Payer Issues Archives - Page 40 of 177 - Becker's Payer Issues

Feds greenlight Nev. public option | CMS to implement tougher ACA broker rules | Why 5 BCBS plans restructured | Anthem pledges $10M in wildfire support | Home health sees strong growth

January 14, 2025 BHR Newsletter 1. Nevada receives federal approval for public insurance option Full story 2. Why these 5 BCBS companies restructured Full story 3. CMS to implement tougher rules for ACA exchange brokers: 5 things to know Full…

CMS pitches MA pay hike | SCOTUS to hear ACA preventive care case | UnitedHealth wants Amedisys challenge tossed | Public health emergency declared over LA fires | Best payers for LGBTQ employees

January 13, 2025 BHR Newsletter 1. CMS proposes $21B payment increase for Medicare Advantage in 2026: 10 notes Full story 2. Supreme Court to hear ACA preventive care coverage case Full story 3. UnitedHealth asks judge to dismiss challenge to…

Investors press UnitedHealth on denials | Ark. BCBS lays off 75 | Top payers for remote work | Regence names Wash. president | What Trump tariffs could spell for GLP-1s

January 10, 2025 BHR Newsletter 1. Activist shareholders press UnitedHealth on delayed, denied care Full story 2. Arkansas BCBS to lay off 75 Full story 3. 7 payers among the top employers for remote jobs | 2025 Full story 4.…

Blue Shield of Calif. restructures | Transcarent to buy Accolade | Healthcare contends with aftermath of CEO killing | 7 MA studies to know | Centene taps ICHRA president

January 9, 2025 BHR Newsletter 1. Healthcare contends with aftermath of UnitedHealthcare CEO's killing: 5 updates Full story 2. Blue Shield of California restructures, names CEO: 5 things to know Full story 3. 7 Medicare Advantage study findings to know…

First ACA coverage for GLP-1s | 3 payer deals start the year | BCBS NC, Change settle robocall lawsuit | Regence names Wash. market president | 10 largest D-SNP plans

January 8, 2025 BHR Newsletter 1. 3 payer M&A deals start 2025 Full story 2. The first state to cover Ozempic under the ACA Full story 3. BCBS North Carolina, Change Healthcare agree to $1.7M settlement in robocall lawsuit Full story…

UnitedHealth-owned insurers hit with $165M fine | Aetna sues drugmakers | BCBS Ill. taps new president | CMS selects 15 states for maternal program | 10 Shkreli awardees for bad behavior

January 7, 2025 BHR Newsletter 1. Massachusetts court orders UnitedHealth-owned insurers to pay $165M in penalties Full story 2. Aetna hits drugmakers with price-fixing lawsuit Full story 3. BCBS Illinois names new president Full story 4. Automate network monitoring. Strategies…

Ex-Elevance exec files age discrimination lawsuit | Calif. tamps down on AI-based denials | Scripps, Anthem split | Mayo sues Sanford Health Plan | 10 largest MCOs

January 6, 2025 BHR Newsletter 1. Former Elevance exec sues over alleged age discrimination Full story 2. California clamps down on AI-based coverage denials Full story 3. Scripps, Anthem network split affects 125,000 Full story 4. Northwestern embedded Microsoft's DAX…

UnitedHealth named world's largest insurer | Fla. Blue sues CMS | Sanford, Security Health Plans come together | CareSource buys Wis. payer | Aetna, Providence split

January 3, 2025 BHR Newsletter 1. UnitedHealth named world's largest insurer for 10th straight year Full story 2. Florida Blue latest to sue over Medicare Advantage star ratings Full story 3. Sanford, Security Health Plans now under one umbrella Full story…

An unimaginable year for UnitedHealth | Top 10 payer stories of '24 | 3 MA plans audited for overpayments | Aetna sues physician group, alleging fraud | 5 Ozempic updates

January 2, 2025 BHR Newsletter 1. 40 payer execs' industry outlook for 2025 Full story 2. 15 payers exiting Medicare Advantage markets in 2025 Full story 3. Elevance acquires IU Health's insurance business Full story 4. Life sciences firms are…

An unimaginable year for UnitedHealth | Top 10 payer stories of '24 | 3 MA plans audited for overpayments | Aetna sues physician group, alleging fraud | 5 Ozempic updates

December 31, 2024 BHR Newsletter 1. Top 10 health insurance stories of 2024 Full story 2. An unimaginable year for UnitedHealth Full story 3. 3 Medicare Advantage plans audited for $11.4M in overpayments Full story 4. Life sciences firms are…