Cigna’s profit, ACA plan shopping and PacificSource’s layoffs hit four states October 30, 2025 1. Cigna reports $1.9B Q3 profit Full story 2. ACA window-shopping rates go live: 6 things to know Full story 3. BCBS & Cleveland Clinic take…
Payer Issues
Despite robust performance, here’s what’s driving Centene and CVS Health’s Q3 losses October 29, 2025 1. Centene posts $6.6B loss but steep revenue increase for Q3 Full story 2. UnitedHealth projects 1 million-member drop in Medicare Advantage enrollment Full story…
October 28, 2025 1. UnitedHealth posts $2.3B profit for Q3, raises outlook Full story 2. Number of physicians halved for Medicare Advantage enrollees: Report Full story 3. A fragmented DME process costs payers time and money. Discover how an end-to-end…
Cigna’s Evernorth axes rebates, HMSA taps president, and Elevance’s AI push October 27, 2025 1. Cigna's Evernorth unveils rebate-free pharmacy model Full story 2. Hawaii Medical Service Association appoints 1st female president Full story 3. 83% faster status determinations. How…
Anthem’s new out-of-network penalty, Optum names CFO, and CMS brings back workers October 24, 2025 Want to talk business strategy with health plan peers who get it? Join Becker’s Payer Leadership Virtual Community — a private, off-the-record digital forum for…
Advertisement
Molina cuts outlook, Dr. Oz talks shutdown, and Optum launches AI claims tool October 23, 2025 Want to talk business strategy with health plan peers who get it? Join Becker’s Payer Leadership Virtual Community — a private, off-the-record digital forum…
UnitedHealth faces MA manipulation claims, Aetna announces job cuts, and Elevance braces for Medicai October 22, 2025 Want to talk business strategy with health plan peers who get it? Join Becker’s Payer Leadership Virtual Community — a private, off-the-record digital…
Premiums climb and profits hold steady as payers brace for 2026 shifts October 21, 2025 Want to talk business strategy with health plan peers who get it? Join Becker’s Payer Leadership Virtual Community — a private, off-the-record digital forum for…
Pharmacy and plan shakeups — from Cigna’s TrumpRx deal to California’s crackdown on fake coverage October 20, 2025 1. Best Medicare Advantage carriers for 2026: US News Full story 2. Cigna, CVS partner with TrumpRx to offer fertility drugs Full story…
Layoffs, leadership changes and Medicare confusion — payers navigate open enrollment October 16, 2025 1. Blue Shield of California to conduct third round of layoffs Full story 2. CMS walks back Medicare payment pause Full story 3. Old workflows, new…