Payer Issues Archives - Page 47 of 177 - Becker's Payer Issues

New MA plans for '25 | UnitedHealth launches gold card program | Calif. fines Anthem $8.5M | Best-rated MA plans in '24 | CVS board mulls break up

October 1, 2024 BHR Newsletter 1. Insurers launch 2025 Medicare plans Full story 2. UnitedHealthcare launches prior authorization gold-card: 5 things to know Full story 3. California fines Anthem plans $8.5M over claims disputes with providers Full story 4. This…

CMS: MA, Part D stable in '25 | Sentara cuts insurance jobs | Investors sour on CVS | Calif. mandates IVF coverage | 7 Helene updates

September 30, 2024 BHR Newsletter 1. Medicare Advantage premiums, benefits stable for 2025, CMS says: 10 notes Full story 2. Sentara cuts health plan positions, cites Medicaid redeterminations Full story 3. Investors sour on CVS Health, layoffs announced: 4 notes…

Another system scales back MA | Payer with best virtual care: JD Power | A 'ripe opportunity' for provider-led plans | CMS' new Medicaid guidance: 7 notes | GLP-1 pills on the horizon

September 27, 2024 BHR Newsletter 1. Another health system scales back its Medicare Advantage plan Full story 2. Payers with the best telehealth services in 2024: J.D. Power Full story 3. A 'ripe opportunity' for provider-led health plans Full story…

Dems pitch permanent ACA subsidies | OIG audits Humana, Aetna for MA overpayments: 10 things to know | Mark Cuban's message to employers | Md. reverses on Kaiser Medicaid: 5 notes | 5 Ozempic updates

September 26, 2024 BHR Newsletter 1. Democrats pitch permanent ACA subsidies Full story 2. OIG audits Humana, Aetna for Medicare Advantage overpayments: 10 things to know Full story 3. Mark Cuban to employers: Save millions with 1 move Full story 4.…

BCBS La. hit with $421M fraud verdict | Lowest-rated health plans of '24 | Harris' drug spending cap plan: 4 notes | CMS finalizes ACO catheter rule | 8 payers exiting MA markets

September 25, 2024 BHR Newsletter 1. Jury orders BCBS Louisiana to pay $421M to surgical center after fraud verdict Full story 2. The lowest-rated health plans of 2024: NCQA Full story 3. Harris' drug spending cap plan: 4 things to…

How a 5-star MA plan views growth | Inside the GLP-1 'price war' | UnitedHeath to provide mental healthcare to 1M children | Epic faces antitrust lawsuit | States with largest Medicaid declines

September 24, 2024 BHR Newsletter 1. How a 5-star Medicare Advantage plan approaches growth Full story 2. Inside the GLP-1 'price war' Full story 3. UnitedHealthcare to add school-based mental health support in 14 states Full story 4. Intelligent automation…

Md. to drop Kaiser Medicaid | UPMC Health Plan's top GLP-1 challenge | FTC v. PBMs: 10 notes | Best commercial plans by state | How CareFirst guides AI startups

September 23, 2024 BHR Newsletter 1. Maryland to drop Kaiser as Medicaid administrator Full story 2. The top GLP-1 challenge facing UPMC's health plan Full story 3. 4 health systems' thoughts on the 2-midnight rule Full story 4. Home-based care…

Another round of Optum layoffs | Cigna to trim MA plans | Best Medicaid plans in '24 | Aetna, HCA Fla. reach deal | 3 GLP-1 updates

September 20, 2024 BHR Newsletter 1. Optum to conduct layoffs in New Jersey Full story 2. Cigna to trim Medicare Advantage offerings in 8 states Full story 3. The best-rated managed Medicaid plans of 2024: NCQA Full story 4. 500+…

Texas system ends MA plan | Trump to change ACA risk pools, Vance says | Oak Street settles MA kickback allegations | States ranked by average ACA subsidy | Top Medicaid plan in each state

September 19, 2024 BHR Newsletter 1. Texas system shutters Medicare Advantage plan Full story 2. Vance: Trump would make changes to ACA risk pools Full story 3. CVS' Oak Street Health to pay $60M to settle Medicare Advantage kickback allegations…

Why Humana is moving into Walmart | Best MA plans in each state | 4 best payers for hybrid work | Fla. Blue, Baptist facing split | Hospitals confront Change hack fallout

September 18, 2024 BHR Newsletter 1. Why Humana's CenterWell is moving into Walmart Full story 2. The best-rated Medicare Advantage plans in each state: NCQA Full story 3. 4 payers among top 100 companies for hybrid work Full story 4.…