Payer Issues Archives - Page 2 of 164 - Becker's Payer Issues

UnitedHealthcare seeks to speed up rural MA pay | Ga. fines 11 insurers $25M | Senate delays ACA subsidy bill | BCBSND names president | 10 recent billing fraud cases

Georgia clamps down on mental health parity violations and an ACA subsidy bill is pushed again January 14, 2026 1. UnitedHealthcare launches accelerated Medicare Advantage payment program for rural hospitals Full story 2. Georgia issues $25M in fines to 11…

Where ACA subsidies stand | 5 healthiest, least healthy states: UnitedHealth | Humana, Lilly ink employer GLP-1 deal | Study flags AI-driven prior auth risks | 11 No Surprises updates

ACA enrollment is on the decline nationally and the No Surprises Act has become a legal battleground January 13, 2026 1. Where ACA subsidies stand: 5 updates Full story 2. 5 healthiest states in 2025 — and the least healthy:…

UnitedHealth used 'aggressive tactics' for MA pay: Senate report | Insurance industry sheds 28K jobs | BCBSA applauds House ACA vote | NY audit flags $19M in Anthem lapses | Details emerge in HMSA, Hawaii system's affiliation

A new Senate report calls out UnitedHealth’s ‘aggressive’ MA payment tactics and the insurance secto January 12, 2026 1. Senate finds UnitedHealth used 'aggressive strategies' in Medicare Advantage Full story 2. New York state employee plan audit identifies $19.3M in Anthem…

Payer CEOs to testify before Congress | House passes ACA subsidy extension | Senators widen UnitedHealth nursing home probe | 2 Mass. payers to merge | Fla. loses Medicaid unwinding case

Federal lawmakers are scrutinizing big insurers and Florida has lost a major Medicaid unwinding laws January 9, 2026 1. 5 payer CEOs to testify before Congress on rising healthcare costs Full story 2. House approves 3-year ACA subsidy extension Full…

Anthem sues 11 Prime hospitals | ACA subsidy talks continue | Insurers take ownership of health data group | NY Blues plans decry new state mandates | Catastrophic coverage in '26: 6 notes

Anthem is continuing its fight against No Surprises ‘abuse’ and talks continue around ACA subsidy so January 8, 2026 1. Anthem sues 11 Prime hospitals, alleges $15M in fraudulent No Surprises Act awards Full story 2. Senators near plan to…

Trump floats meeting with insurers | State prior auth reforms take effect | HHS pushes cervical cancer screening coverage rules | UnitedHealthcare adds hurdle for radiology pay | Sanford, Security Health Plans tap new leadership

Trump says he will meet with insurers and several states have new prior auth laws on the books January 7, 2026 1. Trump says he will meet with 14 insurers over pricing Full story 2. State laws now in effect…

BCBS Texas sues over No Surprises 'abuse' | NYC employee insurance fund insolvent: Audit | Priority expands to 4th state | States ranked by MLR rebates | 40M Americans use ChatGPT for healthcare

Another insurer takes aim at No Surprises Act ‘abuse’ and Priority Health is expanding into new mark January 6, 2026 1. BCBS Texas sues medical billing company, claiming No Surprises Act 'abuse' Full story 2. New York City employee health insurance…

Optum begins Minn. Medicaid audit | CMS lifts enrollment freeze on Fla. MA plan | HonorHealth acquires Cigna care group | NM sees record ACA enrollment | Wegovy pill hits market

Optum has started reviewing Minnesota Medicaid claims and New Mexico’s move to replace ACA subsidies January 5, 2026 1. Optum begins Minnesota Medicaid audit; governor won't seek reelection Full story 2. CMS lifts enrollment freeze on Florida Medicare Advantage plan…

Insurance policy changes: A 2026 breakdown | Medi-Cal ends weight loss drug coverage | Anthem, Mount Sinai split | 14 systems dropping MA plans | 11 UnitedHealth updates

ACA enhanced subsidies have expired and the nation’s largest Medicaid program is cutting weight loss January 2, 2026 1. Notable health insurance policies taking effect in 2026 Full story 2. California Medicaid ends weight loss drug coverage Full story 3.…

Payers face 'deteriorating' 2026 outlook | Optum CEO, Mark Cuban square off | How states are responding to expiring ACA subsidies | 15 health systems dropping MA plans | 6 GLP-1 updates

Optum’s CEO and Mark Cuban tussled over drug rebates and Fitch says insurers are facing a tough 2026 December 31, 2025 1. 'Give me a name of one of your biggest customers so I can call them': Optum CEO, Mark…