Payer Issues Archives - Page 58 of 179 - Becker's Payer Issues

UnitedHealth buys Minn. behavioral clinics | Prior auth inpatient claim denial rates by payer type | CVS seeks Oak Street PE backer | 10 BCBS updates | Aetna challenging Kan. Medicaid awards

May 24, 2024 BHR Newsletter 1. UnitedHealth acquires 10 Minnesota behavioral health clinics Full story 2. CVS seeks private equity funding to open new Oak Street sites: Bloomberg Full story 3. Blue Cross Blue Shield in the headlines: 10 updates…

UnitedHealth wants MA algorithm suit tossed | NY payers pitch merger | Blue Shield Calif. taps chief actuary | States ranked by ACA growth | US News adds MA data to rankings

May 23, 2024 BHR Newsletter 1. UnitedHealth wants Medicare Advantage algorithm denials suit tossed Full story 2. Excellus BCBS parent, New York payer pitch merger Full story 3. US News adds Medicare Advantage data to rankings Full story 4. Hear…

7 providers being bought by payers | Best payer employers for new grads: Fortune | Okla. tackles prior auth reform | Health systems' hard line on insurers pays off | 7 MA updates

May 22, 2024 BHR Newsletter 1. 7 providers being acquired by payers Full story 2. Another state tackles prior authorization Full story 3. 10 payers among Forbes' best employers for new grads Full story 4. Unaddressed behavioral issues are driving…

UnitedHealth failed to disclose antitrust probe: Lawsuit | ACA gains favor | BCBSA: Most GLP-1 users quit before seeing benefits | Vt. enacts prior auth reforms | Optum Rx rolls out new pricing model

May 21, 2024 BHR Newsletter 1. Lawsuit alleges UnitedHealth failed to disclose antitrust investigation Full story 2. Most weight loss drug users quit before seeing benefits, BCBS Association finds Full story 3. Vermont governor signs prior authorization reform bill Full…

Optum layoffs in Ohio | 10 key questions facing MA | ICHRA growth up nearly 30% | Blue Shield Calif. names president | 17 quick notes on healthcare

May 20, 2024 BHR Newsletter 1. Optum laying off 129, closing Ohio facility Full story 2. 10 key questions facing Medicare Advantage Full story 3. ICHRA growth up nearly 30% since 2023 Full story 4. Unaddressed behavioral issues are driving…

UnitedHealth beats TeamHealth suit | Neb. system drops MA | GLP-1s poised to bankrupt Medicare, Sanders warns | Optum-Steward deal moves forward | HCSC plans Texas office

May 17, 2024 BHR Newsletter 1. Nebraska health system dropping all Medicare Advantage plans Full story 2. UnitedHealthcare beats TeamHealth in Oklahoma trial Full story 3. Sanders: Weight loss drugs could bankrupt healthcare system Full story 4. Unaddressed behavioral issues are…

UnitedHealth 'really comfortable' with MA | BCBS Mich. names new CEO | 8 two-midnights updates | 10 top states for commercial rates | CommonSpirit's 'firm stance' on payers

May 16, 2024 BHR Newsletter 1. UnitedHealth 'really comfortable' with Medicare Advantage as competitors sweat Full story 2. BCBS Michigan names new CEO Full story 3. 10 states where commercial insurers pay hospitals the highest rates Full story 4. Unaddressed…

CVS could lose 10% of MA members | Layoffs at Texas Children's Health Plan | Minn. fines UnitedHealth over mental health parity | Kan. awards Medicaid contracts | Wegovy's longest trial yet: 2 findings

May 15, 2024 BHR Newsletter 1. CVS could lose 10% of its Medicare Advantage members in 2025 Full story 2. Texas Children's Health Plan laying off 'a few hundred' following Medicaid redeterminations Full story 3. Minnesota fines UnitedHealthcare over alleged…

Optum spends $31B on M&A | Humana's new CEO starts in July | Payers spend 254% of Medicare rates: Study | 2-midnight rule may affect 20% of MA patients | Site-neutral payment policies: 20 notes

May 14, 2024 BHR Newsletter 1. Optum spent $31B on acquisitions in 2 years Full story 2. Private insurers paid hospitals 254% of Medicare rates in 2022: 5 things to know Full story 3. Humana's new CEO to assume top…

CMS extends Medicaid waivers | MultiPlan not changing strategy, CEO says | Inside an MA startup's grassroots approach | Kaiser posts $935M Q1 operating profit | 10 best cities to start a career

May 13, 2024 BHR Newsletter 1. Inside a fast-growing Medicare Advantage startup's grassroots approach Full story 2. MultiPlan not changing strategy in face of lawsuits, CEO says Full story 3. CMS extends Medicaid waivers to 2025 Full story 4. Discover…