Payer Issues Archives - Page 61 of 183 - Becker's Payer Issues

CMS recalculates MA star ratings | More employers opt for weight loss drugs | Payers, providers back new MA prior auth bill | CMS closes HQ after Legionella found | 5 recent payer exec moves

June 14, 2024 BHR Newsletter 1. CMS recalculates Medicare Advantage star ratings Full story 2. More employers opt to cover weight loss drugs: Survey Full story 3. CMS closes headquarters after Legionella detected Full story 4. Achieving a 4+ star rating is…

Lawmakers: UnitedHealth is violating HIPAA | Cigna: Weight loss drugs 'hottest topic' | Healthcare bill targets 'corporate greed' | This CEO wants a Medicare reboot | Cost Plus teams with 2,000 grocery stores

June 13, 2024 BHR Newsletter 1. Lawmakers take aim at Medicare Advantage prior authorization Full story 2. Blue Shield of California wins state health plan over Anthem Full story 3. BCBS Michigan to drop weight loss drug coverage Full story 4.…

Lawmakers: UnitedHealth is violating HIPAA | Cigna: Weight loss drugs 'hottest topic' | Healthcare bill targets 'corporate greed' | This CEO wants a Medicare reboot | Cost Plus teams with 2,000 grocery stores

June 12, 2024 BHR Newsletter 1. Lawmakers: UnitedHealth is violating HIPAA Full story 2. Cigna's PBM president: Weight loss drugs the 'hottest topic' right now Full story 3. Proposed legislation hopes to remove healthcare 'corporate greed': 7 things to know…

Elevance gets partial win in star ratings challenge | Texas rejects Medicaid protests | MA members spend $2,500 less than FFS beneficiaries | Why CDPHP, Excellus want to combine | 160 CFOs to know

June 11, 2024 BHR Newsletter 1. Elevance Health gets partial victory in star ratings lawsuit Full story 2. Texas rejects insurers' Medicaid contract protests Full story 3. What CDPHP, Excellus BCBS hope to gain from proposed merger Full story 4. Don't…

Humana's MA audits lawsuit moves forward | Change can't keep hack suits in Tenn. | Baylor Scott & White, BCBS face July split | Optum sells settlement solutions business | Oscar eyes doubled membership

June 10, 2024 BHR Newsletter 1. Humana's Medicare Advantage clawback lawsuit to move forward, judge rules Full story 2. Change Healthcare loses bid to keep cyberattack lawsuits in Tennessee Full story 3. Baylor Scott & White, BCBS Texas facing July…

32 payer execs discuss healthcare's future | Top AI opportunities for insurers | 10 providers seeking payer contracting talent | 17 healthcare cos. lauded for leadership | 5 recent housing investments

June 7, 2024 BHR Newsletter 1. What will change in healthcare in 10 years? 32 payer executives weigh in Full story 2. Payers are missing major AI opportunities: McKinsey Full story 3. 17 healthcare Fortune 500 companies lauded for leadership…

Ex-Cigna exec still barred from CVS role | UnitedHealth, Ala. system split | Payers estimate $1.1B in '24 MLR rebates | Data grows on GLP-1s, surgical issues | Aetna taps head of commercial regions

June 6, 2024 BHR Newsletter 1. Former Cigna exec still barred from taking CVS role Full story 2. Where payers landed on the Fortune 500 Full story 3. Commercial payers estimate $1.1B for 2024 member rebates Full story 4. Join…

SCAN beats CMS in MA stars suit | A 'rough year' for gov't programs | UnitedHealth testing 500 AI use cases | US 'hits a wall' reducing burnout | Top-paid CEOs in '23

June 5, 2024 BHR Newsletter 1. A 'rough year' for payers' government programs Full story 2. SCAN beats CMS in Medicare Advantage star ratings lawsuit Full story 3. UnitedHealth testing 500 AI use cases Full story 4. At the forefront…

Pharma exec charged with threatening Aetna leaders | UnitedHealth-Amedisys divestiture stalls | Weight loss drug coverage gets more complex | Unhealthiest states for seniors in '24 | 10 recent billing fraud cases

June 4, 2024 BHR Newsletter 1. Pharma exec charged with cyberstalking Aetna leaders Full story 2. UnitedHealth, Amedisys divestiture deal stalls: Report Full story 3. Weight loss drug coverage gets more complicated Full story 4. AI and RCM were made…

Change responsible for breach reporting: HHS | Layoffs at Cigna | BCBS plan exiting MA | 3 states tackling prior auth | How Optum cut behavioral wait times

June 3, 2024 BHR Newsletter 1. Cigna to lay off 261 in Arizona Full story 2. HHS: Change responsible for notifying patients about data breach Full story 3. BCBS Kansas City exiting Medicare Advantage market Full story 4. Not just…