Payer Issues Archives - Page 24 of 167 - Becker's Payer Issues

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…

Dr. Oz's plans for CMS: 8 notes | Questions swirl around Centene donation | Aetna names CMO | SCAN, Sutter Health to launch MA venture | 8 insurance M&A updates

April 11, 2025 BHR Newsletter 1. Questions swirl around Centene's $10M donation to Florida charity Full story 2. Dr. Oz outlines vision for CMS: 8 notes Full story 3. 13 payers cutting jobs Full story 4. Clinical data feed connection time…

When MA plans exit, who gains their members? | Optum's go-to systems for transplants | Dr. Oz promotes AI avatars | BCBS NC posts $69M profit | 2 payers among Fortune's top employers

April 10, 2025 BHR Newsletter 1. When Medicare Advantage plans exit markets, where do their members go? Full story 2. Dr. Oz promotes AI avatars in 1st meeting as CMS chief Full story 3. 2 payers among Fortune's top employers…

Judge tosses MultiPlan, UnitedHealth antitrust suit | CMS rebrands MA equity program | A shift in hospital-payer 'power dynamics' | CareSource buys Mass. payer | 3 states eyeing ICHRA tax credits

April 9, 2025 BHR Newsletter 1. Judge tosses MultiPlan, UnitedHealthcare antitrust lawsuit Full story 2. CMS rebrands Medicare Advantage health equity program Full story 3. CareSource purchases struggling Massachusetts payer Full story 4. Reimagine value-based care. See how Catalight empowers…

CMS boosts MA rates | UnitedHealth sues Broadcom | Payers ranked by digital experience: JD Power | 7 BCBS plans posting losses | CVS names CFO, CMO

April 8, 2025 BHR Newsletter 1. CMS grants Medicare Advantage $25B funding increase Full story 2. UnitedHealthcare sues Broadcom over 'exorbitant' software pricing threat Full story 3. Payers ranked by 2025 digital experience: JD Power Full story 4. Reimagine value-based care. See…

CMS tables key MA policies: 14 notes | CVS' top-paid execs | CMS fines 7 payers over Part D errors | Kaiser fires security exec | UCare posts $504M operating loss

April 7, 2025 BHR Newsletter 1. CMS tables GLP-1, AI prior auth policies in Medicare Advantage final rule: 14 things to know Full story 2. CVS Health's highest-paid executives in 2024 Full story 3. CMS fines 7 payers over Medicare Part…

Dr. Oz confirmed as CMS administrator | 20% of HHS layoffs may be reversed | UnitedHealth shareholders pull proposal | Blue Cross of Idaho, Point32Health cutting jobs | Pa. hospital to close

April 4, 2025 BHR Newsletter 1. Senate confirms Dr. Oz as CMS administrator: 3 things to know Full story 2. 20% of HHS layoffs may be reversed: RFK Jr. Full story 3. UnitedHealth shareholders pull proposal asking for report on…

FTC pauses PBM probe | The fastest-growing MA startups | Oscar Health's 'market-making' opportunity | Workplace incivility on the rise | 37 billionaires in US healthcare

April 3, 2025 BHR Newsletter 1. FTC pauses case against top PBMs Full story 2. Where Oscar Health plans to be a 'market maker' Full story 3. The fastest-growing Medicare Advantage startup plans in 2025 Full story 4. The payer growth…