Payer Issues Archives - Page 33 of 161 - Becker's Payer Issues

Centene to end Part D broker payments | Inside a system's split with UnitedHealth | Cigna to remove Humira from most formularies | Direct contracting grows: 6 notes | 7 payers fined by states

August 28, 2024 BHR Newsletter 1. Centene to end Part D broker payments Full story 2. Cigna to remove Humira from most formularies Full story 3. 7 payers recently fined by states Full story 4. A precise differential diagnosis improves…

CMS dropped MA rule after payer pushback: Report | Aetna's 'landmark' fertility decision | Elevance drops Evolent interest | CareFirst, Johns Hopkins launch AI initiative | Counties with narrowest ACA networks

August 27, 2024 BHR Newsletter 1. CMS scrapped Medicare Advantage rule over industry opposition: Report Full story 2. Aetna adds fertility coverage in 'landmark' change Full story 3. What these payers learned through collaborating with their competitors Full story 4.…

UnitedHealth eyes 3rd largest ASC chain | Calif. network directory reform bill dead | MA plan: Headwinds have 'minimal impact' | States ranked by Medicaid spending | 10 states reforming prior auth

August 26, 2024 BHR Newsletter 1. UnitedHealth reportedly eyes Surgery Partners acquisition Full story 2. This Medicare Advantage plan says headwinds have 'very little impact' Full story 3. California provider directory reform bill dead Full story 4. Cigna and BCBS…

Elevance eyes Evolent | BCBS Minn. to face DOL suit | Most common No Surprises complaints | How Congress gets health coverage | 12 Envision notes

August 23, 2024 BHR Newsletter 1. Elevance could acquire Evolent Health Full story 2. BCBS Minnesota must face ERISA lawsuit from Labor Department, judge rules Full story 3. How Congress members get their health insurance Full story 4. Join leaders…

Lowest-rated MA plans in '24 | Employers' top GLP-1 concerns | Lawmakers zero in on MultiPlan | UnitedHealth adds prior auth rules | Molina extends CEO contract

August 22, 2024 BHR Newsletter 1. Lowest-rated Medicare Advantage plans in 2024: J.D. Power Full story 2. Employers are worried about GLP-1s — most cover them anyway Full story 3. Lawmakers push for tougher enforcement on MultiPlan Full story 4.…

Top payer employer in each state | Layoffs at BCBS Mich. | Nev. system ends UnitedHealth contract | What's behind great star ratings: McKinsey | Judge blocks noncompete ban

August 21, 2024 BHR Newsletter 1. The best insurer to work for in every state Full story 2. BCBS Michigan lays off 64 Full story 3. Nevada system terminates contract with UnitedHealthcare Full story 4. Discover how whole-person, home-based care is…

Top MA plans in '24 | Allina's Optum deal pays off | Calif. prior auth bill advances | 3 payer trends hospitals need to know | A landmark year for CEO turnover

August 20, 2024 BHR Newsletter 1. Top Medicare Advantage plans for member satisfaction in 2024: J.D. Power Full story 2. California prior authorization bill clears legislative hurdle Full story 3. Allina Health's IT shift to Optum pays off Full story…

Humana settles Medicare fraud case for $90M | Inside Optum's success | Harris + Medicare for All: 5 notes | Judge tosses hospital suit against MultiPlan | Counties with highest MA rates

August 19, 2024 BHR Newsletter 1. Humana settles Medicare drug fraud case for $90M Full story 2. Why Optum thrives where others failed Full story 3. Kamala Harris and Medicare for All: 5 notes Full story 4. Discover how whole-person, home-based…

MA woes loom for hospitals | 50 notes on payer CEOs | Calif. fines Anthem over gender-affirming care | Ga. to use state-run exchange | 10 billing fraud cases

August 16, 2024 BHR Newsletter 1. 50 things to know about the CEOs of the largest insurers Full story 2. Medicare Advantage woes pose growing threat to hospitals: S&P Full story 3. California fines Anthem Blue Cross for illegally denying…

6 CEO takes on MA landscape | 2-midnight rule has mixed results for hospitals | UnitedHealth, Colo. system facing split | A looming 'perfect storm' for Medicare enrollment | CMS’ 10 negotiated drug prices

August 15, 2024 BHR Newsletter 1. 6 CEOs, 6 takes on Medicare Advantage Full story 2. 2-midnight rule yields mixed results for health systems Full story 3. The 'perfect storm' facing Medicare recipients during enrollment season Full story 4. Discover…