September 23, 2025 1. How this insurer stays in the top 1% for quality care Full story 2. Centene to pay $87M in ACA rebates to Missouri policyholders Full story 3. Patient-specific insights, directly in the EHR. The future of…
Payer Issues
September 22, 2025 1. How safety-net experience shapes Blue Shield of California's new CEO's perspective Full story 2. Aetna expands Medicare Advantage care coordination program to 10 hospitals Full story 3. Improving transparency starts with stronger payer-provider data sharing. Learn how…
September 19, 2025 1. CMS posts final rule requiring submission of Medicare Advantage provider directories Full story 2. The best-rated commercial health plans in each state: NCQA Full story 3. From GLP-1 costs to chronic care ROI: Hear what payer…
September 18, 2025 1. Lawmakers debut bill to bar insurers from buying medical clinics Full story 2. Justice Department sues California payer over $320M in alleged Medicaid overpayments Full story 3. Real-time payer-provider connections are reshaping transparency—see how they can…
September 17, 2025 1. ACA subsidy extension left out of 7-week stopgap funding bill Full story 2. Judge tosses terrorism charges against Luigi Mangione Full story 3. Medicare Advantage growth strategies: Find out what's working in markets across the nation…
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September 16, 2025 1. The best-rated health plans of 2025: NCQA Full story 2. California hits Medicare Advantage payer with cease-and-desist Full story 3. AI is moving payment integrity from automation to transformation—see how it's reshaping accuracy and value for…
September 15, 2025 1. UnitedHealth seeking influence with Trump administration: Report Full story 2. House resolution takes aim at Medicare prior authorization, AI use Full story 3. As competition intensifies and regulations evolve, payer leadership strategies must be redefined. BCBS,…
September 12, 2025 1. The forces driving 2026 health insurance price hike forecasts Full story 2. Senator joins call asking Cigna to rescind new downcoding policy Full story 3. Patients are flocking to direct-to-consumer care models, and many aren’t looking…
September 11, 2025 1. Kaiser to enter Nevada through health plan purchase Full story 2. Judge denies UnitedHealth's bid to limit discovery in AI coverage denial case Full story 3. The future of group health insurance has arrived. Learn why…
September 10, 2025 1. No link found between growing MA enrollment, hospitals' profit margins: Report Full story 2. Court approves Humana bid to buy The Villages Health Full story 3. Medicare Advantage growth strategies: Find out what's working in markets across…