Payer Issues Archives - Page 4 of 183 - Becker's Payer Issues

Aetna's president talks turnaround | Ballad's MA lawsuit against UHG dismissed | BCBS Assn. taps CFO | Medicare could pay for 'AI physicians' | 9 GLP-1 updates

Aetna’s president details a financial turnaround + Ballad’s MA lawsuit against UHG is dismissed September 15, 2026 1. ‘We are going to hit the gas’: Aetna president details insurer’s turnaround Full story 2. Judge dismisses Ballad Health’s Medicare Advantage lawsuit…

Elevance sues former exec to block Oscar move | Medicare GLP-1 program tops forecast | 11 payer policies for 2027 | Large-employer health coverage, by state | 10 UnitedHealth updates

Plus: 8 states finalize ACA rates September 14, 2026 1. Elevance sues former network exec to block Oscar move Full story 2. Medicare’s GLP-1 program is ‘far exceeding’ expectations, but a plateau could be coming Full story 3. If you work…

Trump pitches $500 ACA refunds | Health Net faces sanctions | Optum Insight taps AI chief | 30 systems dropping MA plans | Dignity sues Medi-Cal plan, claiming $30M in unpaid bills

Trump pitches ACA refund checks ahead of midterms + Calif. may sanction a Centene subsidiary September 11, 2026 1. Trump pledges $500 checks to 1 million people for ACA ‘overcharges’ Full story 2. Optum Insight names Amazon alum as chief AI…

UnitedHealth CFO talks 'tough' MA decisions | Aetna's Medicare CMO departs | Blue Shield of Calif. fined over delayed complaint resolutions | Former CVS exec wins Dem nomination for RI governor | Prime Therapeutics taps CFO

UnitedHealth CFO talks ‘tough decisions’ in MA + former CVS exec advances in RI gov race September 10, 2026 1. UnitedHealth CFO says ‘tough decisions’ in Medicare Advantage are paying off Full story 2. Blue Shield of California fined $800K over…

Optum sells interest in Fla. clinics | Lawsuit alleges Anthem owes $30M in IDR awards | 6 states finalize '27 ACA rates | Insurer profits not driving up premiums: Study | MGB Health Plan drops Dana-Farber from MA network

Anthem is accused of not paying $30M in IDR awards + ’27 ACA rates start taking shape September 9, 2026 1. Optum sells interest in Florida clinics: Report Full story 2. Air ambulance company alleges Anthem owes $30M in No…

Cambia, Ark. BCBS deal approved | Humana sues over $7.3B weedkiller settlement | Lawmaker probes IDR arbiters | What drives success for retail-branded MA plans? | How 10 payer execs drive innovation

BCBS consolidation continues + a closer look at retail-branded Medicare Advantage plans September 8, 2026 1. Arkansas BCBS, Cambia receive green light for affiliation Full story 2. A tale of 2 retailers: What drives success for co-branded Medicare Advantage plans…

Democrats eye expanding Medicare | ICHRA gets a rebrand | 8 recent MA contract freezes | CareFirst sues over trademark infringement | Cigna employees ink GLP-1 coverage petition

Democrats are weighing big healthcare goals ahead of midterms + ICHRA gets a rebrand September 4, 2026 1. Democrats in talks about expanding Medicare, breaking up large insurers: Report Full story 2. CMS rebrands ICHRA Full story 3. GLP-1s are…

Health Net exits commercial group market | State-run exchange enrollment down 8.5% | Site-neutral imaging pay could save $9.7B: BCBSA | Part D plans paid $587M for mislabeled OTC drugs: OIG | Self-pay hospital visits spike

A Centene subsidiary makes a major market exit + ACA enrollment continues to fall September 3, 2026 1. Centene’s Health Net to exit commercial group market in California, Oregon Full story 2. Part D plans paid $587.7M for over-the-counter drugs…

Ohio Chamber sues UHC | Texas investigating TriWest | 6 new reimbursement changes this month | Elevance-BCBS venture to exit La. Medicaid | Johns Hopkins Health Plans taps interim CEO

Ohio Chamber says UHC poached its members + Elevance exits another Medicaid program September 2, 2026 1. Ohio Chamber sues UnitedHealthcare over alleged effort to poach members Full story 2. 6 payer reimbursement changes to know in September Full story…

UHC pushes 30% prior auth reduction | MA plan hit with enrollment freeze again | 5 healthcare fights on the ballot | Cuban: Healthcare contracts are like 'Fight Club' | HDHPs don't slow long-term spend: Study

The nation’s largest insurer cuts prior auth requirements + healthcare top of mind ahead of midterms September 1, 2026 1. UnitedHealthcare to drop prior authorization requirements for 1,700 services Full story 2. Massachusetts Medicare Advantage insurer hit with another enrollment…