A BCBS fraud settlement is reached and Optum Health gets a new leader

November 17, 2025

1. Horizon BCBS New Jersey to pay $100M over false claims allegations Full story

2. Optum Health names CEO Full story

3. 5 AI innovators are redefining care. See how they're delivering real impact here.

4. House Republicans weigh sending ACA dollars to consumers Full story

5. Aetna delays new inpatient reimbursement policy Full story

 

6. What's next for ACA, MA and value-based care? Aetna, Humana + more weigh in at Becker's Spring Payer Roundtable — apply for a complimentary badge here.

7. Indiana payer to lay off 238 Full story

8. Medicare Part B premiums to rise in 2026 Full story

9. Nebraska AG's lawsuit over Change Healthcare breach moves forward Full story

10. BCBS of Massachusetts, UMass Memorial reach 3-year deal Full story

11. 1 trait found among high-performing CEOs: McKinsey Full story

 

12. AI can't replace oversight. How leaders are pairing governance with efficiency here.

Becker's Learning Opportunities

13. Payers & providers gathered to discuss closing care gaps. Find takeaways from the conversation here.

14. Wounds cost payers billions. New data shows how earlier treatment cuts spend: here.

15. The future of group health insurance has arrived. Learn why here.

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

 
 

 

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