Payer Issues Archives - Page 18 of 161 - Becker's Payer Issues

FTC pauses PBM probe | The fastest-growing MA startups | Oscar Health's 'market-making' opportunity | Workplace incivility on the rise | 37 billionaires in US healthcare

April 3, 2025 BHR Newsletter 1. FTC pauses case against top PBMs Full story 2. Where Oscar Health plans to be a 'market maker' Full story 3. The fastest-growing Medicare Advantage startup plans in 2025 Full story 4. The payer growth…

The fastest-growing nonprofit MA plans | Highmark names CFO | DOJ seeks death penalty for Mangione | Hospital growth outpacing expenses | States' post redeterminations playbook

April 2, 2025 BHR Newsletter 1. Fastest-growing nonprofit Medicare Advantage plans | 2025 Full story 2. DOJ pushes death penalty for Luigi Mangione Full story 3. Highmark Health Plan appoints CFO: 4 things to know Full story 4. Don't wait…

DOJ targets anticompetitive health laws | Fla. Blue CEO to retire | Layoffs begin at HHS | MU Healthcare, Anthem split | Aetna snags Pa. contract

April 1, 2025 BHR Newsletter 1. Florida Blue CEO to retire Full story 2. DOJ launches task force targeting 'harmful barriers to competition' Full story 3. MU Health Care, Anthem BCBS split Full story 4. Compliance is just the beginning.…

Centene's highest-paid execs | Risant hires UnitedHealthcare leader | States eye AI prior auth crackdown | Change looks to dismiss breach lawsuits | Hospital-owned MA shrinks

March 28, 2025 BHR Newsletter 1. Centene's 5 highest-paid executives Full story 2. States consider crackdowns on AI in prior authorization Full story 3. Change Healthcare looks to dismiss data breach lawsuits Full story 4. How do top-performing payers stand…

MA deductibles surge | Tenn. Supreme Court sides with BCBS in vaccine dispute | WSJ: Payers took in billions in duplicate Medicaid payments | Judge dismisses Wells Fargo drug benefits case | 6 GLP-1 updates

March 27, 2025 BHR Newsletter 1. Medicare Advantage deductibles more than double: Survey Full story 2. Payers received billions in duplicate Medicaid payments: WSJ Full story 3. Tennessee Supreme Court gives win to BCBS in COVID vaccine lawsuit Full story…

Best health insurers of '25 | Dr. Oz clears nomination hurdle | Moody's downgrades HCSC | Medicaid cuts risk 477K healthcare jobs | Payers ranked by Part D members

March 26, 2025 BHR Newsletter 1. The best health insurers of 2025 Full story 2. Senate panel advances Dr. Oz's CMS nomination: 4 notes Full story 3. Payers ranked by Part D membership | 2025 Full story 4. Cancer care…

Where MA is growing the fastest | NYC accuses Anthem of withholding pricing data | GLP-1s outpacing specialty drug spend | Texas bill could reduce preventive coverage | 7 Epic updates

March 25, 2025 BHR Newsletter 1. The fastest-growing states for Medicare Advantage | 2025 Full story 2. Anthem accused of withholding data in New York City's push for price transparency Full story 3. GLP-1s outpace specialty drug spend for the…

Mass. payer facing "deep financial trouble” | Why payers aren't sold on GLP-1s | "A broad opportunity" for ACA plans | Highmark sees major growth in new market | 46% of healthcare execs eye exit in '25

March 24, 2025 BHR Newsletter 1. Massachusetts payer 'in very deep financial trouble' Full story 2. Why payers, employers aren't sold on GLP-1s Full story 3. 'A broad opportunity' for ACA plans on the horizon Full story 4. Member needs are evolving fast.…

25 payer execs on healthcare's needed conversations | Humana opens first Walmart clinic | 37 systems Optum recommends for cancer care | 9 states eye Medicaid work rules | Hawaii pitches prior auth reform

March 21, 2025 BHR Newsletter 1. 25 payer execs weigh in on healthcare's needed conversations Full story 2. Humana opens first Walmart clinic Full story 3. The 37 health systems Optum recommends for cancer care in 2025 Full story 4.…

Ohio payer wins lawsuit against UnitedHealth | Humana, Aledade expand partnership | NC lawmakers eye prior auth reform | Optum shakes up pharmacy reimbursement | Elevance settles spine surgery complaint

March 20, 2025 BHR Newsletter 1. Ohio payer beats UnitedHealthcare in racketeering lawsuit, awarded $50M Full story 2. Humana, Aledade expand partnership to FQHCs, rural providers Full story 3. Optum shakes up pharmacy reimbursement model Full story 4. Baptist MD…