Payer Issues Archives - Page 57 of 161 - Becker's Payer Issues

UnitedHealth cuts MA plans | HHS halts Medicaid unwinding in 30 states | How MA is sold on TV | Ore. to create new public plan | 8 Cigna updates

September 22, 2023 BHR Newsletter 1. HHS pauses procedural Medicaid disenrollments in 30 states Full story 2. UnitedHealthcare cuts some Medicare Advantage plans for 2024 Full story 3. World's best payers, per Time Full story 4. Seattle Children's cut anesthesia costs by $175K while also shrinking its…

UnitedHealth sued over vaccine mandate | Former Elevance exec can join Molina, judge rules | Are payers complying with price transparency? | CMS audits Texas over Medicaid unwinding | The best Medicaid plans of '23

September 21, 2023 BHR Newsletter 1. Judge won't block former Elevance Health exec from joining Molina Full story 2. EEOC sues UnitedHealthcare over unvaccinated employee's firing Full story 3. Are payers complying with price transparency rules? Full story 4. Most insurers aren't taking advantage of a key…

Cuban teams up with Select Health | Best MA plans in '23 | AMA: Payers' prior auth cuts not 'major progress' | 18 payer CEO moves | 7 Aetna updates

September 20, 2023 BHR Newsletter 1. Mark Cuban's Cost Plus Drug Co. teams up with Intermountain's Select Health Full story 2. Best-rated Medicare Advantage plans in 2023, per NCQA Full story 3. 18 recent payer CEO moves Full story 4. 1 in 5 women are mistreated while…

Optum to revamp clinics | Best commercial plans by state | 26% of employers to cover weight loss drugs | Kaiser taps regional president | 4 value-based programs to know

September 19, 2023 BHR Newsletter 1. Optum to transform clinics after layoffs: 'And we're just getting started' Full story 2. NCQA: The best-rated commercial health plans in each state Full story 3. 26% of employers plan to offer weight loss drug benefits over next year:…

Best-rated health plans of '23 | UnitedHealth moves to Optum campus | Payers sue over exec moves | Most-uninsured cities in US | 10 Medicaid updates

September 18, 2023 BHR Newsletter 1. The best-rated health plans of 2023, per NCQA Full story 2. UnitedHealth Group to leave HQ building for Optum campus Full story 3. Payers sue to block executive moves Full story 4. The best use cases for AI and where…

Cigna sued by shareholder | BCBS Mich. CEO to retire | 25 payer execs' best advice | 5 prior auth updates | Most uninsured states in 2022

September 15, 2023 BHR Newsletter 1. Cigna sued by shareholder following ProPublica report on mass claim denials Full story 2. 25 payer executives' advice for future industry leaders Full story 3. BCBS Michigan CEO to retire Full story 4. Reducing LOS is too often a goal without…

Elevance sues former exec | Payers drop senior care co. | Blue Shield Calif. CEO on challenging healthcare's status quo | Texas awards long-term Medicaid contracts | A budget blindspot in healthcare

September 13, 2023 BHR Newsletter 1. Elevance Health sues to block former Medicare executive from joining Molina Full story 2. Major payers drop senior companionship company following patient abuse allegations Full story 3. Throw out the fax machine: Blue Shield of California's CEO on…

Layoffs at Optum: 3 updates | Hawaii halts redeterminations | Amedisys shareholders OK Optum deal | Medicaid weight loss drug spending tops $1B | Walgreens to expand primary care

September 12, 2023 BHR Newsletter 1. Layoffs at Optum: 3 updates Full story 2. Hawaii pausing Medicaid terminations in wake of wildfires Full story 3. Optum-Amedisys deal receives shareholder approval Full story 4. Take the guesswork out of vendor compliance. This short report can show you how.…

Prisma denied restraining order against UnitedHealth | Walmart eyes ChenMed buy | Health system-payer negotiations go awry | Gym chain limits hours for Medicare members | AHIP taps interim CEO

September 11, 2023 BHR Newsletter 1. Judge denies Prisma Health's request for temporary restraining order against UnitedHealthcare Full story 2. Walmart explores possible ChenMed purchase Full story 3. Health system-payer negotiations go awry Full story 4. Payers' access to EMRs shouldn't be taken lightly. This expert…

CVS revamps C-suite | BCBS Mich. cutting prior auth 20% | Mark Cuban's pharmacy: 5 updates | Where MA falls short, per hospital CEO | 5 recent payer lawsuits

September 8, 2023 BHR Newsletter 1. CVS Health expands C-suite roles Full story 2. BCBS Michigan to cut 20% of prior authorization requirements Full story 3. 5 recent payer lawsuits, settlements Full story 4. You can't cut corners in credentialing, but you can make it faster. Learn…