Payer Issues Archives - Page 2 of 143 - Becker's Payer Issues

UnitedHealth wins MA fraud ruling | 2025 coverage for GLP-1s: 4 notes | Hardest hit states if ACA credits expire | Inside an MA plan's 58% growth | CVS sells MSSP business

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…

UnitedHealthcare to cut prior auth by 10% | BCBS Mich. posts $1B loss | Minn. pitches higher HMO tax | Payers ranked by SNP members | CareSource to buy long-term care provider

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…

BCBS Mass., UPMC tie losses to GLP-1s | Optum, Aetna reach 'dummy code' settlement | Md. sanctions Johns Hopkins Medicaid plan | Ohio pitches ICHRA tax credit | HHS aims to rescind public comments

March 3, 2025 BHR Newsletter 1. BCBS Massachusetts reports $400M operating loss driven by GLP-1s Full story 2. Optum, Aetna reach 'dummy code' lawsuit settlement Full story 3. Maryland sanctions Johns Hopkins Medicaid plan following 'quality-related concerns' Full story 4. Discover how…

N.H. threatens Aetna's license | Inside 3 payers' new shared payment model in Calif. | BCBS plans ranked by MA enrollment | Where Medicaid cuts would hit hardest by 2035 | 10 UnitedHealth updates

February 28, 2025 BHR Newsletter 1. 'Pay attention to what we're doing here': 3 payers come together on new payment model in California Full story 2. New Hampshire threatens to suspend Aetna's operating license Full story 3. BCBS plans ranked by…

MA enrollment slows | 10 hospital systems ditching health plans | Lawmaker probes Optum clinics over 'decline in care' | 6 federal health updates | Centene moves to prevent food allergies

February 27, 2025 BHR Newsletter 1. Which Medicare Advantage insurers gained, lost members for 2025 Full story 2. More federal layoffs loom; healthcare decries House budget: 6 updates Full story 3. 10 health systems ditching their health plans Full story…

Trump boosts price transparency efforts | Senator probes UnitedHealth's MA billing practices | 2 payers exiting commercial market | House GOP passes budget plan that threatens Medicaid | Centene expands board

February 26, 2025 BHR Newsletter 1. Senator launches probe into UnitedHealth's Medicare Advantage billing practices Full story 2. Trump's new price transparency executive order: 6 notes for payers Full story 3. Illinois, North Carolina payers to exit all markets except…

Part D GLP-1 spending surges | Why 'intellectual curiosity' is key for payer CEOs | States that would be hardest hit by Medicaid cuts | UnitedHealth sets quarterly dividend | 11 payers cutting jobs

February 25, 2025 BHR Newsletter 1. Medicare Part D spending on weight loss drugs surges 364%: OIG Full story 2. The states that would be the hardest hit by Medicaid cuts Full story 3. Why 'intellectual curiosity' is key for…

HCA hospitals sue UnitedHealthcare | Humana's CenterWell keeps expanding | Inside CareFirst's new arena deal | Ariz. eyes Medicaid work rules | Change cyberattack 1 year later

February 24, 2025 BHR Newsletter 1. 17 HCA hospitals sue UnitedHealthcare over alleged underpayment for emergency care Full story 2. Humana's CenterWell to add 20+ clinics in 2025 Full story 3. Arizona eyes Medicaid work requirements Full story 4. Value-based…

Another UnitedHealth probe | HHS job cuts mount | Where 13 payers are growing in '25 | Trump signs order to end benefits for noncitizens | AHA: MA is hurting rural hospitals

February 21, 2025 BHR Newsletter 1. DOJ probes UnitedHealth's Medicare Advantage billing practices: WSJ Full story 2. Where 13 payers are growing in 2025 Full story 3. HHS job cuts mount: 5 notes Full story 4. What drives member loyalty?…

UnitedHealthcare offers staff buyouts | DOJ to support ACA preventive care mandate | Dr. Oz to divest from healthcare | BCBS Ala. calls out 'unregulated' health plan | What physicians wish payers knew

February 20, 2025 BHR Newsletter 1. UnitedHealthcare looks to cut jobs Full story 2. Trump administration backs ACA preventive coverage mandate Full story 3. Dr. Oz commits to divesting from UnitedHealth, HCA if confirmed as CMS leader Full story 4.…