Payer Issues Archives - Page 46 of 168 - Becker's Payer Issues

SCAN beats CMS in MA stars suit | A 'rough year' for gov't programs | UnitedHealth testing 500 AI use cases | US 'hits a wall' reducing burnout | Top-paid CEOs in '23

June 5, 2024 BHR Newsletter 1. A 'rough year' for payers' government programs Full story 2. SCAN beats CMS in Medicare Advantage star ratings lawsuit Full story 3. UnitedHealth testing 500 AI use cases Full story 4. At the forefront…

Pharma exec charged with threatening Aetna leaders | UnitedHealth-Amedisys divestiture stalls | Weight loss drug coverage gets more complex | Unhealthiest states for seniors in '24 | 10 recent billing fraud cases

June 4, 2024 BHR Newsletter 1. Pharma exec charged with cyberstalking Aetna leaders Full story 2. UnitedHealth, Amedisys divestiture deal stalls: Report Full story 3. Weight loss drug coverage gets more complicated Full story 4. AI and RCM were made…

Change responsible for breach reporting: HHS | Layoffs at Cigna | BCBS plan exiting MA | 3 states tackling prior auth | How Optum cut behavioral wait times

June 3, 2024 BHR Newsletter 1. Cigna to lay off 261 in Arizona Full story 2. HHS: Change responsible for notifying patients about data breach Full story 3. BCBS Kansas City exiting Medicare Advantage market Full story 4. Not just…

Change hack a result of 'corporate negligence': Senator | Payer-provider negotiations 'coming to a head' | DOJ rejects Steward's Optum sale timeline | Inside a health plan's hybrid work strategy | 8 exec moves in May

May 31, 2024 BHR Newsletter 1. Senator urges probe of UnitedHealth 'negligence' in Change hack Full story 2. How 1 health plan designed an office around hybrid work Full story 3. Health system-payer negotiations 'coming to a head' Full story…

A 'disturbance' in Medicaid margins | Lowest-ranked health plans of '24 | Health system rehires Humana exec as CEO | Senators demand answers from MultiPlan | 7 GLP-1 updates

May 30, 2024 BHR Newsletter 1. Payers report Medicaid margins 'disturbance' Full story 2. J.D. Power's lowest-ranked health plans for customer experience Full story 3. Humana executive to return to UConn Health as CEO Full story 4. Intellectual disability, including…

Top health plans of '24 | Epic exec: AI far from fixing prior auth | Minn. Medicaid to drop for-profit carriers | Op-ed: Elevance's global CIO | Should healthcare execs take the Hippocratic Oath?

May 29, 2024 BHR Newsletter 1. J.D. Power's top-ranked health plans for customer experience Full story 2. AI far from fixing prior authorization, Epic exec says Full story 3. Should health insurance executives take the Hippocratic Oath? Full story 4. AI…

Why 2 payer CEOs embrace MA cuts | Third round of Highmark layoffs | Ill. passes prior auth reform | Novo Nordisk defends Ozempic price | NYC continues Aetna MA push

May 28, 2024 BHR Newsletter 1. Why these payer CEOs are embracing Medicare Advantage pay cuts Full story 2. A third round of Highmark layoffs Full story 3. Illinois passes prior authorization reform bill Full story 4. Intellectual disability, including ASD…

UnitedHealth buys Minn. behavioral clinics | Prior auth inpatient claim denial rates by payer type | CVS seeks Oak Street PE backer | 10 BCBS updates | Aetna challenging Kan. Medicaid awards

May 24, 2024 BHR Newsletter 1. UnitedHealth acquires 10 Minnesota behavioral health clinics Full story 2. CVS seeks private equity funding to open new Oak Street sites: Bloomberg Full story 3. Blue Cross Blue Shield in the headlines: 10 updates…

UnitedHealth wants MA algorithm suit tossed | NY payers pitch merger | Blue Shield Calif. taps chief actuary | States ranked by ACA growth | US News adds MA data to rankings

May 23, 2024 BHR Newsletter 1. UnitedHealth wants Medicare Advantage algorithm denials suit tossed Full story 2. Excellus BCBS parent, New York payer pitch merger Full story 3. US News adds Medicare Advantage data to rankings Full story 4. Hear…

7 providers being bought by payers | Best payer employers for new grads: Fortune | Okla. tackles prior auth reform | Health systems' hard line on insurers pays off | 7 MA updates

May 22, 2024 BHR Newsletter 1. 7 providers being acquired by payers Full story 2. Another state tackles prior authorization Full story 3. 10 payers among Forbes' best employers for new grads Full story 4. Unaddressed behavioral issues are driving…