Payer Issues Archives - Page 21 of 161 - Becker's Payer Issues

Centene settles cybersecurity flaw claims | BCBS Mich. to enforce repeated appeals policy | Humana CMO: MA rates don't match rising costs | MultiPlan rebrands | DOGE clears legal hurdle

February 19, 2025 BHR Newsletter 1. Centene to pay $11M to settle cybersecurity flaw allegations Full story 2. Humana CMO: Medicare Advantage rate increase 'does not fully account for' rising costs Full story 3. BCBS Michigan to charge hospitals for…

CVS names PBM leader | Stop-loss takes center stage | Major job cuts at HHS | NY health plan to pay $29M to settle overpayment issues | 10 recently fined insurers

February 18, 2025 BHR Newsletter 1. 'Stop-loss' takes center stage Full story 2. CVS names PBM president Full story 3. 10 payers recently fined by states Full story 4. The key to driving healthcare transformation is a strategic approach to interoperability.…

UnitedHealth MA AI lawsuit to move forward | CMS targets ACA 'program integrity' | Payers ranked by '24 MLRs | Centene moves to toss MA stars challenge | 10 recent billing fraud cases

February 17, 2025 BHR Newsletter 1. Judge allows lawsuit over UnitedHealth Medicare Advantage AI denials to move forward Full story 2. Trump administration targets ACA 'program integrity' with new rule, slashes navigator funding Full story 3. Payers ranked by 2024…

Payers ranked by '24 profits | 8 payers cutting jobs | UnitedHealthcare's approach to obesity care | Why this MA CEO takes calls from members | Aetna reverses a pay policy

February 14, 2025 BHR Newsletter 1. Payers ranked by 2024 profits Full story 2. 'Very much in flux': UnitedHealthcare's data-driven approach to obesity care Full story 3. 8 payers cutting jobs Full story 4. An essential guide for health plans to…

CVS' plan for Aetna stability | RFK Jr. gets HHS job | Humana's No. 1 MA priority | Insurers push back as GOP eyes healthcare cuts | 8 Cigna updates

February 13, 2025 BHR Newsletter 1. RFK Jr. confirmed as HHS secretary Full story 2. CVS working 'tirelessly' to improve Aetna: 7 notes Full story 3. Humana's No. 1 Medicare Advantage priority: 5 notes Full story 4. What's ahead for…

CVS posts $1.6B Q4 profit | NC fines UnitedHealthcare | Why a Calif. Medicaid plan is turning to the ACA | CFOs struggle with GLP-1s | Humana's 'back to basics' strategy

February 12, 2025 BHR Newsletter 1. CVS Health posts $4.6B profit in 2024 Full story 2. North Carolina fines UnitedHealthcare $3.4M for balance billing issues Full story 3. Why a California Medicaid plan is turning to the ACA marketplace Full…

Humana posts $693M Q4 loss | Payers brush off Medicaid threats | UnitedHealth settles Labor Dept. lawsuit for $20M | BCBS Vt. CEO to retire | Primary care provider gaps by state

February 11, 2025 BHR Newsletter 1. Humana posts $693M loss in Q4 Full story 2. UnitedHealth to pay $20M to settle emergency claims lawsuit from Labor Department Full story 3. Payers brush off Medicaid cut threats Full story 4. Prepayment…

UnitedHealth seeks to block shareholder proposals | Federal Medicaid work requirement bill introduced | Former Humana CEO to advise AI firm | Mass. lawmakers eye single payer again | Elevance's food-as-medicine roadmap

February 10, 2025 BHR Newsletter 1. UnitedHealth asks regulators to exclude shareholder proposals on prior authorizations, denied claims Full story 2. Former Humana CEO named board advisor for AI health company Full story 3. Federal Medicaid work requirement bill introduced:…

Elevance to buy Google parent's health unit | The prior auth reform push continues | Inside UPMC's Medicaid contingency plan | Payers ranked by digital activity | Single payer bill advances in Colo.

February 7, 2025 BHR Newsletter 1. Elevance to buy Google parent's insurance business Full story 2. The prior authorization reform push continues Full story 3. 'A scary time right now': Inside UPMC's Medicaid contingency plan Full story 4. Banner|Aetna, Cigna…

UnitedHealth reports investor to SEC | Musk's DOGE probes CMS | Cigna settles COVID testing lawsuit | Humana to sell Ky. tower | 10 best payer tools: KLAS

February 6, 2025 BHR Newsletter 1. UnitedHealth reports investor who suggested SEC investigate profits Full story 2. DOGE probes CMS for Medicare, Medicaid fraud: WSJ Full story 3. The 10 best payer tools, per KLAS Full story 4. What's ahead…