Payer Issues Archives - Page 59 of 168 - Becker's Payer Issues

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…

CMS pitches new exchange rules | 'Worse than people can imagine': 5 Medicaid unwinding updates | 4 payers launching MA plans | Payer mix in largest for-profit systems | 7 prior auth updates

November 17, 2023 BHR Newsletter 1. CMS pitches new regulations for state-run exchanges: 5 things to know Full story 2. 4 payers entering Medicare Advantage in 2024 Full story 3. 7 prior authorization updates Full story 4. Tufts and SSM…

Feds drop UnitedHealth antitrust case | More hospitals cut MA | Novo Nordisk ups weight loss drug manufacturing | MA ads still under scrutiny | 11 recent payer exec moves

November 16, 2023 BHR Newsletter 1. Justice Department dropping antitrust case against UnitedHealth's SCA Health Full story 2. Hospitals are dropping Medicare Advantage left and right: 13 updates Full story 3. 11 payer executive moves since Nov. 1 Full story 4.…

UnitedHealth sued over MA denials | Froedtert buys Ascension's health plan stake | Cigna follows Cuban's drug pricing lead | 5 states consider weight loss drug coverage | 10 MA updates

November 15, 2023 BHR Newsletter 1. UnitedHealth faces lawsuit over AI, Medicare Advantage care denials Full story 2. 5 states considering adding weight loss drug coverage under Medicaid Full story 3. Froedtert purchases Ascension's stake in health plan Full story…

Feds ramp up MA scrutiny | AMA urges insurers to cover weight loss drugs | Inside Select Health's Cost Plus partnership | UnitedHealth gives aid to Israel, Gaza | 8 Cigna exec departures this year

November 14, 2023 BHR Newsletter 1. 'Audits are increasing': Feds ramp up Medicare Advantage scrutiny Full story 2. Intermountain's health plan aims to end PBM 'games' through Cuban partnership Full story 3. AMA calls on insurers to cover weight loss…