Payer Issues Archives - Page 27 of 161 - Becker's Payer Issues

Dr. Oz for CMS: 10 notes | New details in UnitedHealth vs. CMS | Where MA is headed in '25 | CVS names healthcare delivery president | Most competitive insurance markets

November 20, 2024 BHR Newsletter 1. President-elect Trump taps Dr. Oz for CMS administrator: 10 things to know Full story 2. UnitedHealth alleges unfair treatment in star ratings Full story 3. Where 6 payers' Medicare Advantage businesses are headed in…

5 industry leaders retiring | Payers ranked by MA market exits | Change restores claims clearinghouse | Molina, Instacart partner | Medicare drug negotiations under Trump: 5 notes

November 19, 2024 BHR Newsletter 1. 5 senior payer leaders retiring in 2024 Full story 2. Payers ranked by Medicare Advantage market exits | 2025 Full story 3. Change Healthcare restores claims clearinghouse: 5 things to know Full story 4.…

Aetna workers charged in fraud scheme | UnitedHealth launches Amedisys defense | BCBS Mass. weight loss drug spend skyrockets | Wis. payer cutting 300+ jobs | CareMax files for bankruptcy

November 18, 2024 BHR Newsletter 1. 2 Aetna employees arrested in $1.1M fraud scheme Full story 2. UnitedHealth launches Amedisys defense Full story 3. Wisconsin payer to lay off 300+ Full story 4. Better care starts with better information. Learn…

Payer execs hold out hope for ACA subsidies | Trump picks RFK Jr. to lead HHS: 7 notes | CMS: Call centers to have less weight in MA star ratings | Centene names Fla. subsidiary CEO | States ranked by total Part D enrollment

November 15, 2024 BHR Newsletter 1. Payer executives expect limited change in ACA subsidies Full story 2. CMS official: Call centers will be less important in future Medicare Advantage star ratings Full story 3. Trump picks RFK Jr. as HHS…

Why Elevance cut MA broker pay | BCBS plans lose COVID vaccine lawsuits | Mich. redoing D-SNP contracts | A 2nd Trump admin. takes shape | Medical Mutual names interim CEO

November 14, 2024 BHR Newsletter 1. Why Elevance Health cut some Medicare Advantage broker commissions Full story 2. Payers confronted by COVID vaccine lawsuits Full story 3. Michigan cancels new D-SNP contracts, reopens bidding Full story 4. The components of…

Centene president to retire | Trump creates dept. of gov. efficiency: 5 notes | 10 providers seeking payer talent | Humana names CHRO | Op-ed: Blue Shield of California's pharma transformation leader

November 13, 2024 BHR Newsletter 1. Centene president to retire Full story 2. Medicare Advantage plans received $1B for veteran enrollees using no benefits: Study Full story 3. Trump creates department of government efficiency: 5 details Full story 4. 150…

DOJ to sue over UnitedHealth-Amedisys deal | MA plans ramp up lobbying | AMA aims to cut retrospective denials | States ranked by employer-sponsored coverage | 4 hospital CFOs on navigating MA

November 12, 2024 BHR Newsletter 1. Justice Department to sue UnitedHealth over Amedisys deal: Report Full story 2. Medicare Advantage plans ramp up lobbying efforts Full story 3. AMA aims to cut retrospective denials: 4 things to know Full story…

Cigna halts merger talks | Another BCBS plan loses a vaccine lawsuit | The ACA's future: 17 notes | The payer mix of each state | 3 Ozempic updates

November 11, 2024 BHR Newsletter 1. Cigna not pursuing Humana merger Full story 2. BCBS Michigan ordered to pay former employee $13M in COVID vaccine lawsuit Full story 3. ACA's future in Trump's 2nd term: 17 things to know Full…

Optum, Aetna to settle 'dummy code' lawsuit | Payers ranked by Q3 MLRs | A 'grassroots' approach to MA marketing | Aetna's new leader: 5 things to know | Astrana to buy Prospect Health Plan

November 8, 2024 BHR Newsletter 1. Optum, Aetna agree to settle 'dummy code' lawsuit Full story 2. Payers ranked by Q3 MLRs Full story 3. Why a 5-star Medicare Advantage plan takes a 'grassroots' approach to marketing Full story 4.…

Payers' Q3 profits | A 2nd Trump term and MA | Aetna's financial plan: 5 notes | S.D. passes Medicaid work requirements | 7 prior auth updates

November 7, 2024 BHR Newsletter 1. What Trump's 2nd term could mean for Medicare Advantage Full story 2. Payers ranked by Q3 profits Full story 3. How CVS Health's new CEO plans to shore up Aetna's finances: 5 notes Full…