Payer Issues Archives - Page 19 of 164 - Becker's Payer Issues

Boom times for small insurers | Ala. passes 'unregulated' health plan law | Oscar sees opportunity in Aetna ACA exit | MA crackdown better than Medicaid cuts, some lawmakers say | HHS taps AI chief

May 9, 2025 BHR Newsletter 1. Boom times for small insurers Full story 2. Medicare Advantage crackdown could offer alternative to Medicaid cuts, lawmakers say Full story 3. Cancer care costs are going up. How to improve access & affordability…

UnitedHealth shareholders sue over CEO death fallout | GOP backs off some Medicaid cuts: 5 notes | BCBS NC wants hospital sanctioned | Optum launches AI RCM platform | 8 Aetna updates

May 8, 2025 BHR Newsletter 1. UnitedHealth shareholders sue over corporate strategy following CEO's death Full story 2. GOP drops some Medicaid cuts from budget plan: 5 things to know Full story 3. What's next for value-based care? Aetna, Emblem &…

Dr. Oz eyes 'generational' Medicaid reforms | Insurers innovate to meet rising costs | Oscar, Clover report Q1 earnings | NC prior auth bill advances | 10 UnitedHealth updates

May 7, 2025 BHR Newsletter 1. Dr. Oz talks 'generational opportunity' to reform Medicaid Full story 2. Insurers innovate to keep up with rising commercial costs Full story 3. Employer healthcare costs to rise 8% in 2025. 3 steps to find…

UnitedHealth has 1K AI applications | Elevance faces another 'ghost network' lawsuit | Arizona settles long-term care contract dispute | More systems ditch their health plans | 6 drugs in shortage

May 6, 2025 BHR Newsletter 1. UnitedHealth has 1,000 AI use cases: Report Full story 2. Elevance faces another 'ghost network' lawsuit Full story 3. Direct-to-consumer care is surging — how payers can keep pace without sacrificing outcomes: here. 4. Arizona…

Payers ranked by Q1 profits | Cigna doubles down on GLP-1s | Highmark BCBS Del. president resigns | Amedisys, UnitedHealth find clinic buyers | Texas system aims preserve its Medicaid plan

May 5, 2025 BHR Newsletter 1. Payers ranked by Q1 profits Full story 2. Cigna doubles down on GLP-1 investments: 5 notes Full story 3. BCBS, Cigna & Humana are rethinking cost, access and experience. Their game plan — here.…

DOJ sues MA insurers, brokers | Cigna posts $1.3B Q1 profit | Alignment taps CFO from MultiPlan | Humana, Novo Nordisk expand GLP-1 partnership | Allegheny Health Network adopts new prior auth system

May 2, 2025 BHR Newsletter 1. DOJ sues major insurers, brokers over alleged Medicare Advantage kickbacks Full story 2. Cigna posts $1.3B profit in Q1 Full story 3. Hospitals and payers are aligning on pricing strategy. What it means for…

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…