Payer Issues Archives - Page 37 of 177 - Becker's Payer Issues

HCA hospitals sue UnitedHealthcare | Humana's CenterWell keeps expanding | Inside CareFirst's new arena deal | Ariz. eyes Medicaid work rules | Change cyberattack 1 year later

February 24, 2025 BHR Newsletter 1. 17 HCA hospitals sue UnitedHealthcare over alleged underpayment for emergency care Full story 2. Humana's CenterWell to add 20+ clinics in 2025 Full story 3. Arizona eyes Medicaid work requirements Full story 4. Value-based…

Another UnitedHealth probe | HHS job cuts mount | Where 13 payers are growing in '25 | Trump signs order to end benefits for noncitizens | AHA: MA is hurting rural hospitals

February 21, 2025 BHR Newsletter 1. DOJ probes UnitedHealth's Medicare Advantage billing practices: WSJ Full story 2. Where 13 payers are growing in 2025 Full story 3. HHS job cuts mount: 5 notes Full story 4. What drives member loyalty?…

UnitedHealthcare offers staff buyouts | DOJ to support ACA preventive care mandate | Dr. Oz to divest from healthcare | BCBS Ala. calls out 'unregulated' health plan | What physicians wish payers knew

February 20, 2025 BHR Newsletter 1. UnitedHealthcare looks to cut jobs Full story 2. Trump administration backs ACA preventive coverage mandate Full story 3. Dr. Oz commits to divesting from UnitedHealth, HCA if confirmed as CMS leader Full story 4.…

Centene settles cybersecurity flaw claims | BCBS Mich. to enforce repeated appeals policy | Humana CMO: MA rates don't match rising costs | MultiPlan rebrands | DOGE clears legal hurdle

February 19, 2025 BHR Newsletter 1. Centene to pay $11M to settle cybersecurity flaw allegations Full story 2. Humana CMO: Medicare Advantage rate increase 'does not fully account for' rising costs Full story 3. BCBS Michigan to charge hospitals for…

CVS names PBM leader | Stop-loss takes center stage | Major job cuts at HHS | NY health plan to pay $29M to settle overpayment issues | 10 recently fined insurers

February 18, 2025 BHR Newsletter 1. 'Stop-loss' takes center stage Full story 2. CVS names PBM president Full story 3. 10 payers recently fined by states Full story 4. The key to driving healthcare transformation is a strategic approach to interoperability.…

UnitedHealth MA AI lawsuit to move forward | CMS targets ACA 'program integrity' | Payers ranked by '24 MLRs | Centene moves to toss MA stars challenge | 10 recent billing fraud cases

February 17, 2025 BHR Newsletter 1. Judge allows lawsuit over UnitedHealth Medicare Advantage AI denials to move forward Full story 2. Trump administration targets ACA 'program integrity' with new rule, slashes navigator funding Full story 3. Payers ranked by 2024…

Payers ranked by '24 profits | 8 payers cutting jobs | UnitedHealthcare's approach to obesity care | Why this MA CEO takes calls from members | Aetna reverses a pay policy

February 14, 2025 BHR Newsletter 1. Payers ranked by 2024 profits Full story 2. 'Very much in flux': UnitedHealthcare's data-driven approach to obesity care Full story 3. 8 payers cutting jobs Full story 4. An essential guide for health plans to…

CVS' plan for Aetna stability | RFK Jr. gets HHS job | Humana's No. 1 MA priority | Insurers push back as GOP eyes healthcare cuts | 8 Cigna updates

February 13, 2025 BHR Newsletter 1. RFK Jr. confirmed as HHS secretary Full story 2. CVS working 'tirelessly' to improve Aetna: 7 notes Full story 3. Humana's No. 1 Medicare Advantage priority: 5 notes Full story 4. What's ahead for…

CVS posts $1.6B Q4 profit | NC fines UnitedHealthcare | Why a Calif. Medicaid plan is turning to the ACA | CFOs struggle with GLP-1s | Humana's 'back to basics' strategy

February 12, 2025 BHR Newsletter 1. CVS Health posts $4.6B profit in 2024 Full story 2. North Carolina fines UnitedHealthcare $3.4M for balance billing issues Full story 3. Why a California Medicaid plan is turning to the ACA marketplace Full…

Humana posts $693M Q4 loss | Payers brush off Medicaid threats | UnitedHealth settles Labor Dept. lawsuit for $20M | BCBS Vt. CEO to retire | Primary care provider gaps by state

February 11, 2025 BHR Newsletter 1. Humana posts $693M loss in Q4 Full story 2. UnitedHealth to pay $20M to settle emergency claims lawsuit from Labor Department Full story 3. Payers brush off Medicaid cut threats Full story 4. Prepayment…