Payer Issues Archives - Page 23 of 164 - Becker's Payer Issues

Cigna shuffles C-suite | BCBS Mass. latest to sue over star ratings | CMS to end 4 Medicare payment models | NM bill eyes medical marijuana coverage | Humana plans $20M HQ renovation

March 13, 2025 BHR Newsletter 1. Cigna names COO, CFO in executive shuffle Full story 2. BCBS Massachusetts latest to sue CMS over Medicare Advantage star ratings Full story 3. CMS to end 4 Medicare payment programs early Full story…

Blue Shield of Calif. CEO exits | Molina pays $40M to settle alleged Medicaid violations | NC insurer to close | Minn. bill would require GLP-1 coverage | 10 recent billing fraud cases

March 12, 2025 BHR Newsletter 1. Blue Shield of California CEO exits after 2 months Full story 2. Molina pays $40M to settle alleged Medicaid violations in whistleblower lawsuit Full story 3. North Carolina insurer to wind down operations Full…

A change 'key to your future existence as a health plan' | CMS pitches ACA changes: 5 notes | Ill. awards D-SNP contracts | Breaking down Trump's price transparency order | Medicaid cuts could cost hospitals $80B

March 11, 2025 BHR Newsletter 1. The pharmacy change 'key to your future existence as a health plan' Full story 2. CMS pitches shortening ACA enrollment period: 5 things to know Full story 3. Illinois awards 4 D-SNP contracts Full…

6 Blues reporting losses | Humana's highest-paid execs | HHS offers buyouts to all employees | Medicare insurers with best mobile apps | 13 payers cutting jobs

March 10, 2025 BHR Newsletter 1. Humana's highest-paid executives in 2024 Full story 2. 6 BCBS plans reporting losses Full story 3. 13 payers cutting jobs Full story 4. AI is driving real results for providers and payers. See how it's transforming healthcare efficiency and…

More Blues restructuring | Humana, Novo Nordisk partner | CareFirst sues Change Healthcare over cyberattack | Fitch downgrades UPMC after insurance losses | 5 federal healthcare updates

March 7, 2025 BHR Newsletter 1. BCBS North Carolina restructures, launches new parent company Full story 2. Humana, Novo Nordisk partner on Wegovy subscription service Full story 3. CareFirst BCBS sues Change Healthcare over cyberattack Full story 4. Better workplace…

Dozens of health systems sue BCBS | GOP must cut Medicaid to hit budget goals: CBO | Healthcare job losses by state if ACA credits end | Kaiser plans more layoffs | Envision taps board chair

March 6, 2025 BHR Newsletter 1. Dozens of health systems file 'opt-out' antitrust lawsuits against Blue Cross Blue Shield Full story 2. Medicaid cuts must occur to meet GOP budget goals: CBO Full story 3. Envision Healthcare taps new board…

UnitedHealth wins MA fraud ruling | 2025 coverage for GLP-1s: 4 notes | Hardest hit states if ACA credits expire | Inside an MA plan's 58% growth | CVS sells MSSP business

March 5, 2025 BHR Newsletter 1. UnitedHealth secures major legal victory in Medicare Advantage fraud case Full story 2. Commercial coverage for GLP-1s in 2025: 4 notes Full story 3. The hardest hit states if ACA premium tax credits expire…

UnitedHealthcare to cut prior auth by 10% | BCBS Mich. posts $1B loss | Minn. pitches higher HMO tax | Payers ranked by SNP members | CareSource to buy long-term care provider

March 4, 2025 BHR Newsletter 1. UnitedHealth to cut prior authorization by 10% Full story 2. BCBS Michigan posts $1B loss in 2024 Full story 3. Where payers' Medicaid memberships stand, post-redeterminations Full story 4. AI in healthcare is just…

BCBS Mass., UPMC tie losses to GLP-1s | Optum, Aetna reach 'dummy code' settlement | Md. sanctions Johns Hopkins Medicaid plan | Ohio pitches ICHRA tax credit | HHS aims to rescind public comments

March 3, 2025 BHR Newsletter 1. BCBS Massachusetts reports $400M operating loss driven by GLP-1s Full story 2. Optum, Aetna reach 'dummy code' lawsuit settlement Full story 3. Maryland sanctions Johns Hopkins Medicaid plan following 'quality-related concerns' Full story 4. Discover how…

N.H. threatens Aetna's license | Inside 3 payers' new shared payment model in Calif. | BCBS plans ranked by MA enrollment | Where Medicaid cuts would hit hardest by 2035 | 10 UnitedHealth updates

February 28, 2025 BHR Newsletter 1. 'Pay attention to what we're doing here': 3 payers come together on new payment model in California Full story 2. New Hampshire threatens to suspend Aetna's operating license Full story 3. BCBS plans ranked by…