Becker's Payer Issues | Payer News
Jakob Emerson - Tuesday, October 15th, 2024. The Blue Cross Blue Shield Association, along with the 33 independent BCBS companies, have agreed to pay $2.8 billion to settle antitrust claims from healthcare providers, marking the largest settlement of its kind in the healthcare industry. 1. 2. 3.
Payer
Payer. Becker's ASC 30th Annual Meeting: The Business and Operations of ASCs. 22nd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference. 9th Annual Health IT + Digital Health + RCM Virtual Event. Rhode Island reevaluating Medicaid contracts after BCBS, Tufts appeal. Regence BlueShield of Idaho to keep state ...
Payer Contracting - Becker's Payer
6 days ago · 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.
Becker's Payer Issues | Payer News
The leading news source for payer: Becker's Payer Issues. Becker's Payer Issues | Payer News. HHS' Office of Inspector General has published audits of four Medicare Advantage plans in the past two months. 4 Medicare Advantage plans audited for overpayments. Among major payers, customers are most satisfied with the telehealth offerings from ...
Payer Policy Updates - Becker's Payer
Oct 3, 2024 · The federal government will spend $5 billion to keep Medicare Part D premiums stable in 2025, according to an Oct. 2 report from the Congressional Budget Office.
The top-rated commercial health plans in each state - Becker's Payer
Sep 19, 2022 · The National Committee for Quality Assurance has named the top-performing health plans of 2022 based on factors that include care quality, patient satisfaction and efforts to keep improving.. The ratings were released Sept. 15 and are based on 2021 data from commercial, Medicare, Medicaid and ACA plans that reported HEDIS and CAHPS results to the NCQA, which cover 203 million people total.
Best Medicare Part D plans for 2025: US News - beckerspayer.com
6 days ago · Four insurers have been named the best Medicare Part D carriers for 2025 by U.S. News & World Report.. U.S. News consulted with Medicare experts to determine the important factors for those enrolling in a Part D plan and assigned a weight to each measure. Those weights were then applied to CMS data. The final rating includes companies that earn a score of at least 3 out of 5 total or higher ...
6 prior authorization updates | Becker's
Sep 10, 2024 · From UnitedHealthcare releasing details about its national gold-card program to a reform bill in California clearing one of its final legislative hurdles, here are six updates on prior authorization that Becker's has reported since Aug. 20: 1. The Biden administration finalized new requirements for health plans to strengthen mental health ...
50 payers lowering ACA premiums in 2025 - beckerspayer.com
Sep 5, 2024 · Fifty insurers are looking to lower premiums on an ACA marketplace in 2025, according to an analysis from Peterson-KFF.. In 2025, 324 insurers are offering ACA coverage across all 50 states and Washington, D.C.
The 8 most dangerous trends facing payers - beckerspayer.com
Sep 3, 2024 · Harlon Pickett. President of Eagle Care Health Solutions (Austin, Texas): One of the most dangerous trends currently facing payers and [accountable care organizations]s is the escalating threat of cybersecurity breaches and data vulnerabilities. Cyberattacks on healthcare entities have been increasing in both frequency and complexity.