Insurers, brokers to confront MA kickback allegations, and Mount Sinai and Anthem speak out March 27, 2026 1. Judge rules Aetna, Elevance, Humana must face Medicare kickback allegations Full story 2. The 7 things on the table in the Mount…
Payer Issues
Who is at risk of losing Medicaid expansion coverage with work requirements and redeterminations? March 26, 2026 1. FTC nears settlement with CVS Caremark Full story 2. Medicaid work rules and enrollment losses: 6 notes Full story 3. Reduce barriers between "I…
CMS introduces pediatric care model and approves Minnesota’s corrective action plan for Medicaid March 25, 2026 1. CMS unveils new pediatric care model Full story 2. The Medicare Advantage paradox: Who benefits most? Full story 3. Medicaid's new era: Humana,…
Humana and CommonSpirit wrap monthslong negotiations, and Cigna Healthcare appoints CMO March 24, 2026 1. Humana, CommonSpirit reach 3-year MA agreement, including Colorado and Texas Full story 2. BCBS Minnesota CEO leaves Sutter board over Allina deal Full story 3.…
The ACA has its 16th anniversary, and MA SNPs gain traction March 23, 2026 1. 'The 1980s called': CMS finalizes rule to phase out fax, mail Full story 2. The explosion of the Medicare Advantage special needs plan Full story…
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Senate Democrats eye health insurance reforms, while HHS targets abortion coverage March 20, 2026 1. Senate Democrats lay out health insurance reform agenda — and put industry on notice Full story 2. Providence explores sale of health plan Full story…
Optum Health’s CEO talks new strategy and CMS expands its Medicaid fraud crackdown March 19, 2026 1. What comes next for Optum's care delivery business, per its CEO Full story 2. Dr. Oz sets sights on Florida amid widening Medicaid…
Another Blues affiliation moves forward and payers join forces with hospitals against CMS pitch March 18, 2026 1. 11 payers cutting jobs Full story 2. Highmark-BCBS Kansas City affiliation green-lit by Missouri regulators Full story 3. AI is redefining payment integrity.…
Executive pay falls at Cigna + Molina and UnitedHealthcare goes big on doula coverage March 17, 2026 1. Cigna's 5 highest-paid executives in 2025 Full story 2. Mount Sinai reaches for the mic amid Anthem dispute fallout Full story 3.…
New BCBS data links hospital AI to rising costs and CMS says it will launch a new IDR platform March 16, 2026 1. BCBS study: Hospital AI billing tools may be driving up healthcare costs by billions Full story 2.…