Payer Issues Archives - Page 50 of 177 - Becker's Payer Issues

Humana settles Medicare fraud case for $90M | Inside Optum's success | Harris + Medicare for All: 5 notes | Judge tosses hospital suit against MultiPlan | Counties with highest MA rates

August 19, 2024 BHR Newsletter 1. Humana settles Medicare drug fraud case for $90M Full story 2. Why Optum thrives where others failed Full story 3. Kamala Harris and Medicare for All: 5 notes Full story 4. Discover how whole-person, home-based…

MA woes loom for hospitals | 50 notes on payer CEOs | Calif. fines Anthem over gender-affirming care | Ga. to use state-run exchange | 10 billing fraud cases

August 16, 2024 BHR Newsletter 1. 50 things to know about the CEOs of the largest insurers Full story 2. Medicare Advantage woes pose growing threat to hospitals: S&P Full story 3. California fines Anthem Blue Cross for illegally denying…

6 CEO takes on MA landscape | 2-midnight rule has mixed results for hospitals | UnitedHealth, Colo. system facing split | A looming 'perfect storm' for Medicare enrollment | CMS’ 10 negotiated drug prices

August 15, 2024 BHR Newsletter 1. 6 CEOs, 6 takes on Medicare Advantage Full story 2. 2-midnight rule yields mixed results for health systems Full story 3. The 'perfect storm' facing Medicare recipients during enrollment season Full story 4. Discover…

A looming MA 'lobbying blitz' | Elevance launches new primary care business | States ranked by GLP-1 coverage rates | 7 payers cutting prior auth | 11 UnitedHealth updates

August 14, 2024 BHR Newsletter 1. Payers plan Medicare Advantage 'lobbying blitz' Full story 2. Elevance Health picks leaders, name for $4B primary care venture Full story 3. Insurance coverage of weight loss drugs, state by state Full story 4.…

The politics of ACA ambiguity | MA penetration by state | Payers ranked by Q2 MLRs | How BCBS Mich. became a tech leader | Why Kaiser has Target clinics

August 13, 2024 BHR Newsletter 1. Trump, Harris tread in ACA ambiguity Full story 2. Medicare Advantage penetration by state in 2024 Full story 3. Payers ranked by Q2 MLRs Full story 4. Protect your organization from cyberattacks, internal threats and…

UnitedHealth embraces consumerism | Payers ranked by Q2 profits | Medicare telehealth in limbo | MA plans with worst prior auth denial rates | Best, worst states to live in

August 12, 2024 BHR Newsletter 1. UnitedHealthcare embraces consumerism Full story 2. Payers ranked by Q2 profits Full story 3. Medicare Advantage insurers ranked by prior authorization denial rates Full story 4. Protect your data. Innovate with AI. Replace human…

Is the 2-midnight rule costing payers? | Hospitals make MA missteps, too: Jain | Payers pledge PBM defense | Overused healthcare buzzwords, per execs | GLP-1s increasing ACA premiums

August 9, 2024 BHR Newsletter 1. Is the two-midnight rule costing payers? It depends who you ask Full story 2. Payers pledge defense of their PBMs Full story 3. Where health systems are going wrong with Medicare Advantage Full story…

CVS issues MA warning | Fla. Blue parent closing clinics | States that cover GLP-1s for employees | Calif. payer reduces prior auth | Elevance's global CIO departs

August 8, 2024 BHR Newsletter 1. CVS: Second half of 2024 could be even worse for Medicare Advantage Full story 2. These 16 states cover weight loss drugs for their employees Full story 3. Florida Blue parent closing clinics, laying off…

Aetna president out | Centene exiting 6 MA markets | BCBS SC selling care group to Novant | Clover turns 1st profit | BCBS La. rebrands

August 7, 2024 BHR Newsletter 1. Aetna president out after disappointing financial results Full story 2. Centene exiting 6 Medicare Advantage markets Full story 3. Novant to buy 200-provider group from BCBS South Carolina Full story 4. Seeking a healthcare…

UnitedHealth sues Minn. over Medicaid law | VP pick Walz on healthcare: 8 notes | Uninsured rates creep up | 7 payers on Fortune's Global 500 | Humana CEO: MA plans can work better with CMS

August 6, 2024 BHR Newsletter 1. UnitedHealth sues Minnesota over law banning for-profit Medicaid insurers Full story 2. Tim Walz on healthcare: 8 things to know Full story 3. Humana CEO: Medicare Advantage plans can work better with CMS Full…