Payer Issues Archives - Page 2 of 183 - Becker's Payer Issues

Feds overhaul payer price transparency | 20M Medicare enrollees to receive $90 checks | Aetna to buy insurer from 2 health systems | BCBS Minn. cuts most MA plans | Optum awarded $30B VA contract

Payers face new price transparency rules + Trump pledges Medicare Part B rebates October 5, 2026 1. CMS finalizes price transparency overhaul for payers Full story 2. Trump to send $90 payments to 20 million Medicare enrollees Full story 3.…

SCAN, Costco launch MA plans | Aetna escapes Zelis antitrust case | Wash. system launches health plan | Where SNPs are growing, shrinking | 4 new MA plans in '27

More details on SCAN’s Costco MA plans + where SNP access is changing next year October 2, 2026 1. SCAN, Costco roll out Medicare Advantage plans in California, Nevada Full story 2. Washington health system launches an insurance plan Full…

12 payers exiting MA | Dr. Oz pushes CHOICE coverage | Breaking down the shifting MA landscape | UnitedHealth must face narrowed CalPERS suit | IBX to pay $22.5M over MA coding

Plus: $500 ACA checks are rolling out today in 30 states October 1, 2026 1. 12 payers exiting Medicare Advantage Full story 2. Medicare Advantage looks stable for 2027. Underneath, it’s shifting Full story 3. Stay ahead of 2027 CPT code…

Where MA plans are exiting, entering markets | UHC, Cigna ink international insurance deal | 15 MA plans capping enrollment | Kaiser, BCBS Assoc. tap new leaders | 4 PBMs control 75% of market

More details on MA county exits and entries + UHC departs international insurance markets September 30, 2026 1. Medicare Advantage insurers ranked by county entries, exits in 2027 Full story 2. UnitedHealthcare exits international insurance markets, points membership to Cigna…

The '27 MA landscape takes shape | UHC names president | Elevance to require site-of-care info on hospital claims | Texas probes BCBS | UHC, TeamHealth settle $100M upcoding case

MA premiums will decrease in ’27 + Elevance rolls out new site-of-care payment policy September 29, 2026 1. The states losing the most Medicare Advantage plans in 2027 Full story 2. UnitedHealthcare names new president Full story 3. Clinical experts…

House Dems' healthcare agenda: 8 goals | 37 states vow to tie Medicaid dollars to outcomes | IBX names CFO | 7 payers among world's best companies | Can NM's backfilled ACA subsidies last?

Plus: What’s different for EmblemHealth’s CEO the 2nd time around? September 28, 2026 1. House Democrats want to rein in healthcare giants, expand Medicare: Report Full story 2. CMS launches Medicaid quality pledge with 37 states Full story 3. 300,000+…

The AI billing war heats up | Centene exec exits grow | IBX, Penn Medicine plan ASCs | Oscar moving Fla. workers to CHOICE | Highmark's next AI frontier

BCBS offer new data around the AI billing war + Oscar move some workers away from group plans September 25, 2026 1. Centene executive exits pile up in 2026 Full story 2. Hospitals say they’re losing the AI billing war.…

UHG at center of vertical integration scrutiny | Cigna, OpenAI partner | CMS under Trump: 20 key actions | Payers join shared provider credentialing program | SCAN expanding to Ore.

Plus: Centene hires an AI ethicist and UHG introduces chief admin role September 24, 2026 1. As vertical integration scrutiny grows, UnitedHealth takes center stage Full story 2. Cigna partners with OpenAI, starting with oncology Full story 3. Stop letting…

UHG shuffles commercial leadership | 760K lose ACA coverage: What to know | Payers urge CMS to rethink remote monitoring limits | Cigna wins appeal over $3M in No Surprises awards | Humana's Part D leader exits

Plus: The federal government narrows mental health parity enforcement September 23, 2026 1. UnitedHealth Group names chief commercial officer, UnitedHealthcare commercial CEO Full story 2. CVS, UnitedHealth, Kaiser challenge proposed Medicare remote monitoring restrictions Full story 3. HCCs are often missed.…

Elevance beats unpaid IDR awards lawsuit | Lowest-rated health plans of '26: NCQA | Most smaller employers weigh dropping group benefits | Providers push CMS to hold firm on electronic prior auth | HCA hospitals sue IBX over claim denials

NCQA reveals its lowest-rated health plans + Elevance court win signals next phase of IDR fight September 22, 2026 1. The lowest-rated health plans of 2026: NCQA Full story 2. Elevance wins dismissal of provider lawsuit over $1.7M in unpaid…