Payer Issues Archives - Page 69 of 183 - Becker's Payer Issues

Berwick: Hospital-MA fights signal 'broken system' | Optum's Change Healthcare hit by cyberattack | Ill. vows to ban behavioral prior auth | Ind. system drops Aetna, Humana MA | Who is winning surprise billing disputes?

February 22, 2024 BHR Newsletter 1. Former CMS administrator: Hospital-Medicare Advantage tensions 'a manifestation of an underlying broken system' Full story 2. Optum's Change Healthcare hit by cyberattack Full story 3. Illinois vows to ban prior authorization for behavioral health…

Inside Aetna's major MA growth | Tide turns on healthcare megadeals | 5 BCBS updates | Why 4 systems outsourced to Optum | Friday Health collapse spurs Colo. legislation

February 21, 2024 BHR Newsletter 1. What's behind Aetna's industry-leading Medicare Advantage growth? Full story 2. The tide is turning on healthcare megamergers Full story 3. Blue Cross Blue Shield in the headlines: 5 updates Full story 4. What are…

The changing insurance workplace | Employers' waning hesitancy on weight loss drugs | 3 ended Optum contracts | 350 payer execs on top industry challenges | Americans overdo 'alone time'

February 20, 2024 BHR Newsletter 1. As workers stay remote, insurers are leaving headquarters behind Full story 2. 3 recently ended Optum contracts Full story 3. Employers' waning hesitancy over weight loss drugs Full story 4. Five top payment integrity…

Health systems ditch health plans | UnitedHealth names COO | Q&A with CareFirst's CEO | No Surprises disputes 13x higher than estimated | Payers ranked by '23 Medicaid losses

February 19, 2024 BHR Newsletter 1. Some health systems ditch their health plans Full story 2. UnitedHealthcare names chief operating officer Full story 3. 'One of the challenges is ubiquity': How CareFirst's CEO is driving local healthcare on the national…

Another state drops Optum | Mass. system to sell insurance arm | 'Unique implications' of MA for rural hospitals | Cigna to buy back $3.2B in stock | Payers ranked by total members

February 16, 2024 BHR Newsletter 1. 'Has just failed to deliver': Maryland drops Optum, awards $340M behavioral contract to Elevance Full story 2. Baystate Health to sell insurance subsidiary Full story 3. Payers ranked by total membership in 2023 Full story…

MA benefits face the chopping block | Payer M&A derails | 5 prior auth updates | Cuban opens shop for hospitals | 6 Ozempic updates

February 15, 2024 BHR Newsletter 1. Two big payer deals break up Full story 2. Will insurers cut back on Medicare Advantage extras? Full story 3. 5 prior authorization updates Full story 4. Health plan leaders, we want to hear…

2 insurance mergers called off | 2-midnight rule: Hospitals, payers weigh in | 26 payers among nation's best employers | Humana sued over MA 340B payments | 12 UnitedHealth updates

February 14, 2024 BHR Newsletter 1. The two-midnight rule and Medicare Advantage: 7 updates Full story 2. BCBS Louisiana, Elevance sale on hold again Full story 3. SCAN, CareOregon call off merger Full story 4. Intellectual disability, including ASD and…

Elevance cuts jobs in Mich. | Former CMS admin: 'I would like to see MA slowed or stopped' | BCBS plans ranked by Q3 profit margin | Kaiser membership declines | Cigna partners with HelloFresh

February 13, 2024 BHR Newsletter 1. Elevance to lay off 90 in Michigan Full story 2. Former CMS administrator: 'I would like to see Medicare Advantage slowed or stopped' Full story 3. BCBS plans ranked by profit margin in Q3…

Best insurers for employee investment | 6 viewpoints on rising MA costs | Payers ranked by revenue, MLRs in '23 | CMS issues AI guidance for MA | 5 Optum updates

February 12, 2024 BHR Newsletter 1. 6 insurers, 6 opinions on rising Medicare Advantage costs Full story 2. How payers stack up on investing in employees Full story 3. Optum in the headlines: 5 updates Full story 4. MA plans…

Most profitable payers in '23 | Why Optum, SSM cut ties | Payers sweat proposed MA rates | 3 BCBS plans becoming providers | Health systems shouldn't be insurers: Penn CEO

February 9, 2024 BHR Newsletter 1. Big payers ranked by 2023 profit Full story Editor's note: this article was originally scheduled for the Feb. 8 edition of this newsletter 2. Payer execs sweat proposed Medicare Advantage rates Full…