Becker's Payer Issues

‘Our goal is to be a payvider’: MultiCare bets on Medicare Advantage as others pull back

Tacoma, Wash.-based MultiCare Health System has entered the Medicare Advantage market with its new health plan, a move more ...
Becker's Payer Issues

Judge denies Aetna’s bid to force Jefferson into arbitration over Medicare Advantage reimbursement policy

A federal judge in Pennsylvania denied Aetna’s request for arbitration Nov. 4 in a lawsuit from Philadelphia-based Jefferson ...
Becker's Payer Issues

Humana raises full-year outlook, posts $162M Q3 profit

Humana reported a net income of $162 million for the third quarter, down from $195 million in the same period last year, the ...
Becker's Payer Issues

‘Where are they ripping me off?’ Mark Cuban’s blueprint for taking on payers

Mark Cuban urges hospital CFOs to use AI to analyze contracts and identify overpayments in healthcare with the 'Where are ...
Becker's Payer Issues

Elevance sues autism therapy group, alleging $160M in payments to shell companies

Elevance Health filed a lawsuit Nov. 4 against autism therapy group Perfect Child, alleging the in-network applied behavior ...