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

3. This fall: 500+ payer execs join Becker's in Chicago. Hear directly from Cigna, Elevance Health and more: here.

4. BCBS North Carolina posts $497M loss in 2025 Full story

5. Centene to participate in GLP-1 bridge program amid Medicare pilot delay Full story

 

6. Gaps in behavioral health claims create compliance risk. The strategies to address them here.

7. CareFirst BCBS launches new ICHRA initiative Full story

8. North Carolina state health plan to issue 2nd RFP in administrator search Full story

9. Mississippi insurance commissioner moves toward exchange for short-term policies Full story

10. US drug spending to surpass $1 trillion in 2026: ASHP Full story

11. CMS may have improperly paid $2.26M for virtual Medicare services: Audit Full story

 

12. Risk adjustment is under pressure. Why clinical-first strategies are replacing retrospective workflows here.

Becker's Learning Opportunities

13. Rural access gaps persist. How health plans are rethinking transportation strategies here.

14. AI as a clinical front door: the cost and safety risks payers can't ignore — here.

15. Partnerships look aligned on paper but fail in practice. Leaders share how to execute at scale here.

16. Becker's resources don't stop here — explore more webinars and whitepapers.

 

Apply to attend complimentary as a guest reviewer here! Opportunity exclusive to those directly employed by a payer, payvider, accountable care organization, or clinically integrated network.

 
 

 

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