Payer Issues Archives - Page 73 of 183 - Becker's Payer Issues

5 key MA changes in '24 | Kaiser cuts 79 admin jobs | What BCBS CEOs told Becker's this year | More systems limit weight loss drug coverage | 10 MA updates

December 21, 2023 BHR Newsletter 1. 5 Medicare Advantage changes coming in 2024 Full story 2. Kaiser to lay off 79 administrative employees Full story 3. What 8 BCBS CEOs told Becker's in 2023 Full story 4. More efficient underwriting…

Payers hire malpractice-prone physicians: Report | HHS rebukes states for high child Medicaid losses | Feds want Humana's MA suit tossed | The $1B firm sidestepping insurers for surgeries | 12 UnitedHealth updates

December 20, 2023 BHR Newsletter 1. Payers are hiring physicians with histories of malpractice: Report Full story 2. HHS scolds 9 states with highest childhood Medicaid disenrollment rates Full story 3. State health plans decry weight loss drug costs for…

Hospitals seek MA star ratings changes | CareFirst sues J&J over biosimilars | Steward faces false claims suit | Feds update merger guidelines | Healthcare's most stressful jobs

December 19, 2023 BHR Newsletter 1. Hospitals to CMS: Add prior authorization appeal rates to MA star ratings Full story 2. CareFirst BCBS sues J&J over alleged anticompetitive biosimilar tactics Full story 3. Steward faces false claims suit Full story…

Elevance, HCSC eye Cigna's MA business | Kraft drops Aetna suit | Molina cuts purchase price for Bright's MA business | Cuban inks PBM partnership | 3 key Medicare changes in '24

December 18, 2023 BHR Newsletter 1. Reports: Elevance, HCSC competing for Cigna's Medicare Advantage business Full story 2. Kraft Heinz drops claims data lawsuit against Aetna Full story 3. Molina cuts purchase price for Bright Health's Medicare Advantage business Full story…

The most competitive MA markets | BCBS La.-Elevance deal back on | Payers commit to Biden's AI principles | What 5 Aetna leaders told Becker's in '23 | 26 trends payer execs are watching

December 15, 2023 BHR Newsletter 1. The cities with the most competitive Medicare Advantage markets Full story 2. The trends 26 payer executives are watching Full story 3. Elevance Health, BCBS Louisiana acquisition back on Full story 4. Providence Health Plan…

The most competitive commercial markets | 45% of group market can be disrupted: Centene CEO | Healthcare spending hits $4.5 trillion | BCBS Mich. CEO talks 17-year legacy | 19 best-managed healthcare cos.

December 14, 2023 BHR Newsletter 1. The cities with the most competitive commercial insurance markets Full story 2. 45% of employer group market can be disrupted, Centene CEO says Full story 3. Labor protest at HHS headquarters ends with 18 arrests…

Humana sued over MA denials | Jury awards ex-Kaiser nurse $41M | The layoff runway lengthens | Optum Rx to launch weight loss program | 7 Medicaid updates

December 13, 2023 BHR Newsletter 1. Humana used AI tool from UnitedHealth to deny Medicare Advantage claims, lawsuit alleges Full story 2. The layoff runway lengthens Full story 3. Former Kaiser nurse awarded $41M in retaliation lawsuit Full story 4. More…

House passes Lower Costs, More Transparency Act | Kaiser cutting 115 jobs | Cigna still eyeing MA sale | UnitedHealth exec to lead AHIP | 10 Optum updates

December 12, 2023 BHR Newsletter 1. House passes the Lower Costs, More Transparency Act Full story 2. Cigna still exploring Medicare Advantage sale: Report Full story 3. Kaiser to cut 115 IT jobs Full story 4. Manual eligibility checks are…

Cigna-Humana merger canceled | How BCBS is using price transparency data | What's blocking the SCAN-CareOregon deal? | Calif. Medicaid overhaul gets mixed reviews | 7 prior auth updates

December 11, 2023 BHR Newsletter 1. Cigna-Humana merger called off Full story 2. How BCBS plans are putting price transparency data to work Full story 3. 7 prior authorization updates Full story 4. Payers can’t afford to be reactive when…

Is the MA 'gold rush' over? | Biden to beef up M&A reviews | UnitedHealth MA ads labeled 'misleading' | NY weighs noncompete ban | Walmart hires hospital execs

December 8, 2023 BHR Newsletter 1. Is the Medicare Advantage 'gold rush' over? Full story 2. Biden to beef up healthcare antitrust enforcement Full story 3. Advocacy groups decry UnitedHealth's 'misleading' Medicare Advantage marketing Full story 4. Payer eligibility requirements are…