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1	Rebecca Pifer Healthcare Dive Reporter @healthcaredive. New York City, United States insurancedigital health	Offering health insurance is becoming less lucrative - 6 days ago MedPAC backs tying physician pay to inflation, but ducks specifics - 16 days ago MACPAC calls for greater transparency amid steep rise in Medicaid directed payments - 19 days ago Rising healthcare costs could trickle down to workers: employer survey - 25 days ago AMA sues MultiPlan, insurers alleging ‘cartel’ to fix physician prices - 30 days ago Major PBMs could be zeroing in on specific payer markets for dominance, study suggests - 2 months ago Elevance expands ACA plans in Florida, Texas, Maryland - 3 months ago CMS has received 12K complaints of No Surprises noncompliance; won $1.7M in restitution - 3 months ago Large employers forecast 7.8% hike in health costs next year, thanks to rising pharmacy spend - 3 months ago Humana pays $90M to settle whistleblower allegations of Medicare Part D fraud - 3 months ago Medicaid overtakes Medicare Advantage as health insurers’ bogeyman in Q2 - 3 months ago PBMs battle bipartisan scrutiny as lawmakers eye industry reform - 4 months ago CMS proposes 2.9% cut to physician pay for 2025 - 5 months ago Judge pauses CMS rule capping compensation for Medicare Advantage brokers - 5 months ago National health spending reached $4.8T last year, CMS actuaries estimate - 5 months ago MACPAC wants Congress to force states to disclose Medicaid financing streams - 5 months ago House committee takes aim at healthcare consolidation, eyes site-neutral payments - 6 months ago CMS caps broker payments in Medicare Advantage - 8 months ago Biden administration finalizes rule cracking down on short-term plans - 8 months ago CMS launches model to increase primary care investment in Medicare - 8 months ago Elevance to buy Kroger’s specialty pharmacy - 8 months ago Why Cigna is capping cost increases for pricey GLP-1 weight loss drugs - 9 months ago Insurers brace for continued Medicare Advantage medical costs - 9 months ago Disputes over surprise billing continue to soar, new CMS data shows - 9 months ago Elevance lays off more employees - 9 months ago Molina’s redeterminations losses reach 500K members - 10 months ago CVS cuts 2024 outlook on Medicare Advantage caution - 10 months ago Humana flags potential MA funding dip if proposed rate notice finalized - 10 months ago No Surprises Act prevented 10M surprise bills in first nine months of 2023, insurer groups say - 10 months ago CMS asks health plans, PBMs to ease up on independent pharmacies - 11 months ago Centene tries to quell concerns of ACA overhaul during investor day - 12 months ago Biggest takeaways from health insurers’ third-quarter earnings - about 1 year ago Biden administration proposes capping broker payment in MA, following pressure - about 1 year ago Medicaid disenrollments pass 10M as states continue eligibility checks - about 1 year ago Insurance coverage not a panacea for healthcare affordability: survey - about 1 year ago Defunct direct contracting model saved Medicare $372M last year - about 1 year ago Blue Shield of California is promising a simpler, cheaper pharmacy benefits model. Can it deliver? - about 1 year ago Centene beats Q3 forecasts despite stars, redeterminations pressures - about 1 year ago Cigna hit with second class action suit over claims automation software - about 1 year ago
2	Kristina Fiore MedPage Today Explains healthcare complexities. Not endorsements. New York, New York Healthcare journalism	Doc Pay Cuts Sparked Strife at Insurer; Cerebral Can't Pay Up; Rumor Researchers - 18 days ago
3	Tara Bannow STAT News Reporter @statnews. healthcarejournalism	STAT+: Supreme Court justices appear split on case over $9 billion hospital payment program - 19 days ago
