Payer Issues Archives - Page 33 of 177 - Becker's Payer Issues

MA costs 'manageable' for Elevance | UnitedHealth's highest-paid execs | Inside Highmark, Penn State Health's virtual care journeys | Medica posts $216M operating loss | Optum taps RCM leader

April 22, 2025 BHR Newsletter 1. UnitedHealth Group's highest-paid executives in 2024 Full story 2. Medicare Advantage costs 'manageable' for Elevance Health: 8 notes Full story 3. Blue Cross Blue Shield mandates prior approval for severe asthma drugs in 5 states Full…

Texas lawmakers call for Centene sanctions | CMS penalizes Mass. payer | Evernorth CEO departing with $5M payout | Brokerage exec involved in $133M ACA fraud scheme | 4 GLP-1 updates

April 21, 2025 BHR Newsletter 1. Texas lawmakers call for sanctions on Centene subsidiary over 'spying' Full story 2. Cigna exec to depart with $5M payment Full story 3. CMS sanctions Massachusetts payer's Medicare Advantage drug plans following state enrollment suspension…

UnitedHealth shifts tone on MA | Elevance assures investors on earnings | CMS anticipates end to ACA subsidies | BCBS Mass. drops weight loss drug coverage | UnitedHealth weighs in on pharma tariffs

April 18, 2025 BHR Newsletter 1. UnitedHealth shifts tone on Medicare Advantage as CMS changes impact earnings Full story 2. Elevance assures investors with reaffirmed 2025 earnings guidance Full story 3. BCBS Massachusetts drops weight loss drug coverage: 5 things…

UnitedHealth stock plummets after Q1 report | Humana loses star ratings appeal | Anthem reaches mental health parity settlement | MA coding differences led to $33B in extra payments: Study | 7 Cigna updates

April 17, 2025 BHR Newsletter 1. UnitedHealth cuts earnings guidance amid rising Medicare Advantage costs Full story 2. Humana loses star ratings appeal Full story 3. Anthem reaches settlement in mental health parity case: 3 notes Full story 4. AI…

Kaiser's Cone Health buys Novant's stake in MA plan | 9 prior auth updates | Ind. reforms Medicaid eligibility | Trump signs drug pricing EO | 10 UnitedHealth updates

April 16, 2025 BHR Newsletter 1. 9 prior authorization updates Full story 2. Kaiser's Cone Health buys Novant Health out of Medicare Advantage plan Full story 3. Indiana governor signs 9 healthcare executive orders, reforms Medicaid eligibility Full story 4. AI-driven…

UnitedHealth-Amedisys challenge moves to mediation | A quarter of small employers dropping insurance coverage: JPMorgan | Where Medicaid work rules may hit hardest | MA rate hike to help payer margins: Fitch | CMS weighs ditching some quality measures

April 15, 2025 BHR Newsletter 1. DOJ's UnitedHealth-Amedisys antitrust case moves to mediation Full story 2. Around 1 in 4 small businesses are dropping insurance coverage: 5 notes Full story 3. Medicare Advantage rate boost likely to 'significantly support' payers' financial recovery:…

Optum, physicians clash on loan repayments | CMS tightens Medicaid waiver funds | Blue Shield Calif. reports data breach | How 1 payer keeps pace with evolving employers | Medicaid 'decision time' arrives

April 14, 2025 BHR Newsletter 1. AMA challenges Optum's 'strict' loan repayment demands following Change hack Full story 2. CMS tightens guardrails on state Medicaid funding: 4 things to know Full story 3. Employers are evolving — how 1 payer keeps…

Dr. Oz's plans for CMS: 8 notes | Questions swirl around Centene donation | Aetna names CMO | SCAN, Sutter Health to launch MA venture | 8 insurance M&A updates

April 11, 2025 BHR Newsletter 1. Questions swirl around Centene's $10M donation to Florida charity Full story 2. Dr. Oz outlines vision for CMS: 8 notes Full story 3. 13 payers cutting jobs Full story 4. Clinical data feed connection time…

When MA plans exit, who gains their members? | Optum's go-to systems for transplants | Dr. Oz promotes AI avatars | BCBS NC posts $69M profit | 2 payers among Fortune's top employers

April 10, 2025 BHR Newsletter 1. When Medicare Advantage plans exit markets, where do their members go? Full story 2. Dr. Oz promotes AI avatars in 1st meeting as CMS chief Full story 3. 2 payers among Fortune's top employers…

Judge tosses MultiPlan, UnitedHealth antitrust suit | CMS rebrands MA equity program | A shift in hospital-payer 'power dynamics' | CareSource buys Mass. payer | 3 states eyeing ICHRA tax credits

April 9, 2025 BHR Newsletter 1. Judge tosses MultiPlan, UnitedHealthcare antitrust lawsuit Full story 2. CMS rebrands Medicare Advantage health equity program Full story 3. CareSource purchases struggling Massachusetts payer Full story 4. Reimagine value-based care. See how Catalight empowers…