Payer Issues Archives - Page 2 of 179 - Becker's Payer Issues

Mangione pleads guilty | Payers ranked by prior auth denials | Insurers among dozens flagged over gender care billing | Single-payer would save 114,000 lives per year: Study | Rising insurance costs hurting wage growth

Mangione says he shot UnitedHealthcare CEO + insurers targeted over gender care billing August 14, 2026 1. Luigi Mangione admits he shot UnitedHealthcare CEO Full story 2. Payers ranked by prior authorization denial rates Full story 3. OCD goes untreated for…

Insurers under siege | Employers' big PBM use declines | ICHRA market doubles: Report | Medicaid's rocky summer: 6 states to watch | 11 recent state payer fines

Insurers face growing scrutiny from all sides as costs rise + Employers embrace PBM alternatives August 13, 2026 1. Insurers are under siege heading into 2027 Full story 2. Employer use of ‘Big 3’ PBMs declines Full story 3. What…

Court upends No Surprises QPA formula | BCBS Assoc. fends off data-tracking claims | Alignment secures funds for possible M&A | Sentara health plan beats ACA rate increase lawsuit | CMS to end funding for pediatric gender care

The 5th Circuit upends the QPA formula + Alignment eyes purchasing other payers August 12, 2026 1. 5th Circuit strikes down parts of No Surprises QPA rule, rejects air ambulance challenge Full story 2. BCBS Association fends off most claims…

Insurance job cuts accelerate | Humana names Medicaid president | Texas' ACA boom goes bust | UnitedHealth paid $3B for Alegeus | 11 payers exiting ACA markets

Insurance industry unemployment rate hits 3.3% + Texas’ ACA ‘boom’ goes bust August 11, 2026 1. Insurance industry losing jobs 4 times faster than last year Full story 2. Humana taps Johns Hopkins Health Plans CEO as Medicaid president Full…

Payers play it cool on Medicaid work rules | Small group rates could rise 14% in '27 | Mo. system to exit ACA market, inks Oscar partnership | Anthem Indiana sees $15K savings per orthopedic case | Caremark taps chief growth exec

Payers look to dissuade Medicaid work rules fears + another health system pulls back on ACA coverage August 10, 2026 1. Payers play it cool on looming Medicaid work rules as Nebraska begins first cuts Full story 2. Insurers propose…

Centene's AI reality check | UPMC Medicare president resigns | Payers ranked by Q2 profits | Medicaid enrollee turned COO | 16 payers cutting jobs

12 health plan leaders weigh in on payer-provider collaboration August 7, 2026 1. ‘We aren’t just going to deploy AI to talk about AI’: Centene strikes a new tone amid insurers’ automation push Full story 2. UPMC Medicare president resigns Full…

Insurers' financial woes worsen | Mangione wants live broadcast trial | The thread running through Q2 earnings | UCare cuts more jobs | UnitedHealth exec confirmed as CDC director

Volatility becomes the norm for payers + Mangione trial could be broadcasted live August 6, 2026 1. ‘Volatility they now expect to be the norm’: Insurers’ financial issues are getting worse Full story 2. Luigi Mangione requests live broadcast of state…

CVS profit triples | Fla. MA provider settles fraud allegations for $14M | Payers ranked by '26 digital experience | Where family premiums cost workers most | Ark. Medicaid expansion in jeopardy

CVS posts strong Q2 earnings + Aetna tops industry for digital member experience August 5, 2026 1. CVS Health profit triples in Q2 Full story 2. Payers ranked by digital experience | 2026 Full story 3. The hidden open enrollment…

UHC to limit lab test pay | Network Health expands Cost Plus partnership | Medi-Cal asset limits slashed | A survival test for provider-sponsored payers | ACA plans pitch 15% premium hike in '27

UHC tightens lab test reimbursement + what comes next for hospital-owned insurers August 4, 2026 1. UnitedHealthcare to tighten reimbursement for lab tests Full story 2. Wisconsin insurer expands Cost Plus Drugs partnership Full story 3. Blue Shield of California is…

4 payers exiting MA markets | Neb. Medicaid purge begins | Centene's buyouts could cost $365M in '26 | 22 states sue over '27 ACA rule | 7 new state AI health insurance laws

Nebraska is the first state to enact Medicaid work rules + Centene puts a price tag on staff buyouts August 3, 2026 1. 4 insurers exiting Medicare Advantage markets Full story 2. Centene’s buyouts could have a $365M price tag…