Payer Issues Archives - Page 64 of 168 - Becker's Payer Issues

Best-rated health plans of '23 | UnitedHealth moves to Optum campus | Payers sue over exec moves | Most-uninsured cities in US | 10 Medicaid updates

September 18, 2023 BHR Newsletter 1. The best-rated health plans of 2023, per NCQA Full story 2. UnitedHealth Group to leave HQ building for Optum campus Full story 3. Payers sue to block executive moves Full story 4. The best use cases for AI and where…

Cigna sued by shareholder | BCBS Mich. CEO to retire | 25 payer execs' best advice | 5 prior auth updates | Most uninsured states in 2022

September 15, 2023 BHR Newsletter 1. Cigna sued by shareholder following ProPublica report on mass claim denials Full story 2. 25 payer executives' advice for future industry leaders Full story 3. BCBS Michigan CEO to retire Full story 4. Reducing LOS is too often a goal without…

Elevance sues former exec | Payers drop senior care co. | Blue Shield Calif. CEO on challenging healthcare's status quo | Texas awards long-term Medicaid contracts | A budget blindspot in healthcare

September 13, 2023 BHR Newsletter 1. Elevance Health sues to block former Medicare executive from joining Molina Full story 2. Major payers drop senior companionship company following patient abuse allegations Full story 3. Throw out the fax machine: Blue Shield of California's CEO on…

Layoffs at Optum: 3 updates | Hawaii halts redeterminations | Amedisys shareholders OK Optum deal | Medicaid weight loss drug spending tops $1B | Walgreens to expand primary care

September 12, 2023 BHR Newsletter 1. Layoffs at Optum: 3 updates Full story 2. Hawaii pausing Medicaid terminations in wake of wildfires Full story 3. Optum-Amedisys deal receives shareholder approval Full story 4. Take the guesswork out of vendor compliance. This short report can show you how.…

Prisma denied restraining order against UnitedHealth | Walmart eyes ChenMed buy | Health system-payer negotiations go awry | Gym chain limits hours for Medicare members | AHIP taps interim CEO

September 11, 2023 BHR Newsletter 1. Judge denies Prisma Health's request for temporary restraining order against UnitedHealthcare Full story 2. Walmart explores possible ChenMed purchase Full story 3. Health system-payer negotiations go awry Full story 4. Payers' access to EMRs shouldn't be taken lightly. This expert…

CVS revamps C-suite | BCBS Mich. cutting prior auth 20% | Mark Cuban's pharmacy: 5 updates | Where MA falls short, per hospital CEO | 5 recent payer lawsuits

September 8, 2023 BHR Newsletter 1. CVS Health expands C-suite roles Full story 2. BCBS Michigan to cut 20% of prior authorization requirements Full story 3. 5 recent payer lawsuits, settlements Full story 4. You can't cut corners in credentialing, but you can make it faster. Learn…

What's next in the No Surprises legal fight? | Where MA and Medicare spending differ | 1 in 3 HHS appointees hop to industry jobs | Feds give millions to Colo. public plan | 6 UnitedHealth updates

September 7, 2023 BHR Newsletter 1. The No Surprises Act's next battleground: Appeals court Full story 2. Where Medicare Advantage and traditional Medicare differ the most on spending Full story 3. One-third of HHS appointees hop to industry jobs, raising conflict-of-interest concerns Full story…

Blue Shield Calif. CEO details PBM shakeup | CMS debuts pop health payments | Oscar snags more Aetna execs | Elevance named best healthcare employer | Centene continues selloffs

September 6, 2023 BHR Newsletter 1. Why Blue Shield of California's CEO thinks more payers will leave traditional PBMs behind Full story 2. CMS launching population health-focused payment model Full story 3. Oscar snags two more Aetna alums Full story 4. Expert tip: Giving payers direct access…

Humana sues over MA clawbacks | UnitedHealth hits back at Prisma lawsuit | US News hospitals with MyChart fees | Regence taps Oregon president | 8 payer M&A updates

September 5, 2023 BHR Newsletter 1. Humana sues HHS over new Medicare Advantage clawback rule Full story 2. UnitedHealthcare hits back at Prisma Health lawsuit Full story 3. 8 recent payer M&A updates Full story 4. Take the guesswork out of vendor compliance. This short report can…

UnitedHealth starts prior auth cuts | CEOs out at Walgreens, One Medical | CMS suspends No Surprises arbitration | GoodRx launches insurance tool | 17 payer exec moves in August

September 1, 2023 BHR Newsletter 1. UnitedHealthcare's prior authorization cuts begin Full story 2. CMS suspends dispute resolution processes after latest No Surprises Act court loss Full story 3. Walgreens CEO steps down Full story 4. Payers' access to EMRs shouldn't be taken lightly. This expert will…