Payer Issues Archives - Page 8 of 179 - Becker's Payer Issues

BCBS antitrust settlement payouts roll out | Senate Dems pitch Medicare home care coverage | Senior UnitedHealth exec departs | Insurance industry job cuts grow | MA broker payments top $10B: Study

Senate Dems pitch Medicare home care benefits + a long-awaited BCBS settlement payout begins May 20, 2026 1. The $2.67B BCBS antitrust settlement payout: 6 things to know Full story 2. Senior UnitedHealth exec departs Full story 3. A reviewer…

Humana, Cuban's Cost Plus partner | MA enrollment threat could cost Elevance $935M | UnitedHealthcare execs talk commercial strategy | House bill targets MA prior auth, denials | Conn. fines 5 payers over mental health parity

CMS’ MA enrollment threat could cost Elevance $935M + Cuban inks another payer partnership April 27, 2026 1. Elevance sets aside $935M over Medicare Advantage enrollment threat Full story 2. Humana's CenterWell partners with Mark Cuban on employer pharmacy program…

Payers expand prior auth pledge | Capital Blue Cross, Cuban's Cost Plus deepen partnership | UnitedHealth's innovation lead departs | Inside Elevance's $1B AI investment | Highest-paid payer CFOs

Payers are expanding their prior auth pledge and a Blues plan expands its Cost Plus partnership April 24, 2026 1. Health plans advance pledge with new standardized electronic prior auth commitment Full story 2. Capital Blue Cross deepens partnership with…

Highest-paid payer CEOs | Molina profits dip 95% in Q1 | Blue Shield Calif. taps CFO | UnitedHealth fast-tracks $2B stock buyback | FTC moves to shutter insurance fraud scheme

UnitedHealth’s CEO is once again the industry’s highest-paid and Molina sees profits plunge April 23, 2026 1. Highest-paid payer CEOs in 2025 Full story 2. Blue Shield of California taps CFO from Kaiser Permanente Full story 3. Decision-heavy workflows slow…

UnitedHealth's 7 highest-paid execs | Elevance Q1 profit drops 19.4% | CMS delays GLP-1 model, to require audits of all Medicaid providers | UnitedHealth's enrollment 'trade-off,' $1.5B AI spend

UnitedHealth releases highest-paid execs and fleshes out AI and margin strategy April 22, 2026 1. Elevance reports $1.76B profit in Q1 Full story 2. UnitedHealth's highest-paid execs in 2025 Full story 3. Alignment is easy. Execution is hard. See how…

UnitedHealth posts $6.2B Q1 profit, cuts some prior auths | Jefferson's GLP-1 coverage squeeze | Mont. judge OKs BCBS data breach audit | Blue Shield taps Kaiser pharma leader | Trump's pick for CDC director

UnitedHealth reports flat earnings, shares rural health updates April 21, 2026 1. UnitedHealth Group reports $6.2B+ Q1 profit: 7 notes Full story 2. How Jefferson Health is coping with GLP-1 pressures in insurance coverage Full story 3. Agentic AI is…

Mark Cuban's plan to box out payers | Oscar debuts individual plan storefront | Aetna radiology lawsuit dismissed | Neb. health fund drops $76M under UHC deal | SCAN cuts document review time with AI

Mark Cuban talks his foray into direct contracting, and Oscar launches individual storefront April 20, 2026 1. Oscar Health rolls out Lucie storefront for individual plans Full story 2. Mark Cuban dives into direct contracting Full story 3. Medicaid's new…

CDC chief nominee has UnitedHealth ties | Ore. takes over MA insurer | Court won't force UnitedHealth to report on M&A impact | BCBS Mich. delays 'modifier 25' policy | The latest on mental health parity fines

CDC chief nominee has ties to UnitedHealthcare and Oregon takes over an MA plan April 17, 2026 1. CDC chief nominee has UnitedHealthcare ties Full story 2. Oregon takes control of Medicare Advantage insurer over mounting losses Full story 3.…

Berkshire Hathaway dumps UnitedHealth shares | ACA costs surge | Md. caps Ozempic prices | Ark. BCBS cuts jobs | BCBS NC CEO champions nonprofit insurance

The ACA subsidy expiration fallout emerges + Berkshire Hathaway sells off UnitedHealth May 19, 2026 1. Average ACA deductible increases 37% in 2026: KFF Full story 2. Berkshire Hathaway reverses course on UnitedHealth investment Full story 3. Limited reviewer badges available…

Baylor Scott & White Health Plan to exit Medicaid, ACA | UnitedHealth's CMO talks social media strategy | Hospital puts Anthem on notice over underpayments | 14% of ACA enrollees fail to pay 1st bill | 8 Humana updates

UnitedHealth’s chief medical officer talks social media + 14% of ACA enrollees miss 1st bill April 15, 2026 1. Baylor Scott & White Health Plan to exit Medicaid, individual markets; cut 321 jobs Full story 2. Why UnitedHealth Group's chief…