Becker's Payer Issues | Payer News
WEBCentene subsidiary to pay New York $7.6M for using banned Medicaid provider. Jakob Emerson - Friday, September 13th, 2024. Centene's Fidelis Care has reached a $7.6 million settlement agreement with New York Attorney General Letitia James for billing Medicaid for services provided by an individual convicted of a crime. 1.
Payer
WEBSep 13, 2024 · Jakob Emerson - Wednesday, September 11th, 2024. UnitedHealthcare and Humana are expected to collectively receive 50% of total Medicare Advantage star bonus payments in 2024, while Kaiser Permanente is expected to collect the highest average bonus per enrollee ($516), according to a Sept. 11 analysis from KFF.
States with largest Medicaid enrollment declines
WEB2 days ago · With Medicaid redeterminations complete in most states, Medicaid enrollment has decreased by 14.3% from March 2023, according to KFF. States began the process of redetermining the eligibility of Medicaid beneficiaries in April 2023. During the COVID-19 public health emergency, states were prohibited ...
Payer Contracting
WEB7 state Medicaid contract updates. Rylee Wilson - Friday, September 6th, 2024. Several states have shaken up their Medicaid contractors in recent months. Florida added additional insurers to its Medicaid contract awards, and system-owned health plans in Texas are challenging a contract decision executives say threatens the plans' existence.
Payer Policy Updates - Becker's Payer
WEBSep 10, 2024 · Oregon expects to insure 100,000 under new program. Rylee Wilson - Monday, July 1st, 2024. Oregon has launched a program to provide Medicaid benefits to individuals earning up to 200% of the federal poverty level, …
Becker's Payer Issues | Payer News
WEBBecker's Payer Issues | Payer News. Highmark Health's insurance segment revenue increased 9% year-over-year, according to the company's mid-year financial reportpublished Aug. 29. Highmark insurance revenues up 9%: 5 notes. Newly released court documents show CMS dropped a proposal to require Medicare Advantage plans to return overpayments a ...
Payers ranked by Q2 MLRs - beckerspayer.com
WEBAug 13, 2024 · Aetna reported the highest medical loss ratio in the second quarter; it rose 3.4 percentage points year over year to 89.6%, driven by rising costs in inpatient care, dental and pharmacy. Payers ranked by Q2 MLRs: Aetna. Q2 …
Payers ranked by Q2 profits - Becker's Payer
WEBAug 12, 2024 · Email. The nation's largest payers have filed their second-quarter earnings reports, revealing which recorded the largest profits. Payers ranked by Q2 profits: 1. UnitedHealth Group: $4.2 billion, down 23%. 2. Elevance Health: $2.3 billion, up 24%. 3. CVS Health: $1.8 billion, down 7%.
7 payers cutting prior authorization requirements - Becker's Payer
WEBAug 12, 2024 · Blue Cross Blue Shield of Michigan intends to cut 20% of its prior authorization requirements. UnitedHealthcare eliminated 20% of its prior authorization requirements over two waves in September and November 2023. Cigna Healthcare removed prior authorization requirements for more than 600 medical procedures, cutting the number of prior ...
How the payer workforce will evolve, per 12 executives - Becker's …
WEBAug 15, 2024 · How the payer workforce will evolve, per 12 executives. Rylee Wilson - Updated Thursday, August 15th, 2024. Payer executives anticipate building their equity and population management teams and leaning on AI and new technology in the coming years. The 11 leaders featured in this article, part of an ongoing series, are all speaking at …
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