Payer Issues Archives - Page 2 of 167 - Becker's Payer Issues

Cigna CEO to retire | Stability drives record growth at small MA plans | Federal bill would reverse Medicaid cuts | Insurers urge MA rate proposal revisal | Mass. drops employee GLP-1 coverage

Cigna’s longtime leader is retiring and small MA plans credit stability for record membership gains March 3, 2026 1. Cigna COO to succeed retiring predecessor as CEO Full story 2. 'We're running in when others are running out': Stability drives…

CMS to freeze Elevance MA enrollment | UnitedHealth plans layoffs, caps raises: Report | BCBS Mass. posts $223M loss | Cigna buys CarepathRx | MA enrollment falls in 7 states

CMS is freezing MA enrollment at Elevance and UnitedHealth is capping worker pay raises March 2, 2026 1. CMS to suspend enrollment into Elevance's Medicare Advantage plans Full story 2. UnitedHealth pay raises not to exceed 2% amid layoffs: Bloomberg…

2 C-suite exits at UnitedHealth, Elevance | Ind. blocks Elevance's out-of-network penalty | CMS halts Aspirus MA enrollment | New lawsuit filed in BCBS antitrust saga | Medicaid budgets face $664B hit

Elevance has been rebuked on its home turf and another insurer is dragged into the UCare fallout February 27, 2026 1. UnitedHealth senior exec, former Optum CEO, departs company Full story 2. Indiana passes bill blocking Elevance's 10% out-of-network hospital…

CMS freezes $260M in Minn. Medicaid funds | No Surprises hit self-insured hardest: HHS | Aetna taps Fla. Medicaid CEO | MA has biggest margins in insurance: KFF | Ala. hospital, BCBS fight grows

CMS amps up Medicaid scrutiny in Minnesota and HHS reports new No Surprises data February 26, 2026 1. CMS freezes $260M in Medicaid funding to Minnesota, citing fraud concerns Full story 2. HHS: No Surprises Act hit self-insured plans hardest…

Payers, employers urge action on No Surprises arbitration | 6 SOTU healthcare notes | Anthem Calif. pauses E/M downcoding policy | GoodRx goes direct-to-employer | Ala. eyes prior auth-AI restrictions

Trump touches on healthcare in SOTU and payers are urging reform to No Surprises arbitration February 25, 2026 1. Trump's State of the Union: 6 healthcare takeaways Full story 2. Payers, employers urge federal action on No Surprises arbitration 'manipulation' Full…

CMS plans national provider directory | Kaiser sues insurers over MA settlement | Geisinger Health Plan names president | Ariz. providers may face risks under No Surprises bill | UCare's shutdown: 4 updates

More details emerge on CMS’ planned provider directory and Kaiser is suing over its MA settlement February 24, 2026 1. CMS plans beta launch of federal provider directory Full story 2. Kaiser sues liability insurers over $556M Medicare Advantage settlement…

Insurer job cuts climb | Cigna defeats GLP-1 disability bias suit | DOJ sues Ohio system for allegedly blocking cheaper plans | Conn. renews Anthem contract | Nev. eyes mental health parity fines for insurers

Cigna wins a major GLP-1 coverage case and insurer job cuts are up in 2026 February 23, 2026 1. Cigna defeats class action alleging GLP-1 coverage exclusions are disability discrimination Full story 2. Insurance industry job cuts continue to climb…

Aetna's president talks fixing payer-provider trust | Elevance names 2 Anthem presidents | MA's 'sunk-cost' problem | EmblemHealth fined $2.5M for mental health network issues | 10 recent billing fraud cases

Aetna’s president weighs in on payer-provider tensions and Elevance names new market leaders February 20, 2026 1. 'The finger pointing isn't working': Aetna's president talks rebuilding payer-provider trust Full story 2. Medicare Advantage's 'sunk-cost' problem Full story 3. 500+ payer executives.…

10% of MA enrollees forced to switch plans | Optum worker guilty in $1.2M fraud scheme | 'Our new normal': This payer CEO says do more with less | BCBS Mich. saves $147M with biosimilars | Centene taps D-SNP chief

10% of MA enrollees had to switch plans for 2026 and a former Optum worker is found guilty of fraud February 19, 2026 1. Former Optum director found guilty in $1.2M fraud scheme against company Full story 2. 10% of…

MA growth stalls | Centene to sell Magellan | Ala. may let BCBS reorganize | AmeriHealth Caritas to shutter PBM | Okla. to form state-run exchange

Medicare Advantage growth stalled during annual enrollment and another BCBS plan may soon reorganize February 18, 2026 1. Medicare Advantage grows less than 1% during annual enrollment: 7 notes Full story 2. Alabama lawmakers move bill forward to allow insurers…