Payer Issues Archives - Page 17 of 177 - Becker's Payer Issues

CMS weighs in on MA broker pay | Hawaii BCBS could merge with health system | 2 former payer CEOs join Minn. systems' merger talks | Elevance expands doula care | Commercial GLP-1 coverage declines

CMS weighs in on the MA broker pay issue and a new vertically integrated system could form in Hawaii December 9, 2025 1. Hawaii health system, state's largest payer in merger talks Full story 2. CMS: States cannot regulate Medicare Advantage…

Fla. floats ICHRA marketplace | UnitedHealth accuses Tenn. system of 'PR stunt' lawsuit | Elevance expands AI assistant to 22M members | ACA approval hits new high | 4 MedPAC payment recs for '27

UnitedHealth calls a hospital’s MA lawsuit a publicity stunt and Florida eyes ICHRA innovation December 8, 2025 1. 'This litigation is a PR stunt': UnitedHealth seeks to dismiss Medicare Advantage lawsuit from Ballad Health Full story 2. Florida floats insurance…

Humana, Cuban hint at pharmacy partnership | Democrats push 'last chance' ACA subsidies | The MA question on execs' minds | NY lawmakers push for Optum probe | Cigna joins CMS health tech ecosystem

Humana and Mark Cuban hint at partnership and Senate Dems push for ACA subsidies’ last chance December 5, 2025 1. Senate Democrats push 'last chance' 3-year ACA tax credit extension Full story 2. Humana CEO, Mark Cuban hint at pharmacy partnership…

UnitedHealth resets 1 year after CEO death | Aetna shakes up prior auth | Watchdog reports ACA fraud risk | Zing sues CMS | Angle Health raises $134M

UHC shooting fallout, Aetna revamps auth and Zing challenges CMS December 4, 2025 1. One year after CEO's killing, UnitedHealth navigates a financial reset Full story 2. Aetna merges prescriptions, procedures into single prior authorization Full story 3. 83% faster…

Judge dismisses J&J drug benefits lawsuit | CVS settles insulin dispensing case | 2 looming health system-insurer splits | 7 payers among healthiest workplaces | 10 UnitedHealth updates

J&J wins an employee benefits lawsuit and hospital-insurer network splits loom in ’26 December 3, 2025 1. CVS settles insulin dispensing case for $38M Full story 2. Judge dismisses lawsuit accusing J&J of mismanaging employee drug benefits Full story 3.…

Mangione returns to court | 65K affected as UNC, Cigna split | GLP-1 marketplace coverage declines | CMS to pilot tech-supported care model | Curative achieves 'unicorn' status

Mangione returns to court and a contract break in NC leaves thousands without coverage December 2, 2025 1. Luigi Mangione returns to court for pretrial hearings in UnitedHealthcare CEO killing Full story 2. UNC Health goes out of network with…

UnitedHealth to exit South America | Ark. BCBS offering buyouts | Insurance industry salaries ranked by state | CMS cuts home health pay | BCBS Kansas City sells payer services subsidiary

UnitedHealth is leaving South America and another Blues plan is offering employee buyouts December 1, 2025 1. UnitedHealth to sell last South American business Full story 2. Arkansas BCBS offers employee buyouts Full story 3. EDs overcrowded, telemetry overused. A…

UnitedHealthcare sues Idaho over MA actions | Lessons payer execs will bring into '26 | Humana to appeal MA star ratings loss | Hospitals prep for all ACA subsidy scenarios | CMS to cut 15 drug prices in '27

UnitedHealthcare says Idaho overstepped with MA regulations and Humana is appealing its star ratings November 28, 2025 1. UnitedHealthcare sues Idaho insurance director over Medicare Advantage commission crackdown Full story 2. What lessons health plan leaders will bring into 2026…

CMS pitches star ratings overhaul | Payers prep amid ACA uncertainty | What's behind all the industry 'affiliations' | Where ACA benchmark premiums are rising most in '26 | Contigo to close

CMS has published its ’27 MA proposed rule and payers are prepping for all ACA subsidy scenarios November 26, 2025 1. CMS pitches star ratings reform in 2027 Medicare Advantage proposed rule: 7 notes Full story 2. How payers are…

Trump delays ACA subsidy pitch | HHS appeals ruling against MA audit rule | UnitedHealth buys $46M Nev. medical center | 1:1 with HMSA's new president | Optum Rx removes more drug reauthorizations

Trump delays an ACA subsidy proposal and UnitedHealth makes a big purchase in Nevada November 25, 2025 1. HHS appeals decision that struck down Medicare Advantage audit final rule Full story 2. Trump delays 2-year ACA subsidy extension proposal: Report Full story 3.…