Payer Issues Archives - Page 85 of 168 - Becker's Payer Issues

8 prior authorization updates | Aetna, Lehigh Valley Health to cut ties | DeSantis taps Broward CEO for transition | Amazon Pharmacy nabs payer contracts | Why BCBS Tenn. ranks among best places to work | 9 payer virtual care moves

November 11, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. 8 updates on prior authorization Full story 2. Amazon Pharmacy is scooping up payer contracts Full story 3. UnitedHealthcare names SVP of communications, government programs Full story 4. Healthcare fraud costs the nation…

Bright Health preps for layoffs | Leaked Amazon video shows new telehealth service | Elevance to buy BioPlus specialty pharmacy | Cigna invests in VillageMD-Summit deal | Oscar posts $194M Q3 loss | Humana execs are ditching Louisville

November 10, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. Why Cigna invested in VillageMD's Summit Health acquisition Full story 2. Leaked Amazon video shows new telehealth offering Full story 3. Elevance Health to acquire specialty pharmacy BioPlus Full story 4. Price transparency…

Payers ranked by Q3 profits | UnitedHealth could close on LHC deal in Dec. | SD to expand Medicaid | NC hospital's Medicare contract again at risk | Largest MA payers by state | Q&A: Elevance's 1st health equity chief

November 9, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. Big payers ranked by Q3 profits Full story 2. UnitedHealth Group acquisition of LHC Group may close in December: report Full story 3. South Dakota voters expand Medicaid Full story 4. Go beyond…

Pa. inks prior auth reform law | What payer CEOs said about MA in Q3 | Jefferson exec to lead Highmark market | Texas asks Friday Health Plans to leave marketplace | How Kaiser built high-quality health plans | Is MA fraudulent? 7 expert thoughts

November 8, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. Pennsylvania prior authorization reform bill signed into law Full story 2. Touting growth, sweating star ratings: What payer CEOs said about Medicare Advantage this fall Full story 3. Texas asks…

Kaiser posts $1.5B Q3 loss | 'Do you not see this as an arms race?' Cigna CEO questioned on M&A | VillageMD buys Summit Health for $8.9B | 'Difficult decisions' loom for hospitals | UnitedHealthcare holds 28% of MA market | CVS expecting $2B revenue hit

November 7, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. 'Do you not see this as an arms race?' Cigna CEO questioned on M&A activity Full story 2. For hospitals, 'difficult decisions' loom after 9 months of negative margins Full…

3 states take on prior auth reform | Big payer profits recall 'the house always wins' | Cigna spending $200M on Centene PBM deal | Senate panel pushes more MA marketing rules | L.A. Care Health Plan nabs Oscar CMO | States with least competitive markets

November 4, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. 'The house always wins': Insurers' record profits clash with hospitals' hardship Full story 2. 3 states taking on prior authorization reforms in 2022 Full story 3. Cigna spending $200M to integrate…

Cigna's 70% boost in profits | What we've learned from payer price data | Payer, hospital relations are worsening | 26 payers entering, exiting markets | Medicare members aren't switching plans | The most-liked insurers in 2022 | 8 Centene headlines

November 3, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. What we've learned so far from payer price transparency data Full story 2. Cigna Q3 profits up 70% Full story 3. 78% of hospitals say their relationships with payers are getting…

CMS' 4 final payment rules: 15 takeaways | CVS chalks up Q3 loss to $5B opioid settlement | Humana's $1.2B Q3 | ACA call center workers strike | 2,273 hospitals dinged for readmissions | BCBS Mass., Caremark partner | 10 providers seeking payer talent

November 2, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. CVS Health attributes $3.4B Q3 loss to opioid lawsuit settlement Full story 2. CMS releases 4 final payment rules for 2023: 15 takeaways Full story 3. Top health insurance stories in…

25 payer exec moves | ACA open enrollment begins: 6 key changes | JPMorgan's new healthcare venture team | UnitedHealth, Broward strike deal | Health systems zero in on C-suites | Miss. orders payer to shut down | Aetna, Amedisys partner on MA

November 1, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. 25 payer exec moves in October Full story 2. ACA open enrollment period begins: 6 changes to know Full story 3. JPMorgan creates healthcare venture capital team Full story 4. Price transparency requires…

CMS adds Medicare special enrollment periods | Hospital finances set for worst year in decades | Why states are blocking Medicaid home monitoring | Anthem BCBS, Aspirus Health hit contract impasse | How Centene plans to boost MA star ratings

October 31, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. CMS rule change adds Medicare special enrollment periods Full story 2. Hospitals on track for worst financial year in decades Full story 3. State Medicaid offices are blocking home patient monitoring.…