Payer Issues Archives - Page 3 of 167 - Becker's Payer Issues

Humana buys MaxHealth | Where workers pay most, least for insurance | Conn. pitches state-backed health plan | Inside Michigan's $780M Medicaid plan | 3 new GLP-1 trends

Humana expands its primary care business and Connecticut backs ICHRA February 17, 2026 1. Humana closes on acquisition of MaxHealth primary care clinics Full story 2. Connecticut governor pitches state-backed health plan, ICHRA perk for small employers Full story 3.…

Steward trustee sues 5 payers | Why Scripps' MA exit worked | Payers ranked by '25 MLRs | BCBS Mich. to sell workers' comp unit | 6 Medicaid expansion updates

The latest Steward update involves 5 payers and Scripps details its MA exit success February 16, 2026 1. Steward trustee sues 5 payers over $57M, alleging exploitation of financial distress Full story 2. Why Scripps Health's Medicare Advantage exit paid…

Payers ranked by '25 profits | Humana in talks to buy Fla. primary care chain | 14 payers pledge ACCESS support | Texas to probe BCBS over data breach | 10 UnitedHealth updates

Humana eyes a Florida primary care chain + payers record profit declines February 13, 2026 1. Humana approaches $1B deal with Florida primary care chain Full story 2. Payers ranked by 2025 profits Full story 3. How a top plan found…

Calif. payer preps for 45% membership loss | UnitedHealth-U of Minn. class draws scrutiny | Best insurers of '26 | Tenet projects 20% ACA enrollment drop | 13 recently fined insurers

How a Calif. Medicaid plan is prepping for OBBBA changes + the top payers of 2026 February 12, 2026 1. How this California insurer is preparing as it faces up to 45% membership loss Full story 2. The best health…

Payers subpoenaed over ACA fraud | BCBS competition heats up | Humana posts $796M Q4 loss | Bill would break up vertically integrated insurers | Kaiser inks $28M mental parity settlement

Blues plans are competing for clients and ACA fraud concerns heat up in Congress February 11, 2026 1. House Republicans subpoena 8 insurers over ACA fraud concerns Full story 2. BCBS plans are now competing for each other's customers Full…

Cigna to cut 2,000 jobs | CMS pitches ACA overhaul | CVS, Oscar profits plummet | MultiCare sues Optum over outstanding claims | Florida Blue shuffles leadership

Cigna is cutting thousands of jobs and CMS wants to make major changes to the ACA February 10, 2026 1. Cigna to cut 2,000 jobs Full story 2. CMS proposes sweeping ACA overhaul for 2027 Full story 3. ACA at…

The quiet math behind growing OON fights | Inside Optum's Minn. Medicaid audit | BCBS Mich. to halve some E/M payments | Ind. to seek bids for $68B Medicaid contracts | ACO enrollment grows to 14.3M

Contracting fights are becoming more public and Optum releases first findings from its Minnesota Med February 9, 2026 1. 'Sometimes these things defy all business logic': Inside the calculus of going out-of-network Full story 2. Optum flags $1.7B in potential…

ACA subsidy extension efforts 'effectively over' | Cuban casts doubt on FTC, Cigna deal | Optum's provider acquisitions tied to price increases | What Renown sees in Kaiser partnership | Centene posts $6.7B loss in '25

Senate efforts to expand ACA subsidies have collapsed and Centene recorded big losses in 2025 February 6, 2026 1. 'Meh': Mark Cuban casts doubt on FTC, Cigna PBM settlement Full story 2. Optum's provider acquisitions tied to price increases for rival insurers:…

CMS: MA clawbacks will begin soon | Aetna cuts 300+ jobs | Cigna to overhaul PBM in FTC deal | Optum rolls out new prior auth tools | 12 best payer tools in '26: KLAS

CMS is going to ramp up MA audits and Cigna has agreed to make big PBM changes February 5, 2026 1. Aetna to cut more than 300 jobs Full story 2. CMS says Medicare Advantage overpayment recoveries will begin soon Full…

Kaiser enters Nev. | Novo Nordisk hires Optum exec | MA plans boast annual enrollment gains | CommonSpirit, Cigna split in 2 states | Humana deepens Google ties

Kaiser is officially moving into Nevada and MA plans are boasting big enrollment gains February 4, 2026 1. Kaiser Permanente enters Nevada with health plan joint venture Full story 2. Novo Nordisk hires former Optum exec Full story 3. Improve quality,…