Payer Issues Archives - Page 3 of 161 - Becker's Payer Issues

Optum cuts 500+ jobs | Humana posts $195M Q3 profit | BCBS Mass. loses star ratings challenge | Senators question MA provider directory errors | 14 drugs in shortage

Humana profits rise, Optum cuts jobs and senators target MA data accuracy November 5, 2025 1. Optum to lay off 572 across New Jersey Full story 2. Humana posts $195M Q3 profit Full story 3. Low-hour autism care: Better outcomes,…

Lawmakers pitch ACA subsidy extension | DOJ proposes UnitedHealth-Amedisys monitor | 8 Cigna updates | Northern Light, Anthem miss deadline | 20 best places to retire

November 4, 2025 1. House lawmakers pitch ACA enhanced subsidy extension amid shutdown Full story 2. DOJ proposes UnitedHealth-Amedisys deal monitor Full story 3. Star Ratings Are Out, Now What? Join a live debrief 4. Cigna in the headlines: 8…

Medicaid programs ordered to find undocumented enrollees | Medicare contractors weigh chronic pain cuts | CMS finalizes 2026 physician pay rule | 340B rebate pilot launch | Elevance CGO: Medicare members lean into AI

November 3, 2025 1. HHS orders state Medicaid programs to screen for enrollee immigration status Full story 2. Medicare contractors weigh coverage cuts to chronic pain procedures Full story 3. Seamless DME isn't a dream—real-time connections can simplify every step…

ACA open enrollment to kick off | Cigna's rebate-free model may face growing pains | Ark. BCBS eyes Cambia affiliation | Former Humana CFO takes helm at Wellvana | Cyberattack hits PBM

What to know as the ACA open enrollment period starts tomorrow October 31, 2025 1. Cigna's rebate-free pharmacy benefit model could see a rocky start Full story 2. 6 things to know ahead of ACA open enrollment Full story 3. How…

Cigna's $1.9B Q3 profit | ACA window-shopping rates go live | PacificSource to lay off 300 | BCBS Kansas City shakes up leadership | Minn. to use Optum for Medicaid fraud audit

Cigna’s profit, ACA plan shopping and PacificSource’s layoffs hit four states October 30, 2025 1. Cigna reports $1.9B Q3 profit Full story 2. ACA window-shopping rates go live: 6 things to know Full story 3. BCBS & Cleveland Clinic take…

Centene's $6.6B Q3 loss | UHC predicts 1 million-member MA drop | $4B CVS loss | How Optum will get back on track after it 'strayed' | Lehigh Valley might end UHC contract

Despite robust performance, here’s what’s driving Centene and CVS Health’s Q3 losses October 29, 2025 1. Centene posts $6.6B loss but steep revenue increase for Q3 Full story 2. UnitedHealth projects 1 million-member drop in Medicare Advantage enrollment Full story…

UnitedHealth posts $2.3B Q3 profit | MA enrollees see 50% fewer physicians | 39% of 'No Surprises' cases ineligible for arbitration | Ambulatory boom reshapes inpatient care | Texas sues Tylenol makers

October 28, 2025 1. UnitedHealth posts $2.3B profit for Q3, raises outlook Full story 2. Number of physicians halved for Medicare Advantage enrollees: Report Full story 3. A fragmented DME process costs payers time and money. Discover how an end-to-end…

Cigna's rebate-free pharmacy model | Hawaii Medical Service Association's 1st female president | BCBS Mass. targets provider 'overcoding' | Okla. AG slams managed care Medicaid | Elevance's 'bullish' AI investments

Cigna’s Evernorth axes rebates, HMSA taps president, and Elevance’s AI push October 27, 2025 1. Cigna's Evernorth unveils rebate-free pharmacy model Full story 2. Hawaii Medical Service Association appoints 1st female president Full story 3. 83% faster status determinations. How…

Anthem may hit hospitals with 10% out-of-network penalty | Optum taps new CFO | 6 Medicare prior auth pilot updates | CMS brings back furloughed workers | Mont. opens BCBS query in wake of data breach

Anthem’s new out-of-network penalty, Optum names CFO, and CMS brings back workers October 24, 2025 Want to talk business strategy with health plan peers who get it? Join Becker’s Payer Leadership Virtual Community — a private, off-the-record digital forum for…

Molina cuts earnings outlook again | Dr. Oz: Shutdown not hurting open enrollment | Optum launches AI-powered claims system | Hospitals rebuke ‘aggressive coding’ accusations | Family coverage costs hit $27K

Molina cuts outlook, Dr. Oz talks shutdown, and Optum launches AI claims tool October 23, 2025 Want to talk business strategy with health plan peers who get it? Join Becker’s Payer Leadership Virtual Community — a private, off-the-record digital forum…