Payer Issues Archives - Page 34 of 164 - Becker's Payer Issues

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…

Dems pitch permanent ACA subsidies | OIG audits Humana, Aetna for MA overpayments: 10 things to know | Mark Cuban's message to employers | Md. reverses on Kaiser Medicaid: 5 notes | 5 Ozempic updates

September 26, 2024 BHR Newsletter 1. Democrats pitch permanent ACA subsidies Full story 2. OIG audits Humana, Aetna for Medicare Advantage overpayments: 10 things to know Full story 3. Mark Cuban to employers: Save millions with 1 move Full story 4.…

BCBS La. hit with $421M fraud verdict | Lowest-rated health plans of '24 | Harris' drug spending cap plan: 4 notes | CMS finalizes ACO catheter rule | 8 payers exiting MA markets

September 25, 2024 BHR Newsletter 1. Jury orders BCBS Louisiana to pay $421M to surgical center after fraud verdict Full story 2. The lowest-rated health plans of 2024: NCQA Full story 3. Harris' drug spending cap plan: 4 things to…

How a 5-star MA plan views growth | Inside the GLP-1 'price war' | UnitedHeath to provide mental healthcare to 1M children | Epic faces antitrust lawsuit | States with largest Medicaid declines

September 24, 2024 BHR Newsletter 1. How a 5-star Medicare Advantage plan approaches growth Full story 2. Inside the GLP-1 'price war' Full story 3. UnitedHealthcare to add school-based mental health support in 14 states Full story 4. Intelligent automation…

Md. to drop Kaiser Medicaid | UPMC Health Plan's top GLP-1 challenge | FTC v. PBMs: 10 notes | Best commercial plans by state | How CareFirst guides AI startups

September 23, 2024 BHR Newsletter 1. Maryland to drop Kaiser as Medicaid administrator Full story 2. The top GLP-1 challenge facing UPMC's health plan Full story 3. 4 health systems' thoughts on the 2-midnight rule Full story 4. Home-based care…