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Payer

Research published in 2025 has highlighted differences in hospital stay lengths and prices paid to hospitals between Medicare Advantage and traditional Medicare.  Here are eight studies examining Medicare Advantage Becker’s has reported on in 2025: 

Marketplace enrollment could decline between 47% and 57% if premium tax credits expire and proposed changes in Congress become law, according to an analysis from Wakely, a healthcare market research firm .  The “One Big Beautiful Bill,” a 1,000+ page…

The largest Medicare Advantage insurers are backing reforms to the program, and lawmakers are drafting new legislation targeting MA.  Here are 10 Medicare Advantage developments Becker’s has reported since May 28. 

Health plan executives and marketing leaders are facing intensifying pressure to grow member volumes, improve outreach and engage consumers digitally — all while navigating an evolving legal minefield of data privacy risks. At the heart of the challenge lies the…

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The investment arm of Marietta, Ga.-based Wellstar Health System, Catalyst by Wellstar, has invested in Venteur, a digital health startup that administers Individual Coverage Health Reimbursement Arrangement plans. ICHRAs allow employers to contribute tax-free dollars to employees’ health benefits, which…

The broader health insurance industry has announced a series of commitments to streamline, simplify and reduce prior authorization requirements across commercial, Medicare Advantage and managed Medicaid plans covering 257 million Americans. “The health care system remains fragmented and burdened by…

At Becker’s 15th Annual Meeting, leaders from Microsoft and Blue Shield of California shared how AI is one tool to help transform payer operations — not by replacing humans, but by personalizing care, cutting friction and restoring trust. Christine McKinney,…

From exploring the sale of a South American-based subsidiary to suing The Guardian for defamation, here are 10 updates on UnitedHealth Group that Becker’s reported since June 2: 1. A federal judge approved a $69 million agreement to settle a…

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