicare Advantage from marketing…

Optum names new CEO | Aetna to lay off 55, close CareFree plan | Humana posts $1.2B profit | Cigna CIO to depart | Meet the BCBS CEO in every state

April 30, 2025 BHR Newsletter 1. Optum names new CEO Full story 2. Aetna to lay off 55 as it closes CareFree plan Full story 3. Medicare Advantage, AI: What's really shaping payer strategy in 2025? Find out at Becker's…

The White House playbook on MA: 5 notes | Priority Health taps interim president | BCBS Tenn. joint venture acquires 8 clinics | Sutter to pay $228M in antitrust case | Payer pressures stabilize for CHS

April 29, 2025 BHR Newsletter 1. The Trump administration's approach to Medicare Advantage so far: 5 things to know Full story 2. Priority Health names interim president Full story 3. AI is helping payers win more business. Find out how,…

Why payer finances are struggling | Former Centene exec sues over noncompete | Mangione pleads not guilty | Kaiser fined over slow member responses | 101 things to know about BCBS

April 28, 2025 BHR Newsletter 1. 5 reasons payers' finances are struggling Full story 2. Former Centene exec alleges bullying campaign over noncompete Full story 3. What's next for value-based care? Aetna, Emblem & BCBS are scaling smarter models — learn…

Payers ranked by CEO-to-worker pay ratios | Centene posts $1.3B Q1 profit | Payers not required to cover cannabis: Judge | Highest-paid payer CFOs | 25 priciest hospital drugs

April 25, 2025 BHR Newsletter 1. Centene posts $1.3B profit in Q1 Full story 2. Payers ranked by CEO-to-worker pay ratios Full story 3. AI in healthcare is just getting started. Find out what's next, here. 4. Insurers not required…

The highest-paying insurance jobs | Do higher premiums drive more volume? | Centene exec named to lead SSM hospitals | CMS fines 3 PACE orgs | ND passes prior auth reform

April 24, 2025 BHR Newsletter 1. Do higher premiums drive more healthcare usage? Full story 2. Highest-paying roles at health insurers Full story 3. AI is transforming underwriting. Find out how leading health plans are using it: here. 4. Former…

The highest-paid payer CEOs | BCBS Mich. to sell AF Group | 19 HHS systems DOGE can access | 10 recent billing fraud cases | How will healthcare change by 2030? 21 payers respond

April 23, 2025 BHR Newsletter 1. Highest-paid payer CEOs in 2024 Full story 2. How will healthcare change by 2030? 21 payer leaders weigh in Full story 3. BCBS Michigan to sell $3B workers' compensation subsidiary Full story 4. BCBS, Cigna…

MA costs 'manageable' for Elevance | UnitedHealth's highest-paid execs | Inside Highmark, Penn State Health's virtual care journeys | Medica posts $216M operating loss | Optum taps RCM leader

April 22, 2025 BHR Newsletter 1. UnitedHealth Group's highest-paid executives in 2024 Full story 2. Medicare Advantage costs 'manageable' for Elevance Health: 8 notes Full story 3. Blue Cross Blue Shield mandates prior approval for severe asthma drugs in 5 states Full…

Texas lawmakers call for Centene sanctions | CMS penalizes Mass. payer | Evernorth CEO departing with $5M payout | Brokerage exec involved in $133M ACA fraud scheme | 4 GLP-1 updates

April 21, 2025 BHR Newsletter 1. Texas lawmakers call for sanctions on Centene subsidiary over 'spying' Full story 2. Cigna exec to depart with $5M payment Full story 3. CMS sanctions Massachusetts payer's Medicare Advantage drug plans following state enrollment suspension…

UnitedHealth shifts tone on MA | Elevance assures investors on earnings | CMS anticipates end to ACA subsidies | BCBS Mass. drops weight loss drug coverage | UnitedHealth weighs in on pharma tariffs

April 18, 2025 BHR Newsletter 1. UnitedHealth shifts tone on Medicare Advantage as CMS changes impact earnings Full story 2. Elevance assures investors with reaffirmed 2025 earnings guidance Full story 3. BCBS Massachusetts drops weight loss drug coverage: 5 things…