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Payer Issues

Payers are expanding their prior auth pledge and a Blues plan expands its Cost Plus partnership April 24, 2026 1. Health plans advance pledge with new standardized electronic prior auth commitment Full story 2. Capital Blue Cross deepens partnership with…

UnitedHealth reports flat earnings, shares rural health updates April 21, 2026 1. UnitedHealth Group reports $6.2B+ Q1 profit: 7 notes Full story 2. How Jefferson Health is coping with GLP-1 pressures in insurance coverage Full story 3. Agentic AI is…

Mark Cuban talks his foray into direct contracting, and Oscar launches individual storefront April 20, 2026 1. Oscar Health rolls out Lucie storefront for individual plans Full story 2. Mark Cuban dives into direct contracting Full story 3. Medicaid's new…

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CDC chief nominee has ties to UnitedHealthcare and Oregon takes over an MA plan April 17, 2026 1. CDC chief nominee has UnitedHealthcare ties Full story 2. Oregon takes control of Medicare Advantage insurer over mounting losses Full story 3.…

April 16, 2026 1. Centene in the headlines: 10 updates Full story 2. Mississippi hospital files for bankruptcy amid Medicaid recoupment Full story 3. Transform care delivery with strategic, data-driven solutions. Visit Strategies for Quality Care for insights on supporting patient outcomes.…

UnitedHealth’s chief medical officer talks social media + 14% of ACA enrollees miss 1st bill April 15, 2026 1. Baylor Scott & White Health Plan to exit Medicaid, individual markets; cut 321 jobs Full story 2. Why UnitedHealth Group's chief…

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