Payer Issues Archives - Page 36 of 161 - Becker's Payer Issues

Elevance posts $2.3B Q2 profit | UnitedHealth CEO defends MA home visits | Top Humana exec departs | RI awards Medicaid contracts | JD Vance's healthcare record: 6 notes

July 17, 2024 BHR Newsletter 1. UnitedHealth CEO defends Medicare Advantage home visits Full story 2. Elevance Health posts $2.3B profit in Q2 Full story 3. Top Humana exec departs after 3 decades Full story 4. Becker's is gathering 500+…

UnitedHealth posts $4.2B Q2 profit | Why prior auth could become an AI 'arms race' | 11 arrested at UnitedHealth protest | Change breach costs soar | 10 MA updates

July 16, 2024 BHR Newsletter 1. UnitedHealth posts $4.2B profit in Q2 Full story 2. Why prior authorization could become an AI 'arms race' Full story 3. Arrests made during protest outside UnitedHealthcare headquarters Full story 4. Don't miss the…

Centene beats Medicaid fraud suit | Elevance plans primary care partnership | BCBS and MA: 7 updates | Highmark loses 26K-member contract | 8 updates on GLP-1s

July 15, 2024 BHR Newsletter 1. Centene board beats $1.3B Medicaid fraud lawsuit Full story 2. Elevance Health plans primary care clinic partnership Full story 3. BCBS and Medicare Advantage: 7 updates Full story 4. Misaligned payment incentives — the…

Aetna cited in 1st No Surprises audit | MA the lynchpin in hospital-payer disputes | 14 top plans on what members want | Optum taps clinical data exec | Payers to face FTC lawsuit over PBMs

July 12, 2024 BHR Newsletter 1. What do members want? 14 top-ranked plans weigh in Full story 2. CMS cites Aetna in first No Surprises Act audit Full story 3. Medicare Advantage increasingly the lynchpin in hospital-payer fights Full story…

Payers face COVID vaccine lawsuits | Sanford, Security Health Plans eye merger | Insurers back 'old-fashioned' weight loss method | CMS floats 2 payment rules | Top issues for payer CFOs

July 11, 2024 BHR Newsletter 1. Payers confronted by COVID vaccine lawsuits Full story 2. The 'old-fashioned' weight loss method being embraced by insurers Full story 3. Sanford, Security Health Plans eye merger Full story 4. Becker's is gathering 500+…

UnitedHealth sued over DOJ probe | FTC slams PBMs | The 'critical success factor' behind MA at BCBS Mich. | Change preps breach notifications | SCAN taps 5 new execs

July 10, 2024 BHR Newsletter 1. UnitedHealth Group, officials sued over Justice Department probe Full story 2. Florida system's primary care physicians splitting with BCBS Medicare Advantage Full story 3. Change Healthcare preps to notify patients with breached data, states…

Insurers gain $50B from 'questionable' MA coding | Aetna snags win in NC contract fight | 5 recently fined payers | Highmark names market leaders | New study: Ozempic vs. Mounjaro

July 9, 2024 BHR Newsletter 1. Insurers brought in $50B through 'questionable' Medicare Advantage coding: WSJ Full story 2. Court sides with Aetna over BCBS for North Carolina state health plan Full story 3. 5 payers recently fined by states…

Learning in one click — See the latest opportunity from Becker's

If there's one guarantee in healthcare, it's change. Stay ahead, adaptive and resilient with the latest expert and peer insights in this learning opportunity. Smarter scaling: How top payers are out-performing with real-world data Wednesday, July 17th,…

The GLP-1 coverage dilemma | 15 payers cutting jobs | How a BCBS CEO approached year 1 on the job | Texas fines Cigna over claims disputes | 10 UnitedHealth updates

July 5, 2024 BHR Newsletter 1. 15 payers cutting jobs Full story 2. The GLP-1 coverage dilemma for employers Full story 3. How this BCBS CEO approached his 1st year on the job Full story 4. Top-performing payers turn data into…

More MA plans snag 5 stars | The payer eyeing Walmart's clinics | Layoffs at AmeriHealth Caritas | Ore. expands Medicaid | Biden to Ozempic maker: 'Stop ripping off' Americans

July 3, 2024 BHR Newsletter 1. 7 Medicare Advantage plans snag 5-star ratings after CMS redo Full story 2. Humana among potential buyers of Walmart clinics: Report Full story 3. AmeriHealth Caritas lays off 102 Full story 4. SDOH data…