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

Humana sues ChenMed | Evernorth cutting jobs in Ariz. | Shutdown ends with no ACA subsidy deal | Ind. drops payer from Medicaid program | Elevance fights to keep NYC contract

Humana sues a joint venture partner and the government reopens without a subsidy deal November 13, 2025 1. Humana claims ChenMed skimmed 'tens of millions' from JenCare joint venture Full story 2. Cigna to cut 143 jobs amid clinic deal with…

Trump floats sending ACA dollars to consumers | CMS selects Medicare prior auth pilot vendors | Medicaid profits to hit low point in '26: Elevance | UnitedHealthcare to end most remote monitoring coverage | Lilly drops CVS for employee drug benefits

Trump suggests redirecting ACA funds and Elevance predicts Medicaid low point November 12, 2025 1. Trump blasts insurers amid ACA subsidy talks Full story 2. Medicaid margins to hit low point in 2026, Elevance CFO says Full story 3. This…

UnitedHealth's plan to 'restore swagger' | House bill targets Medicare prior auth pilot | Priority Health names president | Cigna's generics pricing questioned | 10 big trends for payer execs headed into '26

UnitedHealth aims to ‘restore swagger’ and House Dems look to axe Medicare prior auth pilot November 11, 2025 1. UnitedHealth's new CFO details plan to 'restore swagger' Full story 2. House Democrats introduce legislation to kill Medicare prior authorization pilot Full…

No ACA subsidy extension in Senate funding deal | What payers focused on in Q3 | BCBS sues over trademark use | Johns Hopkins convening insurers on quality metrics | Payers fined in 2025

No ACA subsidy extension + payers’ key areas of focus in Q3 November 10, 2025 1. Payers talk margin recovery, product pullbacks and PBM transformation in Q3 Full story 2. Senate advances potential funding deal sans ACA subsidy extension: 5…

Payers post Q3 profits | Cambia, BCBS Ark. to affiliate | CMS pilot targets Medicaid drug costs | Health insurance 'not meant to be sexy': CEO | 2 health systems launch ACA plan

Payers report Q3 profits, Cambia, BCBS Ark. affiliate, CMS launching Medicaid drug cost pilot November 7, 2025 1. Payers ranked by Q3 profits Full story 2. Cambia, BCBS Arkansas announce strategic affiliation Full story 3. This VBC-aligned autism model expands…

Anthem, Northern Light reach agreement | The Cigna Group's new CMO | Americans like their health plans, but half are skeptical of the system | UnitedHealthcare, PacificSource face cease and desists | NC's new small business health plan

Anthem and Northern Light’s new contract, plus N.C.’s plan for small employers November 6, 2025 1. Anthem, Northern Light ink agreement Full story 2. The Cigna Group names chief medical officer Full story 3. 'Things don't have to stay the…

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…