To sign up for Becker's Payer Issues E-Newsletter or any of our other E-Newsletters, click here. If you are experiencing difficulty receiving our newsletters, you may ...

Most of the nation's largest health payers have a single CEO at the helm and operate under one name across many states. In contrast, Blue Cross and Blue Shield payers function as smaller, independent ...

L.A. Care Health Plan is the largest Medicaid managed care organization in the country with more than 2.5 million enrollees, according to KFF.

A former chief human resources officer at Elevance Health, Troy Henagan, has filed a lawsuit against the company in a Georgia federal court, alleging age discrimination after his termination in June ...

UnitedHealth's Optum first announced its plans to merge with Amedisys in June 2023. The Baton Rouge, La.-based company was founded in 1982 and provides home health, hospice and high-acuity care ...

Many insurers have or will exit Medicare Advantage markets in 2025. There are 3,719 Medicare Advantage plans available nationwide in 2025. The number of plans available to the average beneficiary is ...

Payers have faced state penalties in 2024 for slow reimbursements, improper claims denials, or the sale of unapproved products. L.A. Care Health Plan will pay a $55 million penalty to California to ...

Elevance Health has completed its acquisition of Indianapolis-based Indiana University Health's health plan. With the closure of the deal that was first announced in September, IU Health Plans will ...

Scripps Health and Anthem Blue Cross are out of network as of Jan. 1. The split affects all Anthem commercial and ACA plans. Scripps' largest medical groups stopped accepting all Medicare Advantage ...

HHS' Office of Inspector General has issued a special fraud alert about the risks of fraud and abuse in certain marketing and compensation arrangements related to Medicare Advantage. The December ...