Payer Issues Archives - Page 49 of 161 - Becker's Payer Issues

Labor Dept. sues BCBS Minn. | Humana: Higher medical costs will hurt profits | Court upholds UnitedHealth facility fee win | MedPAC: MA overpayments to reach $88B in '24 | Payers, providers weigh in on new prior auth rule

January 18, 2024 BHR Newsletter 1. Higher medical costs could hurt 2023 earnings, Humana reports Full story 2. Labor Department sues BCBS Minnesota over provider tax on self-funded plans Full story 3. Appeals court upholds UnitedHealth win in facility fee case…

CMS finalizes prior auth rule | Humana plans 'limited' layoffs | Cigna shakes up C-suite | What's driving rising MA costs at UnitedHealth | BCBS NC buys urgent care clinics

January 17, 2024 BHR Newsletter 1. CMS finalizes prior authorization, interoperability rule Full story 2. Humana plans 'limited' layoffs Full story 3. Cigna names new insurance CEO amid leadership shuffle Full story 4. Star ratings can make or break growth. See how…

Hospitals aren't breaking up with MA: UnitedHealth | World's 10 largest insurers | The MA landscape in '24: 10 notes | Walmart Health seeking leaders | 11 recent payer exec moves

January 16, 2024 BHR Newsletter 1. Hospitals aren't breaking up with Medicare Advantage, UnitedHealth says Full story 2. 6 American companies ranked among world's largest insurers Full story 3. The Medicare Advantage landscape in 2024: 10 updates Full story 4.…

UnitedHealth posts $5.5B Q4 profit | Envision names board | CMS' prior auth overhaul timeline unclear | Pa. launches claims appeal website | 4 recently terminated MA contracts

January 11, 2024 BHR Newsletter 1. 5 payers among the top employers for remote jobs in 2024 Full story 2. Cigna to launch weight loss management program through Evernorth Full story 3. More health systems bill for MyChart Full story 4.…

CVS braces for MA pressure | Why Cigna isn't buying providers | Cuban inks partnership with startup payer | Payer M&A to watch in '24 | 12 UnitedHealth updates

January 10, 2024 BHR Newsletter 1. Cigna's leaders say there's no need to own primary care providers Full story 2. CVS braces for more Medicare Advantage pressure Full story 3. Mark Cuban's drug co. inks partnership with startup payer Full…

Walgreens to pay Humana $360M | CVS still in 'early innings' of Aetna merger | 3 providers being bought by payers | Least competitive commercial markets | 4 Ozempic updates

January 9, 2024 BHR Newsletter 1. Walgreens to pay Humana $360M to settle drug pricing lawsuit Full story 2. CVS Health in 'early innings' of Aetna integration, new president says Full story 3. The cities with the least competitive commercial…

Elevance sues HHS over MA changes | Price transparency compliance in '24 | CMS to cut 2 Centene MA plans | Amazon partnership targets digital benefits | Largest MA insurer by state

January 8, 2024 BHR Newsletter 1. Elevance Health sues HHS over Medicare Advantage star ratings changes Full story 2. The state of price transparency compliance in 2024 Full story 3. The largest Medicare Advantage insurer in every state Full story…

UnitedHealth accuses former execs of theft | CVS shuffles leadership | Memorial Hermann drops Humana MA | Mark Cuban: CEOs 'waste a sh-tload' on healthcare | Eli Lilly to sell weight loss drugs direct to consumer

January 5, 2024 BHR Newsletter 1. UnitedHealth Group accuses 2 former execs of stealing trade secrets Full story 2. CVS Health replaces CFO, healthcare lead Full story 3. Memorial Hermann drops Humana Medicare Advantage Full story 4. 62% of emergency…

Cigna nears MA sale to HCSC | Optum, SSM Health end partnership | Essence-Stanford MA plan exits Calif. | Centene to pay $26M in SC Medicaid settlement | TikTok parent eyes healthcare

January 4, 2024 BHR Newsletter 1. Reports: Cigna near deal to sell Medicare Advantage business to HCSC Full story 2. Optum, SSM Health end partnership Full story 3. Essence, Stanford Medicare Advantage plan exits California Full story 4. Regulatory compliance…

Layoffs at Blue Shield Calif. | Optum eyes Ore. clinics | MA startup closes $175M funding round | McKinsey to pay $78M for health plan settlement | 5 recent payer lawsuits

January 3, 2024 BHR Newsletter 1. Blue Shield of California to lay off 165 Full story 2. Optum seeking to acquire Oregon clinic chain Full story 3. McKinsey to pay $78M to health plans in opioid settlement Full story 4.…