Payer Issues Archives - Page 52 of 161 - Becker's Payer Issues

UnitedHealth CEO talks MA changes | DeSantis wants to 'supersede Obamacare' | Optum MA outperforms Medicare | Anthem Va., Aledade partner | 30 best payers for LGBTQ employees

December 4, 2023 BHR Newsletter 1. Medicare Advantage rate changes 'incredibly positive,' UnitedHealth CEO says Full story 2. DeSantis suggests plan to 'supersede' Affordable Care Act Full story 3. 30 payers named among best places to work for LGBTQ equality…

HCSC eyes Cigna's MA business | UnitedHealth's 5 growth priorities | NC Medicaid expansion begins | Bill Gates predicts 3-day workweek | 15 exec moves in November

December 1, 2023 BHR Newsletter 1. HCSC eyeing Cigna's Medicare Advantage business: Report Full story 2. UnitedHealthcare updates home health prior authorization review process Full story 3. Medicaid expansion begins in North Carolina Full story 4. Achieving adequate reimbursement doesn't…

Cigna, Humana 'in talks' to merge | UnitedHealth projects $400B year-end revenue | Why BCBS Ariz. wants to look like Kaiser | CMS cuts improper Medicaid payments | BCBS Mich. inks tentative deal after strike

November 30, 2023 BHR Newsletter 1. Cigna, Humana 'in talks' to merge Full story 2. Why BCBS Arizona wants to look more like Kaiser Full story 3. UnitedHealth Group projects $400B in 2024 revenue Full story 4. Claim denials keep…

Optum has 90K physicians | Trump vows to replace ACA | Bipartisan anger grows over MA denials | CVS sues US over denied tax deductions | Amazon's pay for 17 healthcare jobs

November 29, 2023 BHR Newsletter 1. Optum now has 90,000 physicians Full story 2. Trump renews push to replace Affordable Care Act Full story 3. Bipartisan anger over Medicare Advantage denials on the rise Full story 4. Payers can't afford…

UnitedHealth, Cigna suits spark AI questions | Amazon, healthcare + hubris | Cost Plus inks specialty drug partnership | Mounjaro more effective than Ozempic: Study | Optum taps home care CEO

November 28, 2023 BHR Newsletter 1. UnitedHealth, Cigna face lawsuits over alleged automated claims denials Full story 2. Amazon's hubris, strategy debates snarled healthcare moves, insiders say Full story 3. Medicare solvency would be extended 17 years under Medicare Advantage…

AHA: MA denials up 56% | Optum facing antitrust suit from Calif. system | Pa. system drops Cigna | Blues become providers | 10 Epic updates

November 27, 2023 BHR Newsletter 1. American Hospital Association: Medicare Advantage denials jump 56% Full story 2. Optum faces antitrust lawsuit from California health system Full story 3. Pennsylvania health system drops Cigna Full story 4. Empowering a Healthier World:…

Hospitals' next MA move | The Blues become providers | A short-lived CEO argued he could be automated | Moody's: 2023 insurance outlook is stable | 9 MA updates

November 24, 2023 BHR Newsletter 1. Health systems' next Medicare Advantage move Full story 2. Blues plans dive into care delivery Full story 3. Why health equity won't come from a spreadsheet, per 1 UPMC insurance executive Full story 4.…

Payers ignoring new MA rules, AHA says | Self-pay ED visits spike post-redeterminations | UnitedHealth ASC deal facing scrutiny | CMS publishes SDOH playbook | The newest C-suite leader

November 22, 2023 BHR Newsletter 1. Insurers aren't following CMS' new Medicare Advantage rules, AHA says Full story 2. UnitedHealth subsidiary's ASC deal facing scrutiny from Connecticut regulators Full story 3. Self-pay ED visits jumped following Medicaid redeterminations: Study Full…

CMS overpaid MA $16.6B | 25 states 'failing' at Medicaid unwinding | 6 payers expanding ACA plans | 15 'overpaid' healthcare CEOs | 10 UnitedHealth updates

November 21, 2023 BHR Newsletter 1. CMS: Medicare Advantage received $16.6B in improper payments in 2023 Full story 2. 25 states with 'failing' Medicaid redetermination grades Full story 3. 6 payers expanding ACA offerings in 2024 Full story 4. Your…

3 'overpaid' payer CEOs | Texans convicted in $145M fraud scheme against BCBS | Tenn. extends Medicaid contracts | 'Shrinkflation' hits healthcare | 4 recent MA study findings

November 20, 2023 BHR Newsletter 1. 3 payer CEOs among healthcare's 'most overpaid' Full story 2. Texas pharmacy owners, physician convicted in $145M fraud scheme against BCBS, Labor Dept. Full story 3. Tennessee extends Medicaid contracts without Centene Full story…