Becker's Payer Issues | Payer News
WEBCalifornia fines Anthem plans $8.5M over claims disputes with providers. Jakob Emerson - Monday, September 30th, 2024. The California Department of Managed Health Care has fined Anthem Blue Cross and its Medicaid plan a total of $8.5 million for failing to address claims payment disputes in a timely manner with physicians, hospitals and providers.
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WEBFormer payer exec: Older adults should avoid Medicare Advantage in 2025. Jakob Emerson - Thursday, September 19th, 2024. During the upcoming annual enrollment period, seniors should opt for traditional Medicare over Medicare Advantage, according to seasoned healthcare executive Stacy Mays.
Payer Contracting - Becker's Payer
WEBSep 12, 2024 · 7 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.
Becker's Payer Issues | Payer News
WEB4 days ago · Behind Cigna's 1st-of-its-kind GLP-1 program. The California Department of Managed Health Care has finedAnthem Blue Cross and its Medicaid plan a total of $8.5 million for failing to address claims payment disputes in a timely manner with physicians, hospitals and providers. California fines Anthem plans $8.5M over …
Becker's Payer Issues | Payer News
WEBThe 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
WEBSep 10, 2024 · Top 40 articles from the past 6 months. The 'great disruption' coming for Medicare Advantage; Mark Cuban's big warning for employers; BCBS Michigan to drop weight loss drug coverage
23 payer executives' top priorities for 2024 - Becker's Payer
WEBNov 6, 2023 · 23 payer executives' top priorities for 2024. Payer leaders are turning their attention to health equity, prior authorization, AI and more as 2024 approaches. These 23 industry leaders explain their top priority for 2024. The executives featured in this article, part of an ongoing series, are all speaking at Becker's 2024 payer roundtables.
21 payers' growth strategies for 2024 - Becker's
WEBJan 19, 2024 · Payers are planning to grow their value-based models, improve health equity, implement new technology and more in the coming years. The 21 leaders featured in this article, part of an ongoing series, are all speaking at Becker's 2024 payer roundtables. This includes our spring Payer Issues Roundtable, which is set for April 8-9, 2024, at the ...
Payer Policy Updates - Becker's Payer
WEBSep 27, 2024 · Jakob Emerson - 23 hours ago. Over the last month, California Gov. Gavin Newsom has signed 17 bills pertaining to the deployment and regulation of generative AI technology, including legislation that will require health insurers to ensure that physicians supervise the use of AI tools that make decisions about services and insurance claims.
CMS' proposed ACA rules: 10 things to know - beckerspayer.com
WEBThe agency published its proposed rules for the marketplace Oct. 4. Here are 10 things to know: CMS proposed holding lead agents at insurance agencies accountable for violations of marketplace standards. The agency also proposed using its authority to suspend an agent or broker's ability to operate on the exchange if the agency deems the agent ...