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…
Payer Issues
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…
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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…
September 9, 2025 1. 'Denial is not a strategy in 2025': Why this payer is calling the insurance industry broken Full story 2. UnitedHealthcare expects most Medicare Advantage members to be in 4+ star plans in 2026 Full story 3.…
September 8, 2025 1. Hospitals aren't the only ones stepping back from Medicare Advantage Full story 2. BCBS Tennessee cuts more jobs Full story 3. Healthcare needs AI that delivers. The 5 companies making it happen: here. 4. Aetna, Optum…
September 5, 2025 1. Elevance among latest insurers to pull back on Medicare Advantage Full story 2. GOP lawmakers file bill to extend enhanced ACA subsidies Full story 3. From GLP-1 costs to chronic care ROI: Hear what payer CFOs…
September 4, 2025 1. Medicare Advantage risk adjustment 'a failing system': Report Full story 2. CMS expands eligibility for catastrophic health plans Full story 3. Pressure to eliminate ghost networks is rising. See how payers are responding: here. 4. Florida Blue,…