4	Emily Olsen Healthcare Dive Reporter at Healthcare Dive. Loyola, Medill alum. Chicago, Illinois HealthcareNews	Elevance Health sues HHS over Medicare Advantage star ratings - 20 days ago Elevance lowers guidance on ‘unprecedented’ Medicaid challenges - about 1 month ago Uninsured, less educated patients less likely to question medical bills: study - 3 months ago Employer healthcare costs projected to rise 9% in 2025: Aon - 3 months ago Medicare Advantage prior authorization denials increased in 2022: KFF - 3 months ago Healthcare costs could grow up to 8% next year: PwC - 4 months ago More than 20M disenrolled amid Medicaid redeterminations - 8 months ago Continuous Medicaid enrollment linked to less postpartum coverage loss, study finds - 9 months ago White House meets with UnitedHealth, industry groups on Change cyberattack fallout - 9 months ago Private equity deals in Medicare Advantage decline, report finds - 9 months ago AHA calls for more payer oversight in No Surprises dispute resolution - 10 months ago Over 19M could enroll in ACA plans for 2024, CMS says - 11 months ago CMS says states could lose funding over Medicaid redeterminations issues - 12 months ago Insurers’ financial outlook stable despite higher MA utilization: Moody’s - about 1 year ago 2.3M people would gain coverage if 10 remaining states expanded Medicaid, report finds - about 1 year ago Elevance confirms ‘adjustments’ to resources as employees report job cuts - about 1 year ago Home health advocates raise alarm over payment cuts, access to care - about 1 year ago
5	Susanna Vogel Healthcare Dive Currently at Healthcare Dive. Seen in various outlets. Greenpoint healthcarejournalism	‘AI arms race’ underway as payers, providers jockey for upper hand in claims review - about 1 month ago Blue Cross Blue Shield to pay $2.8B to settle class action provider antitrust case - about 1 month ago UHS, HCA could see financial boost from growth in state-directed payments for Medicaid services - about 1 month ago PBMs battle bipartisan scrutiny as lawmakers eye industry reform - 4 months ago Blue Shield of California and Providence at stalemate over contract negotiations - 8 months ago Hospitals could face revenue hit if insurers play hardball over MA: report - 8 months ago SCAN Group, CareOregon abandon merger plans - 9 months ago Blue Shield of California says it will lay off 140 - 11 months ago Humana used algorithm to deny care to Medicare Advantage patients, lawsuit claims - 12 months ago Majority of Medicaid enrollees satisfied with plans, despite flaws, survey finds - 12 months ago For-profit hospital operators strained by physician fees, payer relations in Q3 - about 1 year ago Insurer prices vary widely by U.S. region, study finds - about 1 year ago Frustration over surprise billing implementation builds in House hearing - about 1 year ago
6	Katie Adams MedCity News Editor. Exeter, New Hampshire editingjournalism	Payers Are Putting Profit Over Patients with Denials and Prior Auth Policies, Hospitals Say - about 2 months ago This New Venture Firm Thinks Payers Will Be the Ones to Drive Change in the Healthcare Industry - 3 months ago Providers’ Finances Are Steady, But Cost Pressures Still Loom - 4 months ago
7	Gabrielle See Eco-Business Covers sustainable finance. Ex-CNBC. Personal views. Singapore sustainable financeasia	Insurers and reinsurers need to play a role in lowering the cost of Asia’s coal phase-out: GFANZ - about 2 months ago
8	Bob Herman STAT News Health care business reporter. Indiana Health carebusiness	STAT+: Private equity firms to acquire health care billing and payments firm R1 in $8.9 billion deal - 4 months ago STAT+: Medicare Advantage insurers pressure Biden administration for bigger payments - 8 months ago No one’s pleased with the government’s pitch for 2025 Medicare Advantage rates - 10 months ago STAT+: Fiery MedPAC meeting highlights massive overpayments in Medicare Advantage - 11 months ago
9	Nick Paul Taylor MedTech Dive Top 5 Mario Kart Player. Gaming	Senators urge CMS to create AI payment pathway - 5 months ago
10	Marissa Plescia MedCity News Reporter at MedCity News. reportingjournalism	Report: Payers Aren’t Providing an Adequate Digital Experience - 8 months ago

Journalists covering payers