Payer Issues Archives - Page 8 of 177 - Becker's Payer Issues

Centene hires former Aetna president | Calif. hospitals sue Anthem over network penalty policy | UnitedHealthcare cuts prior auths 30% | 4 big payer AI moves | Horizon NJ launches TPA business

More blowback on Anthem’s 10% network penalty policy + Centene nabs an industry leader May 5, 2026 1. 'A flagrant attempt to increase their profits': California Hospital Association sues Anthem over 10% network penalty policy Full story 2. Centene taps…

Insurers' ACA retreat continues | AI model saves Cigna $2K per member | What's keeping payer leaders up at night? | CMS fines 2 payers | 12 UnitedHealth updates

Insurers continue to retreat from the ACA market and 11 payer leaders detail their top concerns May 4, 2026 1. Insurers' ACA retreat continues: 4 notes Full story 2. What's keeping health plan leaders up at night? Full story 3. AI…

1st state enacts Medicaid work rules | Cigna weighs 'alternatives' for EviCore | UnitedHealth to buy benefits platform | BCBS Tenn. posts $168M profit | Mark Cuban's healthcare playbook

Medicaid work rules start to roll out and Cigna eyes a new strategy for EviCore May 1, 2026 1. 1st state enacts Medicaid work rules under HR 1: What healthcare leaders need to know Full story 2. Cigna weighs 'strategic…

Cigna exits the marketplace | Humana to 'adjust' MA benefits in '27 | BCBSNC posts $497M loss | Centene to participate in GLP-1 Medicare program | CareFirst inks ICHRA partnership

Another major payer exits the ACA market + Humana details MA bid strategy for 2027 April 30, 2026 1. Cigna to exit ACA market Full story 2. Humana to 'adjust' Medicare Advantage benefits in 2027 as funding gap widens, CEO says Full story…

HCSC posts $1.9B loss | Employers done staying quiet on healthcare costs | Humana's star ratings headwinds drag revenue | BCBS Ariz. posts $335M loss | Highest-paid Clover execs

BCBS plans see massive losses and employers are confronting rising healthcare costs head on April 29, 2026 1. Health Care Service Corp. posts $1.9B loss in 2025 Full story 2. Humana posts $1.2B Q1 profit amid star ratings headwinds Full…

Centene loses 2 million ACA members | Employers' GLP-1 coverage dilemma grows | UnitedHealth sells UK business | BCBS Ala. posts $3M loss | Oscar's highest-paid execs

Centene raises outlook amid ACA declines and employers’ GLP-1 pressures aren’t easing up April 28, 2026 1. Centene posts $1.5B profit in Q1, ACA membership declines by 2 million Full story 2. Employers' GLP-1 coverage dilemma grows Full story 3. How can…

7 BCBS updates | Va. enacts prior auth reform | Ark. & Neb. to launch early Medicaid work rules | Priority Health received $4M in MA overpayments: OIG | IBX parent posts $423M loss

Two states are enacting early Medicaid work rules and Virginia has passed prior auth reform April 10, 2026 1. 7 Blue Cross Blue Shield updates Full story 2. Independence Blue Cross parent reports $423M loss in 2025 Full story 3.…

Medicare director breaks down '27 rate hike | States ranked by bronze ACA growth | Premera files No Surprises abuse lawsuit | Noncitizen Medicaid coverage guidance issued | 13 potential benefits of GLP-1s

Medicare lead talks 2027 rate hike and bronze ACA enrollment is on the rise April 9, 2026 1. 'The days of unlimited increases in rate must end': CMS leader breaks down the 2027 Medicare Advantage pay hike Full story 2.…

Jefferson Health sues Aetna over MA policy | Payers offering best digital experience: JD Power | States eye higher MCO taxes | $243M Minn. Medicaid deferral moves forward | 10 providers seeking payer talent

Jefferson sues Aetna over its new MA inpatient pay policy and JD Power ranks payers’ digital offers April 8, 2026 1. Jefferson Health sues Aetna over Medicare Advantage inpatient reimbursement policy Full story 2. Payers ranked by 2026 digital experience:…

CMS bumps MA pay | Insurers cut prior auth by 11%: Survey | Antitrust repricing case against 5 insurers moves forward | States ranked by avg. premium for ACA subsidy recipients | 7 M&A updates

CMS is raising MA pay by $13 billion and insurers say they’ve cut down on prior auth April 7, 2026 1. CMS hikes Medicare Advantage rate 2.48% for 2027: 6 notes Full story 2. Insurers have cut prior auth requirements…