March 17, 2025 BHR Newsletter 1. Cigna's 5 highest-paid executives Full story 2. Nevada to award Medicaid contracts Full story 3. CMS doubles down on Medicare drug price negotiations Full story 4. Faster, smarter data management is within reach — how…
Payer Issues
March 14, 2025 BHR Newsletter 1. MedPAC estimates $84B in Medicare Advantage overpayments in 2025: 10 notes Full story 2. Highmark Health Plans reports $166M loss, cites GLP-1s as headwind Full story 3. 10 payers recently fined by states Full…
March 13, 2025 BHR Newsletter 1. Cigna names COO, CFO in executive shuffle Full story 2. BCBS Massachusetts latest to sue CMS over Medicare Advantage star ratings Full story 3. CMS to end 4 Medicare payment programs early Full story…
March 12, 2025 BHR Newsletter 1. Blue Shield of California CEO exits after 2 months Full story 2. Molina pays $40M to settle alleged Medicaid violations in whistleblower lawsuit Full story 3. North Carolina insurer to wind down operations Full…
March 11, 2025 BHR Newsletter 1. The pharmacy change 'key to your future existence as a health plan' Full story 2. CMS pitches shortening ACA enrollment period: 5 things to know Full story 3. Illinois awards 4 D-SNP contracts Full…
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March 10, 2025 BHR Newsletter 1. Humana's highest-paid executives in 2024 Full story 2. 6 BCBS plans reporting losses Full story 3. 13 payers cutting jobs Full story 4. AI is driving real results for providers and payers. See how it's transforming healthcare efficiency and…
March 7, 2025 BHR Newsletter 1. BCBS North Carolina restructures, launches new parent company Full story 2. Humana, Novo Nordisk partner on Wegovy subscription service Full story 3. CareFirst BCBS sues Change Healthcare over cyberattack Full story 4. Better workplace…
March 6, 2025 BHR Newsletter 1. Dozens of health systems file 'opt-out' antitrust lawsuits against Blue Cross Blue Shield Full story 2. Medicaid cuts must occur to meet GOP budget goals: CBO Full story 3. Envision Healthcare taps new board…
March 5, 2025 BHR Newsletter 1. UnitedHealth secures major legal victory in Medicare Advantage fraud case Full story 2. Commercial coverage for GLP-1s in 2025: 4 notes Full story 3. The hardest hit states if ACA premium tax credits expire…
March 4, 2025 BHR Newsletter 1. UnitedHealth to cut prior authorization by 10% Full story 2. BCBS Michigan posts $1B loss in 2024 Full story 3. Where payers' Medicaid memberships stand, post-redeterminations Full story 4. AI in healthcare is just…