Payer Issues Archives - Page 30 of 161 - Becker's Payer Issues

Payers' Milton response: 5 notes | How 2 MA plans got 5 stars from NCQA | CBO: Weight-loss drug coverage could cost Medicare $35B | NY system sues payer | 25 best places to retire

October 10, 2024 BHR Newsletter 1. How these insurers landed in the top 0.5% of Medicare Advantage plans Full story 2. Insurers respond to Hurricane Milton: 5 notes Full story 3. Weight loss drug coverage could cost Medicare $35B by 2034,…

Duke CEO, UnitedHealth at odds over contract | Harris pitches Medicare home care coverage | 5 payer M&A updates | L.A. Care reaches $55M settlement with Calif. | UHG, CVS want FTC chair off case

October 9, 2024 BHR Newsletter 1. Duke Health CEO's 'significant concerns' about UnitedHealthcare contract Full story 2. Harris pitches Medicare home care coverage: 3 notes Full story 3. 5 payer M&A updates Full story 4. Simplified data workflows are strengthening…

CVS laying off 400+ Aetna employees | Why 1 CEO is worried about PE in Medicaid | Meet UnitedHealth's exec team | 10 payers exiting MA markets | Fla. hospitals brace for 2nd hurricane

October 8, 2024 BHR Newsletter 1. CVS lays off 400+ at Aetna headquarters Full story 2. Why this CEO is worried about private equity in Medicaid Full story 3. Meet UnitedHealth's executive team Full story 4. A precise differential diagnosis…

CMS pitches new ACA rules: 10 notes | Texas Medicaid awards halted | Elevance, Centene close sales | 22 states where MA plans are shrinking | 10 UnitedHealth updates

October 7, 2024 BHR Newsletter 1. Judge halts Texas Medicaid shakeup Full story 2. CMS' proposed ACA rules: 10 things to know Full story 3. 22 states where Medicare Advantage offerings are shrinking Full story 4. 'The laws have come so…

16 payer headwinds to know | Senator promises MA investigation | UnitedHealth expanding ACA plans | Kan. rejects Aetna's Medicaid challenge | CMS tweaks drug negotiations for '25

October 4, 2024 BHR Newsletter 1. 16 payer headwinds to know Full story 2. UnitedHealthcare expanding ACA plans to 4 new states Full story 3. Senator promises 'dramatic' Medicare Advantage investigation Full story 4. Find out how AI is reducing…

United sues CMS over star ratings | MA 'jeopardizing' rural hospitals | CVS breakup may be hard to do: 3 notes | Blue Shield Calif.'s $0 biosimilar plan: 7 notes | Elevance plans $11.9M expansion

October 3, 2024 BHR Newsletter 1. UnitedHealthcare sues CMS over 1 phone call Full story 2. Why a CVS breakup may be hard to execute: 3 notes Full story 3. Medicare Advantage is 'jeopardizing' rural hospitals, execs say Full story…

Another MA exit | Humana's star ratings tumble | Inside Cigna's new GLP-1 program | Calif. enacts AI-driven coverage decisions law | Vance, Walz debate: 4 notes

October 2, 2024 BHR Newsletter 1. Another Blue Cross plan exits Medicare Advantage Full story 2. Humana reports major decline in Medicare Advantage star ratings Full story 3. Behind Cigna's 1st-of-its-kind GLP-1 program Full story 4. Simplified data workflows are strengthening…

New MA plans for '25 | UnitedHealth launches gold card program | Calif. fines Anthem $8.5M | Best-rated MA plans in '24 | CVS board mulls break up

October 1, 2024 BHR Newsletter 1. Insurers launch 2025 Medicare plans Full story 2. UnitedHealthcare launches prior authorization gold-card: 5 things to know Full story 3. California fines Anthem plans $8.5M over claims disputes with providers Full story 4. This…

CMS: MA, Part D stable in '25 | Sentara cuts insurance jobs | Investors sour on CVS | Calif. mandates IVF coverage | 7 Helene updates

September 30, 2024 BHR Newsletter 1. Medicare Advantage premiums, benefits stable for 2025, CMS says: 10 notes Full story 2. Sentara cuts health plan positions, cites Medicaid redeterminations Full story 3. Investors sour on CVS Health, layoffs announced: 4 notes…

Another system scales back MA | Payer with best virtual care: JD Power | A 'ripe opportunity' for provider-led plans | CMS' new Medicaid guidance: 7 notes | GLP-1 pills on the horizon

September 27, 2024 BHR Newsletter 1. Another health system scales back its Medicare Advantage plan Full story 2. Payers with the best telehealth services in 2024: J.D. Power Full story 3. A 'ripe opportunity' for provider-led health plans Full story…