Payer Issues Archives - Page 9 of 183 - Becker's Payer Issues

Elevance sues again over star ratings | Cigna welcomes new CEO | Optum Financial buys benefits admin platform | Payers ranked by '26 MA bonus payments | BCBSVT shelves proposed product line

Elevance is suing CMS again over MA star ratings + an actuary takes the lead at Cigna July 6, 2026 1. Elevance sues CMS over 2026 star ratings following Clover win Full story 2. 5 things to know about Cigna’s…

UnitedHealthcare CEO talks AI-driven cost inflation | CMS pitches 2 payment rules | Centene execs urge MA food benefit reclassification | Northwell, Fidelis face split | 9 payers exiting ACA markets

UnitedHealthcare’s CEO says AI-driven cost inflation won’t last + 2 new CMS payment rules July 2, 2026 1. UnitedHealthcare CEO: AI-driven cost inflation not ‘going to be persistent’ Full story 2. Centene leaders don’t want this MA benefit to be overlooked…

How David Cordani transformed Cigna | CMS launches Medicare GLP-1 Bridge | Medica to exit 3 ACA markets | 8 payer leaders on sustainability strategy | Evernorth launches $100M specialty pharmacy program

David Cordani leaves Cigna after 35 year career + CMS launches its Medicare GLP-1 program July 1, 2026 1. Cigna’s transformation from insurer to healthcare empire: What CEO David Cordani leaves behind Full story 2. CMS launches the Medicare GLP-1…

25 states sue over Medicaid work rules | Centene exits NH ACA market | Kan. sues Aetna over employee plan fund management | BCBS Mass. to cut some PPO plans | UHC, CareFirst win midyear rate increases in Md.

Half of the states are suing over Medicaid work rules + Kansas sues Aetna over employee plan issues June 30, 2026 1. 25 states sue Trump admin over Medicaid work requirements — 8 things to know Full story 2. Kansas…

ACA loses 3 million enrollees | 2 states prep for Medicaid work rules | CMS rewrites MA star ratings mid-game | UnitedHealth taps CIO for Optum Insight | Physicians vs. prior auth: 10 updates

Plus: Where physicians stand with prior auth June 29, 2026 1. ACA sees 3 million enrollee drop: 5 notes Full story 2. Montana, Arkansas to kick off Medicaid work requirements July 1 Full story 3. Becker’s Fall Payer Issues Roundtable convenes…

Elevance pays CMS $342M amid MA sanctions threat | Kaiser owes $82M in emergency reimbursement dispute | 31 Dems press CMS on Medicare prior auth pilot | 5 takeaways from 2027 ACA rate filings | Centene's new board member

Plus: Lawmakers pitch out-of-pocket cap for traditional Medicare beneficiaries June 26, 2026 1. Elevance pays CMS $342M amid Medicare Advantage sanctions threat Full story 2. Kaiser's health plan to pay $82M in emergency reimbursement dispute Full story 3. "Different opinions and…

The new era of health plan M&A | UnitedHealth 401(k) lawsuit to proceed | 7 insurer ACA market exits | Optum eyes NY specialty sales | Walgreens joins Medicare GLP-1 Bridge

Plus: UnitedHealthcare, Main Line Health work to finalize agreement June 25, 2026 1. ‘Surgical portfolio moves’: Inside the new era of health plan M&A Full story 2. Lawsuit alleging mismanagement of UnitedHealth 401(k) forfeitures to move forward Full story 3. $80B…

UnitedHealth opens its doors | CareFirst sues brokers over $51M 'fraud machine' | Elevance to exit Ohio small group ACA market | BCBS Mich. to overhaul supervised clinician payments | DOJ charges 455 in $6.5B fraud schemes

A look inside UnitedHealth + CareFirst alleges brokers concocted $51M fraud scheme June 24, 2026 1. A year after promising ‘change and reform,’ UnitedHealth opens its doors Full story 2. CareFirst BCBS sues brokers over $51M ‘international insurance-fraud machine’ Full story 3.…

CDC nominee preps to leave UnitedHealth | Premiums may drop under anti-competitive hospital contracting ban: White House | Pa. bill pitches insurer CEO liability for denials | CVS to join Medicare GLP-1 program | 23 highest-paid healthcare leaders

The CDC could soon have a leader that hails from UHC + CVS is joining Medicare’s GLP-1 program June 23, 2026 1. CDC nominee prepares to depart UnitedHealth Full story 2. Employer-sponsored insurance premiums could drop 6.5% with anticompetitive hospital contracting…

Mangione reverses on psych defense | CBO wants more No Surprises research | Payers rebuke OIG's MA post-acute denials report | 15 insurers cutting jobs | 10 UnitedHealth updates

Feds want more info on No Surprises impact + Mangione won’t pursue a psych defense in UHC trial June 22, 2026 1. Luigi Mangione reverses on psychiatric defense in UnitedHealthcare CEO case Full story 2. Health plans challenge OIG’s Medicare Advantage…