Payer Issues Archives - Page 24 of 161 - Becker's Payer Issues

UnitedHealth-owned insurers hit with $165M fine | Aetna sues drugmakers | BCBS Ill. taps new president | CMS selects 15 states for maternal program | 10 Shkreli awardees for bad behavior

January 7, 2025 BHR Newsletter 1. Massachusetts court orders UnitedHealth-owned insurers to pay $165M in penalties Full story 2. Aetna hits drugmakers with price-fixing lawsuit Full story 3. BCBS Illinois names new president Full story 4. Automate network monitoring. Strategies…

Ex-Elevance exec files age discrimination lawsuit | Calif. tamps down on AI-based denials | Scripps, Anthem split | Mayo sues Sanford Health Plan | 10 largest MCOs

January 6, 2025 BHR Newsletter 1. Former Elevance exec sues over alleged age discrimination Full story 2. California clamps down on AI-based coverage denials Full story 3. Scripps, Anthem network split affects 125,000 Full story 4. Northwestern embedded Microsoft's DAX…

UnitedHealth named world's largest insurer | Fla. Blue sues CMS | Sanford, Security Health Plans come together | CareSource buys Wis. payer | Aetna, Providence split

January 3, 2025 BHR Newsletter 1. UnitedHealth named world's largest insurer for 10th straight year Full story 2. Florida Blue latest to sue over Medicare Advantage star ratings Full story 3. Sanford, Security Health Plans now under one umbrella Full story…

An unimaginable year for UnitedHealth | Top 10 payer stories of '24 | 3 MA plans audited for overpayments | Aetna sues physician group, alleging fraud | 5 Ozempic updates

January 2, 2025 BHR Newsletter 1. 40 payer execs' industry outlook for 2025 Full story 2. 15 payers exiting Medicare Advantage markets in 2025 Full story 3. Elevance acquires IU Health's insurance business Full story 4. Life sciences firms are…

An unimaginable year for UnitedHealth | Top 10 payer stories of '24 | 3 MA plans audited for overpayments | Aetna sues physician group, alleging fraud | 5 Ozempic updates

December 31, 2024 BHR Newsletter 1. Top 10 health insurance stories of 2024 Full story 2. An unimaginable year for UnitedHealth Full story 3. 3 Medicare Advantage plans audited for $11.4M in overpayments Full story 4. Life sciences firms are…

Sickness scores surge for UnitedHealth MA members: WSJ | Insurers confront climate change | 23 payer CEO moves | CVS gets 'negative' outlook: Fitch | Medicare's $2K drug cap starts Jan. 1

December 30, 2024 BHR Newsletter 1. Sickness scores surged for UnitedHealth Medicare Advantage patients: WSJ Full story 2. Humana Medicare Advantage plans, CommonSpirit Colorado hospitals to split Jan. 1 Full story 3. Health insurers confront climate change Full story 4.…

UnitedHealth, Amedisys extend merger deadline | Sanford eyes MA expansion | 6 physician, payer conflicts in '24 | 5 MA changes coming in '25 | 8 payer partnerships to know

December 27, 2024 BHR Newsletter 1. UnitedHealth, Amedisys waive merger termination rights Full story 2. Sanford Health Plan eyes Medicare Advantage expansion Full story 3. 6 physician, payer conflicts in the last year Full story 4. Becker's and T-Mobile surveyed…

GLP-1 dilemma persists into '25 | This payer wants employees to be creative with AI | A rocky month for anesthesia pay | Optum's SCA acquires OrthoAlliance | 21 payers cutting jobs

December 26, 2024 BHR Newsletter 1. The GLP-1 dilemma persists into 2025 Full story 2. Why this payer wants employees to get creative with AI Full story 3. A rocky month for anesthesia reimbursement policy Full story 4. 6 core…

Mangione pleads not guilty | Medicaid spending on weight loss drugs up 500% since 2019 | Calif. fines Anthem $3.5M | Trump names 2 DOJ picks | 7 drugs in shortage

December 24, 2024 BHR Newsletter 1. Luigi Mangione pleads not guilty to murder charges in killing of UnitedHealthcare CEO Full story 2. Medicaid spending on weight loss, diabetes drugs up 500% since 2019: 5 numbers to know Full story 3.…

More Aetna layoffs | MA insurer faces $98M fine over false claims allegations | Biden signs spending bill | BCBS antitrust settlement site goes live | Cuban's 2025 plans

December 23, 2024 BHR Newsletter 1. Aetna laying off 164 after Kansas contract loss Full story 2. Medicare Advantage insurer to pay up to $98M to settle false claims allegations Full story 3. Biden signs spending bill, shutdown averted: 6…