Today's Top 20 Stories
  1. Medicare Advantage extras on the chopping block in 2025

    Medicare Advantage insurers are planning to pare down their plan offerings in 2025. 
  2. Medicare Advantage disparities in 2024: 10 numbers to know

    Across racial and ethnic groups, MA enrollees report broadly similar experiences but wide disparities in outcomes. 
  3. Mississippi Medicaid expansion push fizzles

    A Medicaid expansion effort in Mississippi died after state lawmakers were unable to agree on compromise legislation, the Mississippi Clarion Ledger reported May 2. 

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  1. Biden administration: DACA recipients eligible for ACA coverage

    Individuals who are part of the Deferred Action for Childhood Arrivals program will be able to enroll in ACA marketplace plans beginning in November.  
  2. Cigna: More employers covering weight loss drugs

    The number of employers covering GLP-1 drugs for weight loss is beginning to trend upward, Cigna Group executives told investors. 
  3. 9 payer M&A updates

    From CVS Health acquiring a Medicare Advantage broker platform to Elevance buying Kroger's speciality pharmacy business, here are nine payer merger and acquisition updates that Becker's reported since March 15: 
  4. Premera Blue Cross taps chief medical officer from SCAN

    Premera Blue Cross has named Romilla Batra, MD, senior vice president and chief medical officer. 

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  1. Payers' Q1 revenues, profits

    Two payers reported losses in the first quarter of 2024. 
  2. Medicaid disenrollments higher than expected: Report

    The number of people disenrolled from Medicaid through the redeterminations process has surpassed original estimates from the Urban Institute and Robert Wood Johnson Foundation. 
  3. Cigna posts $277M Q1 loss, raises 2024 outlook

    The Cigna Group reported a $277 million net loss in the first quarter of 2024. 
  4. CommonSpirit, Anthem BCBS Colorado split

    Anthem Blue Cross Blue Shield is out of network with 11 CommonSpirit hospitals in Colorado. 

How one Midwest hospital is driving financial efficiency with interconnected systems

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Major time savers can stem from single logins. That's how 1 hospital achieved a 50% reduction in month-end close time — read the short case study, here.
  1. CVS plans 'margins over membership' Medicare Advantage strategy

    CVS Health is expecting a tough year for Medicare Advantage. 
  2. 10 providers seeking payer contracting talent

    Ten providers recently posted job listings seeking leaders in payer contracting and relations.
  3. Clover Health taps CFO

    Clover Health has named Peter Kuipers CFO. 
  4. State health plans must cover gender-affirming surgery, federal court rules

    A federal appeals court has ruled that state health plans must cover gender-affirming surgery for transgender beneficiaries, The Washington Post reported April 30. 
  5. UnitedHealth, Walmart halt shared Medicare Advantage plan 

    A co-branded Medicare Advantage plan offered by UnitedHealthcare and Walmart will come to an end amid the retailer's decision to close ​​its health centers and end virtual care services, Becker's confirmed April 30.
  6. Health insurance executive moves | 2024

    Payer executive moves reported by Becker's in 2024:
  7. UnitedHealth CEO: Decision to pay Change ransom was mine

    In written testimony provided ahead of two scheduled May 1 congressional hearings, UnitedHealth Group CEO Andrew Witty said it was his decision to pay ransom in an attempt to protect patient data stolen during the February cyberattack against one of its subsidiaries, Change Healthcare.
  8. CMS, NCQA delay health plan quality reporting following Change attack

    CMS and the NCQA are extending the quality data submission deadline for health plans by two weeks due to "extraordinary circumstances" caused by the cyberattack on Change Healthcare in late February.
  9. Texas sent competitors' Medicaid bids to Aetna too early: Report

    The Texas Department of Health and Human Services provided Aetna with copies of other competitors' bids for Medicaid contracts in error, The Texas Tribune reported April 26. 

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