Payer Issues Archives - Page 20 of 164 - Becker's Payer Issues

Payers ranked by CEO-to-worker pay ratios | Centene posts $1.3B Q1 profit | Payers not required to cover cannabis: Judge | Highest-paid payer CFOs | 25 priciest hospital drugs

April 25, 2025 BHR Newsletter 1. Centene posts $1.3B profit in Q1 Full story 2. Payers ranked by CEO-to-worker pay ratios Full story 3. AI in healthcare is just getting started. Find out what's next, here. 4. Insurers not required…

The highest-paying insurance jobs | Do higher premiums drive more volume? | Centene exec named to lead SSM hospitals | CMS fines 3 PACE orgs | ND passes prior auth reform

April 24, 2025 BHR Newsletter 1. Do higher premiums drive more healthcare usage? Full story 2. Highest-paying roles at health insurers Full story 3. AI is transforming underwriting. Find out how leading health plans are using it: here. 4. Former…

The highest-paid payer CEOs | BCBS Mich. to sell AF Group | 19 HHS systems DOGE can access | 10 recent billing fraud cases | How will healthcare change by 2030? 21 payers respond

April 23, 2025 BHR Newsletter 1. Highest-paid payer CEOs in 2024 Full story 2. How will healthcare change by 2030? 21 payer leaders weigh in Full story 3. BCBS Michigan to sell $3B workers' compensation subsidiary Full story 4. BCBS, Cigna…

MA costs 'manageable' for Elevance | UnitedHealth's highest-paid execs | Inside Highmark, Penn State Health's virtual care journeys | Medica posts $216M operating loss | Optum taps RCM leader

April 22, 2025 BHR Newsletter 1. UnitedHealth Group's highest-paid executives in 2024 Full story 2. Medicare Advantage costs 'manageable' for Elevance Health: 8 notes Full story 3. Blue Cross Blue Shield mandates prior approval for severe asthma drugs in 5 states Full…

Texas lawmakers call for Centene sanctions | CMS penalizes Mass. payer | Evernorth CEO departing with $5M payout | Brokerage exec involved in $133M ACA fraud scheme | 4 GLP-1 updates

April 21, 2025 BHR Newsletter 1. Texas lawmakers call for sanctions on Centene subsidiary over 'spying' Full story 2. Cigna exec to depart with $5M payment Full story 3. CMS sanctions Massachusetts payer's Medicare Advantage drug plans following state enrollment suspension…

UnitedHealth shifts tone on MA | Elevance assures investors on earnings | CMS anticipates end to ACA subsidies | BCBS Mass. drops weight loss drug coverage | UnitedHealth weighs in on pharma tariffs

April 18, 2025 BHR Newsletter 1. UnitedHealth shifts tone on Medicare Advantage as CMS changes impact earnings Full story 2. Elevance assures investors with reaffirmed 2025 earnings guidance Full story 3. BCBS Massachusetts drops weight loss drug coverage: 5 things…

UnitedHealth stock plummets after Q1 report | Humana loses star ratings appeal | Anthem reaches mental health parity settlement | MA coding differences led to $33B in extra payments: Study | 7 Cigna updates

April 17, 2025 BHR Newsletter 1. UnitedHealth cuts earnings guidance amid rising Medicare Advantage costs Full story 2. Humana loses star ratings appeal Full story 3. Anthem reaches settlement in mental health parity case: 3 notes Full story 4. AI…

Kaiser's Cone Health buys Novant's stake in MA plan | 9 prior auth updates | Ind. reforms Medicaid eligibility | Trump signs drug pricing EO | 10 UnitedHealth updates

April 16, 2025 BHR Newsletter 1. 9 prior authorization updates Full story 2. Kaiser's Cone Health buys Novant Health out of Medicare Advantage plan Full story 3. Indiana governor signs 9 healthcare executive orders, reforms Medicaid eligibility Full story 4. AI-driven…

UnitedHealth-Amedisys challenge moves to mediation | A quarter of small employers dropping insurance coverage: JPMorgan | Where Medicaid work rules may hit hardest | MA rate hike to help payer margins: Fitch | CMS weighs ditching some quality measures

April 15, 2025 BHR Newsletter 1. DOJ's UnitedHealth-Amedisys antitrust case moves to mediation Full story 2. Around 1 in 4 small businesses are dropping insurance coverage: 5 notes Full story 3. Medicare Advantage rate boost likely to 'significantly support' payers' financial recovery:…

Optum, physicians clash on loan repayments | CMS tightens Medicaid waiver funds | Blue Shield Calif. reports data breach | How 1 payer keeps pace with evolving employers | Medicaid 'decision time' arrives

April 14, 2025 BHR Newsletter 1. AMA challenges Optum's 'strict' loan repayment demands following Change hack Full story 2. CMS tightens guardrails on state Medicaid funding: 4 things to know Full story 3. Employers are evolving — how 1 payer keeps…