Payer Issues Archives - Page 24 of 164 - Becker's Payer Issues

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…

MA enrollment slows | 10 hospital systems ditching health plans | Lawmaker probes Optum clinics over 'decline in care' | 6 federal health updates | Centene moves to prevent food allergies

February 27, 2025 BHR Newsletter 1. Which Medicare Advantage insurers gained, lost members for 2025 Full story 2. More federal layoffs loom; healthcare decries House budget: 6 updates Full story 3. 10 health systems ditching their health plans Full story…

Trump boosts price transparency efforts | Senator probes UnitedHealth's MA billing practices | 2 payers exiting commercial market | House GOP passes budget plan that threatens Medicaid | Centene expands board

February 26, 2025 BHR Newsletter 1. Senator launches probe into UnitedHealth's Medicare Advantage billing practices Full story 2. Trump's new price transparency executive order: 6 notes for payers Full story 3. Illinois, North Carolina payers to exit all markets except…

Part D GLP-1 spending surges | Why 'intellectual curiosity' is key for payer CEOs | States that would be hardest hit by Medicaid cuts | UnitedHealth sets quarterly dividend | 11 payers cutting jobs

February 25, 2025 BHR Newsletter 1. Medicare Part D spending on weight loss drugs surges 364%: OIG Full story 2. The states that would be the hardest hit by Medicaid cuts Full story 3. Why 'intellectual curiosity' is key for…

HCA hospitals sue UnitedHealthcare | Humana's CenterWell keeps expanding | Inside CareFirst's new arena deal | Ariz. eyes Medicaid work rules | Change cyberattack 1 year later

February 24, 2025 BHR Newsletter 1. 17 HCA hospitals sue UnitedHealthcare over alleged underpayment for emergency care Full story 2. Humana's CenterWell to add 20+ clinics in 2025 Full story 3. Arizona eyes Medicaid work requirements Full story 4. Value-based…

Another UnitedHealth probe | HHS job cuts mount | Where 13 payers are growing in '25 | Trump signs order to end benefits for noncitizens | AHA: MA is hurting rural hospitals

February 21, 2025 BHR Newsletter 1. DOJ probes UnitedHealth's Medicare Advantage billing practices: WSJ Full story 2. Where 13 payers are growing in 2025 Full story 3. HHS job cuts mount: 5 notes Full story 4. What drives member loyalty?…

UnitedHealthcare offers staff buyouts | DOJ to support ACA preventive care mandate | Dr. Oz to divest from healthcare | BCBS Ala. calls out 'unregulated' health plan | What physicians wish payers knew

February 20, 2025 BHR Newsletter 1. UnitedHealthcare looks to cut jobs Full story 2. Trump administration backs ACA preventive coverage mandate Full story 3. Dr. Oz commits to divesting from UnitedHealth, HCA if confirmed as CMS leader Full story 4.…

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…