Aug. 20, 2025
| This week’s payer news for healthcare leaders
Overall customer satisfaction with MA plans fell 29 points year over year, driven by a declining level of member trust in their health plans, according to J.D. Power.
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Employers surveyed by the Business Group on Health are bracing for the largest annual increase in healthcare costs in more than a decade — a sobering prospect, one expert said.
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CMS will provide states monthly reports of beneficiaries whose citizenship or immigration status cannot be confirmed. States are expected to take “appropriate actions” including limiting coverage, the agency said.
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As hype grows around AI in healthcare, a paradoxical question arises: Could AI tools meant to reduce clinician burden actually increase it? Explore the technology’s potential and drawbacks to support workers in
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The Texas judge’s decision — which picked apart Elevance’s argument on mathematical grounds — is expected to cost Elevance $375 million, though the insurer could still appeal.
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Reed O’Connor’s ruling is a setback for smaller MA plans — and efforts to curb predatory marketing to seniors.
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UnitedHealth, Amedisys and the DOJ reached a settlement last week, clearing the way for the deal to be finalized. Amedisys stopped trading on Nasdaq Thursday.
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