Payer Updates | August 2025

For a curated summary of the latest payer updates* impacting Northern Michigan provider offices, grouped by payer then category, please see below:

BCBSM and BCN

All Providers — Expanded CMS audits of Medicare Advantage Plans: BCBSM shared information about CMS’ efforts to increase oversight into Medicare Advantage regulations:

• BCBSM article
• CMS news release

All Providers: Delayed payments continue for BCBSM Medicare Advantage claims. SOURCE

*News items from the following payers were reviewed for this month’s highlighted articles: Aetna, BCBSM, Blue Care Complete, Blue Care Network (BCN), Health Alliance, McLaren, Molina, and Priority Health.