No ACA subsidy extension + payers’ key areas of focus in Q3 November 10, 2025 1. Payers talk margin recovery, product pullbacks and PBM transformation in Q3 Full story 2. Senate advances potential funding deal sans ACA subsidy extension: 5…
Payer Issues
Payers report Q3 profits, Cambia, BCBS Ark. affiliate, CMS launching Medicaid drug cost pilot November 7, 2025 1. Payers ranked by Q3 profits Full story 2. Cambia, BCBS Arkansas announce strategic affiliation Full story 3. This VBC-aligned autism model expands…
Anthem and Northern Light’s new contract, plus N.C.’s plan for small employers November 6, 2025 1. Anthem, Northern Light ink agreement Full story 2. The Cigna Group names chief medical officer Full story 3. 'Things don't have to stay the…
Humana profits rise, Optum cuts jobs and senators target MA data accuracy November 5, 2025 1. Optum to lay off 572 across New Jersey Full story 2. Humana posts $195M Q3 profit Full story 3. Low-hour autism care: Better outcomes,…
November 4, 2025 1. House lawmakers pitch ACA enhanced subsidy extension amid shutdown Full story 2. DOJ proposes UnitedHealth-Amedisys deal monitor Full story 3. Star Ratings Are Out, Now What? Join a live debrief 4. Cigna in the headlines: 8…
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November 3, 2025 1. HHS orders state Medicaid programs to screen for enrollee immigration status Full story 2. Medicare contractors weigh coverage cuts to chronic pain procedures Full story 3. Seamless DME isn't a dream—real-time connections can simplify every step…
What to know as the ACA open enrollment period starts tomorrow October 31, 2025 1. Cigna's rebate-free pharmacy benefit model could see a rocky start Full story 2. 6 things to know ahead of ACA open enrollment Full story 3. How…
Cigna’s profit, ACA plan shopping and PacificSource’s layoffs hit four states October 30, 2025 1. Cigna reports $1.9B Q3 profit Full story 2. ACA window-shopping rates go live: 6 things to know Full story 3. BCBS & Cleveland Clinic take…
Despite robust performance, here’s what’s driving Centene and CVS Health’s Q3 losses October 29, 2025 1. Centene posts $6.6B loss but steep revenue increase for Q3 Full story 2. UnitedHealth projects 1 million-member drop in Medicare Advantage enrollment Full story…
October 28, 2025 1. UnitedHealth posts $2.3B profit for Q3, raises outlook Full story 2. Number of physicians halved for Medicare Advantage enrollees: Report Full story 3. A fragmented DME process costs payers time and money. Discover how an end-to-end…