Payer Issues Archives - Page 37 of 164 - Becker's Payer Issues

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…

A looming MA 'lobbying blitz' | Elevance launches new primary care business | States ranked by GLP-1 coverage rates | 7 payers cutting prior auth | 11 UnitedHealth updates

August 14, 2024 BHR Newsletter 1. Payers plan Medicare Advantage 'lobbying blitz' Full story 2. Elevance Health picks leaders, name for $4B primary care venture Full story 3. Insurance coverage of weight loss drugs, state by state Full story 4.…

The politics of ACA ambiguity | MA penetration by state | Payers ranked by Q2 MLRs | How BCBS Mich. became a tech leader | Why Kaiser has Target clinics

August 13, 2024 BHR Newsletter 1. Trump, Harris tread in ACA ambiguity Full story 2. Medicare Advantage penetration by state in 2024 Full story 3. Payers ranked by Q2 MLRs Full story 4. Protect your organization from cyberattacks, internal threats and…

UnitedHealth embraces consumerism | Payers ranked by Q2 profits | Medicare telehealth in limbo | MA plans with worst prior auth denial rates | Best, worst states to live in

August 12, 2024 BHR Newsletter 1. UnitedHealthcare embraces consumerism Full story 2. Payers ranked by Q2 profits Full story 3. Medicare Advantage insurers ranked by prior authorization denial rates Full story 4. Protect your data. Innovate with AI. Replace human…

Is the 2-midnight rule costing payers? | Hospitals make MA missteps, too: Jain | Payers pledge PBM defense | Overused healthcare buzzwords, per execs | GLP-1s increasing ACA premiums

August 9, 2024 BHR Newsletter 1. Is the two-midnight rule costing payers? It depends who you ask Full story 2. Payers pledge defense of their PBMs Full story 3. Where health systems are going wrong with Medicare Advantage Full story…