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becker s payer issues payer news skip to main content bhr clinical health it cfo asc spine dental payer behavioral physician pharmacy about about becker s advisory boards careers for sponsors contact us media kit custom studios events content specs search subscribe strategy financial legal m a payer issues rankings ratings virtual care live webinars leadership workforce executive moves leadership workforce live webinars policy contracting policy updates research analysis live webinars resources webinars whitepapers podcasts featured content recognition lists videos newsletters print issues executive communities events 4th annual spring payer issues roundtable 5th annual fall payer issues roundtable live events virtual events search for clear search search menu subscribe search for clear search search strategy financial legal m a payer issues rankings ratings virtual care live webinars leadership workforce executive moves leadership workforce live webinars policy contracting policy updates research analysis live webinars resources webinars whitepapers podcasts featured content recognition lists videos newsletters print issues executive communities events 4th annual spring payer issues roundtable 5th annual fall payer issues roundtable live events virtual events site switcher bhr clinical health it cfo asc spine dental payer behavioral physician pharmacy about about becker s advisory boards careers for sponsors contact us media kit custom studios events content specs becker s payer issues payer news advertisement featured content included health to launch health plans in 2028 employer sponsored tech enabled healthcare company included health is launching health plans for self insured employers jan 1 2028 according to an oct 1 by elizabeth casolo 18 hours ago federal employee health plan sees 3rd year of double digit premium hikes payer by jakob emerson 18 hours ago preclusion gaps tied to 72m in medicare advantage part d payments report medicare advantage by elizabeth casolo 19 hours ago caresource names cfo executive moves by jakob emerson 19 hours ago washington health system launches an insurance plan payer by jakob emerson 20 hours ago claims against aetna dismissed in zelis antitrust repricing case legal by elizabeth casolo 22 hours ago cigna rolls out modernization effort expects 3b in savings payer by elizabeth casolo yesterday 500 aca checks going to 950 000 in 30 states 5 things to know financial by kelly gooch yesterday former ceo for unitedhealth s optum serve steps back into role executive moves by elizabeth casolo yesterday medicare advantage looks stable for 2027 underneath it s shifting medicare advantage by jakob emerson and elizabeth casolo yesterday 4 new medicare advantage insurers in 2027 medicare advantage by jakob emerson yesterday most read 12 payers exiting medicare advantage in 2027 by jakob emerson yesterday the states losing the most medicare advantage plans in 2027 by jakob emerson monday september 28th 2026 medicare advantage insurers ranked by county entries exits in 2027 by elizabeth casolo 2 days ago 15 payers with medicare advantage enrollment caps for 2027 by elizabeth casolo 2 days ago medicare advantage looks stable for 2027 underneath it s shifting by jakob emerson and elizabeth casolo yesterday 500 aca checks going to 950 000 in 30 states 5 things to know by kelly gooch yesterday you need to look into it dr oz pitches choice health plans to small businesses by alan condon yesterday kaiser taps leader for national health plan by kelly gooch 2 days ago more most read the latest 12 payers exiting medicare advantage in 2027 twelve payers are exiting the medicare advantage market for 2027 according to cms data eight of the twelve are owned entirely or in part by health systems several other payers will stay in ma next year only through special needs by jakob emerson yesterday cms finalizes new drug pricing model 7 notes cms has finalized the global benchmark for efficient drug pricing globe model a mandatory payment model that will tie medicare part b drug rebates to prices paid in 19 reference countries according to a sept 30 cms news release here by ella jeffries yesterday medicare advantage insurers expanding shrinking snp footprints in 2027 while some payers are slimming down their medicare advantage reach some are betting big on special needs plans snps cover dually eligible medicaid individuals d snp those with chronic conditions c snp and those needing long term care i snp cms released data sept by elizabeth casolo yesterday you need to look into it dr oz pitches choice health plans to small businesses cms administrator mehmet oz md is urging employers to consider an alternative to traditional group health plans that allows workers to select their own individual insurance coverage speaking sept 30 at an event in austin texas dr oz promoted choice by alan condon yesterday judge narrows california pension fund lawsuit against unitedhealth a federal judge has thrown out most of a securities fraud lawsuit brought by the country s largest pension fund against unitedhealth group but will let claims that the company misled investors about previous asset sales move forward the california public by jakob emerson yesterday stay current with payer issues becker s payer issues newsletter is sent monday friday more newsletters baylor scott white margin dips to 8 3 as health plan exits medicaid individual markets 5 notes dallas based baylor scott white health reported operating income of 1 5 billion 8 3 margin during the fiscal year ending june 30 2026 down from a 1 7 billion operating gain 10 margin in the previous fiscal year according to financial statements by alan condon yesterday independence blue cross to pay 22 5m over medicare advantage coding independence blue cross has agreed to pay 22 5 million to resolve allegations that it used inaccurate diagnosis codes to inflate its medicare advantage payments according to a sept 30 justice department news release the government alleged the insurer violated the by francesca mathewes yesterday blue shield of california must face mental health ghost network claims a federal judge allowed portions of a putative class action lawsuit against blue shield of california and magellan the insurer s contracted mental health services administrator to move forward over allegations that they published an inaccurate directory of mental health providers by ella ruder yesterday medicare advantage insurers ranked by county entries exits in 2027 many major health insurers are pulling back from some counties in 2027 while singh holdings blue cross of idaho and devoted health boosted their footprint cms released data sept 28 on the 2027 medicare advantage landscape showing which counties insurers by elizabeth casolo 2 days ago kaiser taps leader for national health plan tom curtin was named executive vice president of kaiser permanente s national health plan after serving as its interim leader since may in the role effective immediately mr curtin will lead health plan strategy and operations with a focus on growth by kelly gooch 2 days ago load more advertisement popular in executive moves caresource names cfo by jakob emerson 19 hours ago former ceo for unitedhealth s optum serve steps back into role by elizabeth casolo yesterday kaiser taps leader for national health plan by kelly gooch 2 days ago bcbs association names 3 new leaders by jakob emerson 2 days ago register to attend webinar the specialization advantage winning in a more complex revenue cycle environment tuesday october 6 12 00 pm 1 00 pm cdt presenters amanda whitener nimble solutions chris ballentine nimble solutions register becker s offerings events where healthcare leaders meet see what s coming up view all events webinars explore and register for webinars across a wide variety of topics view all webinars whitepapers gain valuable insights knowledge from our leading industry experts view all whitepapers podcasts 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