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As Insurance Prices Rise, Families Puzzle Over Options
New York-based performer Cynthia Freeman61, has been making an attempt to determine easy methods to preserve the Reasonably priced Ca [...]
President Trump Proposes Codifying MFN Drug Pricing Deals But Key Details Are Missing
In his new “Great Healthcare Plan,” President Trump has proposed to “codify” the administration’s most-favored-nation (MFN) drug pricing [...]
‘No free lunch’: Why Alignment’s CEO doesn’t always chase growth – Becker’s Payer Issues
Alignment Healthcare has California roots, however its CEO, John Cao, is assured about planting seeds for development elsewhere.
Mr. Ex [...]

Culture Wars Take Center Stage
The Host
Julie Rovner KFF Well being Information
@jrovner
@julierovn [...]
93% of health plan executives expect AI to ease prior authorization: Deloitte – Becker’s Payer Issues
Ninety-three p.c of well being plan executives anticipate AI will contribute worth by automating prior authorizations, in accordance with a [...]

Kaiser Permanente To Pay $556 Million in Record Medicare Advantage Fraud Settlement
Within the largest Medicare Benefit fraud settlement so far, Kaiser Permanente has agreed to pay $556 million to settle Justice Division [...]
ACA open enrollment wraps: 6 things to know – Becker’s Payer Issues
The ACA open enrollment interval for 2026 ends Jan. 15, as a tumultuous battle over enhanced subsidies continues.
The potential return o [...]
Fidelis New York names CEO – Becker’s Payer Issues
Fidelis Care New York has named Paul Portsmore plan president and CEO, efficient Jan. 5.
Beforehand, Mr. Portsmore served in management [...]
Top-rated health plans for member experience: Press Ganey – Becker’s Payer Issues
Dozens of well being insurers have received Human Expertise Pinnacle of Excellence awards from Press Ganey, an annual recognition of health [...]
Kaiser Permanente to pay $556M to settle Medicare Advantage whistleblower lawsuit
Oakland, Calif.-based Kaiser Permanente has agreed to pay $556 million to resolve allegations that it violated the False Claims Act by subm [...]