Payer Issues Archives - Page 75 of 183 - Becker's Payer Issues

Payers ignoring new MA rules, AHA says | Self-pay ED visits spike post-redeterminations | UnitedHealth ASC deal facing scrutiny | CMS publishes SDOH playbook | The newest C-suite leader

November 22, 2023 BHR Newsletter 1. Insurers aren't following CMS' new Medicare Advantage rules, AHA says Full story 2. UnitedHealth subsidiary's ASC deal facing scrutiny from Connecticut regulators Full story 3. Self-pay ED visits jumped following Medicaid redeterminations: Study Full…

CMS overpaid MA $16.6B | 25 states 'failing' at Medicaid unwinding | 6 payers expanding ACA plans | 15 'overpaid' healthcare CEOs | 10 UnitedHealth updates

November 21, 2023 BHR Newsletter 1. CMS: Medicare Advantage received $16.6B in improper payments in 2023 Full story 2. 25 states with 'failing' Medicaid redetermination grades Full story 3. 6 payers expanding ACA offerings in 2024 Full story 4. Your…

3 'overpaid' payer CEOs | Texans convicted in $145M fraud scheme against BCBS | Tenn. extends Medicaid contracts | 'Shrinkflation' hits healthcare | 4 recent MA study findings

November 20, 2023 BHR Newsletter 1. 3 payer CEOs among healthcare's 'most overpaid' Full story 2. Texas pharmacy owners, physician convicted in $145M fraud scheme against BCBS, Labor Dept. Full story 3. Tennessee extends Medicaid contracts without Centene Full story…

CMS pitches new exchange rules | 'Worse than people can imagine': 5 Medicaid unwinding updates | 4 payers launching MA plans | Payer mix in largest for-profit systems | 7 prior auth updates

November 17, 2023 BHR Newsletter 1. CMS pitches new regulations for state-run exchanges: 5 things to know Full story 2. 4 payers entering Medicare Advantage in 2024 Full story 3. 7 prior authorization updates Full story 4. Tufts and SSM…

Feds drop UnitedHealth antitrust case | More hospitals cut MA | Novo Nordisk ups weight loss drug manufacturing | MA ads still under scrutiny | 11 recent payer exec moves

November 16, 2023 BHR Newsletter 1. Justice Department dropping antitrust case against UnitedHealth's SCA Health Full story 2. Hospitals are dropping Medicare Advantage left and right: 13 updates Full story 3. 11 payer executive moves since Nov. 1 Full story 4.…

UnitedHealth sued over MA denials | Froedtert buys Ascension's health plan stake | Cigna follows Cuban's drug pricing lead | 5 states consider weight loss drug coverage | 10 MA updates

November 15, 2023 BHR Newsletter 1. UnitedHealth faces lawsuit over AI, Medicare Advantage care denials Full story 2. 5 states considering adding weight loss drug coverage under Medicaid Full story 3. Froedtert purchases Ascension's stake in health plan Full story…

Feds ramp up MA scrutiny | AMA urges insurers to cover weight loss drugs | Inside Select Health's Cost Plus partnership | UnitedHealth gives aid to Israel, Gaza | 8 Cigna exec departures this year

November 14, 2023 BHR Newsletter 1. 'Audits are increasing': Feds ramp up Medicare Advantage scrutiny Full story 2. Intermountain's health plan aims to end PBM 'games' through Cuban partnership Full story 3. AMA calls on insurers to cover weight loss…

BCBS sued over alleged data leak to TikTok | CMS pitches MA audit appeal changes | NY payer cutting 68 jobs | Mayo to limit employee weight loss drug coverage | UnitedHealth's provider network size by state

November 13, 2023 BHR Newsletter 1. BCBS Association sued over alleged disclosure of federal employee data to TikTok Full story 2. CMS proposes new Medicare Advantage audit appeals process Full story 3. New York payer laying off 68 employees Full…

15 payers cutting jobs | CMS imposes hiring freeze | Ex-Optum employee fined $13M for fraud | MA beats Medicare in hospital readmissions: Report | Epic expands payer reach

November 10, 2023 BHR Newsletter 1. 15 payers cutting jobs Full story 2. Former Optum employee to pay $13M for role in fraud scheme Full story 3. CMS imposes hiring freeze Full story 4. Learn how Group Health carriers are…

14 payers exiting MA | Optum closes clinics | 23 execs' top priorities for '24 | FDA approves Eli Lilly's weight loss drug | What sold CVS on Oak Street

November 9, 2023 BHR Newsletter 1. 14 insurers exiting Medicare Advantage in 2024 Full story 2. 7 Optum-owned clinics shuttered in Florida, Minnesota Full story 3. 23 payer executives' top priorities for 2024 Full story 4. Prisma Health + BCBS…