Payer Issues Archives - Page 43 of 177 - Becker's Payer Issues

CMS floats MA, GLP-1 changes | Payers respond to CMS proposal | CareSource closes senior care deal | States ranked by '25 MA offerings | Best changes 5 payer execs made in '24

November 27, 2024 BHR Newsletter 1. CMS pitches major Medicare Advantage changes: 10 notes Full story 2. Payer group 'deeply concerned' by Medicare weight loss drug coverage proposal Full story 3. The best changes 5 payer executives made in 2024 Full…

Biden pitches Medicare coverage for GLP-1s | Baystate selling insurance business to Point32Health | Medicaid under Trump: 5 notes | Least competitive MA markets | Highmark posts $529M profit in '24

November 26, 2024 BHR Newsletter 1. Biden administration proposes Medicare coverage for weight loss drugs: 10 things to know Full story 2. Massachusetts regulators approve sale of health system's insurance subsidiary Full story 3. What a 2nd Trump administration could…

UnitedHealth beats CMS | Trump picks more healthcare leaders | 12 recently fined payers | The largest MA insurer by state | RFK Jr. eyes Medicare physician pay reform

November 25, 2024 BHR Newsletter 1. UnitedHealthcare beats CMS in Medicare Advantage star ratings lawsuit Full story 2. 12 payers recently fined by states Full story 3. The largest Medicare Advantage insurer by state Full story 4. Overheard from Banner|Aetna,…

Dr. Oz and MA: 5 notes | Another ERISA data transparency lawsuit | PBMs sue FTC | States with least competitive commercial markets | 12 UnitedHealth updates

November 21, 2024 BHR Newsletter 1. Dr. Oz on Medicare Advantage: 5 things to know Full story 2. 'A fox in the henhouse': Owens & Minor sues Anthem in latest data transparency lawsuit Full story 3. 5 benefits Medicare Advantage…

Dr. Oz for CMS: 10 notes | New details in UnitedHealth vs. CMS | Where MA is headed in '25 | CVS names healthcare delivery president | Most competitive insurance markets

November 20, 2024 BHR Newsletter 1. President-elect Trump taps Dr. Oz for CMS administrator: 10 things to know Full story 2. UnitedHealth alleges unfair treatment in star ratings Full story 3. Where 6 payers' Medicare Advantage businesses are headed in…

5 industry leaders retiring | Payers ranked by MA market exits | Change restores claims clearinghouse | Molina, Instacart partner | Medicare drug negotiations under Trump: 5 notes

November 19, 2024 BHR Newsletter 1. 5 senior payer leaders retiring in 2024 Full story 2. Payers ranked by Medicare Advantage market exits | 2025 Full story 3. Change Healthcare restores claims clearinghouse: 5 things to know Full story 4.…

Aetna workers charged in fraud scheme | UnitedHealth launches Amedisys defense | BCBS Mass. weight loss drug spend skyrockets | Wis. payer cutting 300+ jobs | CareMax files for bankruptcy

November 18, 2024 BHR Newsletter 1. 2 Aetna employees arrested in $1.1M fraud scheme Full story 2. UnitedHealth launches Amedisys defense Full story 3. Wisconsin payer to lay off 300+ Full story 4. Better care starts with better information. Learn…

Payer execs hold out hope for ACA subsidies | Trump picks RFK Jr. to lead HHS: 7 notes | CMS: Call centers to have less weight in MA star ratings | Centene names Fla. subsidiary CEO | States ranked by total Part D enrollment

November 15, 2024 BHR Newsletter 1. Payer executives expect limited change in ACA subsidies Full story 2. CMS official: Call centers will be less important in future Medicare Advantage star ratings Full story 3. Trump picks RFK Jr. as HHS…

Why Elevance cut MA broker pay | BCBS plans lose COVID vaccine lawsuits | Mich. redoing D-SNP contracts | A 2nd Trump admin. takes shape | Medical Mutual names interim CEO

November 14, 2024 BHR Newsletter 1. Why Elevance Health cut some Medicare Advantage broker commissions Full story 2. Payers confronted by COVID vaccine lawsuits Full story 3. Michigan cancels new D-SNP contracts, reopens bidding Full story 4. The components of…

Centene president to retire | Trump creates dept. of gov. efficiency: 5 notes | 10 providers seeking payer talent | Humana names CHRO | Op-ed: Blue Shield of California's pharma transformation leader

November 13, 2024 BHR Newsletter 1. Centene president to retire Full story 2. Medicare Advantage plans received $1B for veteran enrollees using no benefits: Study Full story 3. Trump creates department of government efficiency: 5 details Full story 4. 150…