Payer Issues Archives - Page 23 of 177 - Becker's Payer Issues

What's driving up insurance costs in '26? | Senator asks Cigna to rescind downcoding policy | HCSC to offer MA in 30 states | Ariz. shuts down unauthorized insurer | 8 best payer employers in 2025

September 12, 2025 1. The forces driving 2026 health insurance price hike forecasts Full story 2. Senator joins call asking Cigna to rescind new downcoding policy Full story 3. Patients are flocking to direct-to-consumer care models, and many aren’t looking…

Kaiser to buy majority stake of Nev. payer | UnitedHealth AI coverage denial case moves forward | NH official warns of MA market collapse | NY ends public plan expansion | How Point32Health achieved 99% behavioral care satisfaction

September 11, 2025 1. Kaiser to enter Nevada through health plan purchase Full story 2. Judge denies UnitedHealth's bid to limit discovery in AI coverage denial case Full story 3. The future of group health insurance has arrived. Learn why…

No link between MA growth, hospital profits: Report | Humana to buy The Villages Health | House panel looks to block funds for Medicare prior auth pilot | Del. questions GLP-1s as cost driver | CMS pauses supplemental notification rule

September 10, 2025 1. No link found between growing MA enrollment, hospitals' profit margins: Report Full story 2. Court approves Humana bid to buy The Villages Health Full story 3. Medicare Advantage growth strategies: Find out what's working in markets across…

Why a payer is airing ads saying 'health insurance is broken' | UnitedHealth sees most MA members in 4+ star plans | Idaho drops weight loss drug coverage | FTC drops appeals of noncompete ban | Lawmakers probe CVS over patient data use

September 9, 2025 1. 'Denial is not a strategy in 2025': Why this payer is calling the insurance industry broken Full story 2. UnitedHealthcare expects most Medicare Advantage members to be in 4+ star plans in 2026 Full story 3.…

A split hospitals and payers now share | Aetna, Optum settle 'dummy code' lawsuit | BCBS Tenn. cuts more jobs | CVS sued over Wegovy decision | Alignment hires former AHIP CEO

September 8, 2025 1. Hospitals aren't the only ones stepping back from Medicare Advantage Full story 2. BCBS Tennessee cuts more jobs Full story 3. Healthcare needs AI that delivers. The 5 companies making it happen: here. 4. Aetna, Optum…

3 Medicare Advantage market exits | GOP lawmakers eye ACA subsidies extension | CMS' MA audit expansion hits a snag | Mass. to require vaccine coverage beyond CDC recs | Change hack delayed VA Oracle test

September 5, 2025 1. Elevance among latest insurers to pull back on Medicare Advantage Full story 2. GOP lawmakers file bill to extend enhanced ACA subsidies Full story 3. From GLP-1 costs to chronic care ROI: Hear what payer CFOs…

MA risk adjustment 'a failing system': Nonprofit insurers | CMS expands catastrophic coverage | Fla. Blue, Memorial split | Employers brace for 15-year-high health costs | 12 UnitedHealth updates

September 4, 2025 1. Medicare Advantage risk adjustment 'a failing system': Report Full story 2. CMS expands eligibility for catastrophic health plans Full story 3. Pressure to eliminate ghost networks is rising. See how payers are responding: here. 4. Florida Blue,…

UnitedHealthcare grows gold card program | Cigna selling 18 clinics | CMS updates AHEAD model | 7 new insurance leaders at health systems | 5 payer leaders' biggest wins in '25

September 3, 2025 1. UnitedHealthcare grows gold card program Full story 2. Biggest health plan wins in 2025 from 5 leaders Full story 3. Turn disconnected data into actionable intelligence. Get an inside look at BCBS plans' member-first strategies here.…

Cigna invests $3.5B in specialty pharmacy company | ACOs save $2.4B in '24 | MA reduces care costs in Calif: UCLA | NYC partners with UnitedHealth, EmblemHealth for benefits | 9 payers fined by states

September 2, 2025 1. Cigna invests $3.5B in former Walgreens specialty pharmacy subsidiary Full story 2. Medicare Advantage plans keep senior care costs down in California: UCLA study Full story 3. BCBS leaders: Streamline prior auth with AI-powered data strategies.…

UnitedHealth sues Radiology Partners | Medical groups push back on Cigna downcoding policy | CMS starts 'chili cook-off' to fight fraud | Senators probe Change hack loan collections | Federal PBM investigation grows

August 29, 2025 1. UnitedHealthcare sues Radiology Partners over No Surprises claims Full story 2. Medical associations push back on Cigna's new downcoding policy Full story 3. AI is moving payment integrity from automation to transformation—see how it’s reshaping accuracy…