Today's Top 20 Stories
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Medicare spending on weight loss drugs may be lower than previously thought: Report
Medicare spending on GLP-1 medications may not be as high as some estimates predict if coverage was expanded to cover weight loss, according to an analysis from data firm Intensity. -
HCSC plans Texas office, job creation initiative
Health Care Service Corp. is planning a 132,000-square-foot office in southwest Houston. -
Lawsuit alleges UnitedHealth failed to disclose antitrust investigation
UnitedHealth Group is facing a proposed securities fraud class-action lawsuit alleging that the company failed to disclose that the Justice Department opened an antitrust investigation into the company.
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The two-midnight rule and Medicare Advantage: 8 updates
In 2024, Medicare Advantage plans must provide coverage for an inpatient admission when the admitting physician expects the patient to require hospital care for at least two midnights, otherwise known as the two-midnight rule. -
UnitedHealth shakes up legal lineup
UnitedHealth Group is shuffling its top legal lineup. -
BCBS Michigan names new CEO
Blue Cross Blue Shield of Michigan has named Tricia Keith as its next president and CEO, effective in 2025. -
UnitedHealth 'really comfortable' with Medicare Advantage as competitors sweat
UnitedHealth Group executives said they're not planning any major shakeups to their Medicare Advantage business as other insurers plan to pull back their offerings in 2025.
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3 payers among the top companies for workplace fairness
Three insurers were named among the top companies for workplace fairness by Fair360. -
UnitedHealthcare beats TeamHealth in Oklahoma trial
An Oklahoma jury has handed UnitedHealthcare a win in its ongoing legal battle with physician staffing company TeamHealth. -
UnitedHealth hits $1B affordable housing investment milestone
UnitedHealth Group has surpassed $1 billion in affordable housing investments since the company began prioritizing housing developments in 2011. -
Centene, UnitedHealthcare, BCBS plans pick up Kansas Medicaid contracts
Kansas awarded Medicaid contracts managing care for 458,000 individuals to Centene, UnitedHealthcare and Healthy Blue.
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Many people with Medicaid believe they are uninsured: Study
Many people disenrolled from Medicaid during the redeterminations process were likely unaware they had coverage to begin with, a study published in the May issue of Health Affairs found. -
CVS could lose 10% of its Medicare Advantage members in 2025
CVS Health executives are bracing to lose up to 10% of Aetna's Medicare Advantage members next year, Bloomberg reported May 14. -
13 payers cutting jobs | 2024
Payers are trimming their workforces and cutting jobs due to financial or operational challenges, along with restructuring strategies. -
Texas Children's Health Plan laying off 'a few hundred' following Medicaid redeterminations
Texas Children's Health Plan is laying off "a few hundred" employees after the health plan lost 30% of its membership during Medicaid redeterminations, the Houston Chronicle reported May 14. -
Five women leaders on the shifting landscape of women's health, per UnitedHealthcare
Health care is shifting its approach to women’s health. Who better to explain what’s driving that change than women executives at UnitedHealthcare and the Advisory Board. -
Elevance exec named chief medical officer at Priority Health
Priority Health has named Elif Oker, MD, as senior vice president and chief medical officer, effective May 20. -
Humana's new CEO to assume top role in July
Jim Rechtin will assume the role of president and CEO of Humana on July 1, the company said May 13. -
10 states where commercial insurers pay hospitals the highest rates
Hospitals in Georgia and Florida charge employers and commercial insurers rates 345% higher than Medicare, according to a Rand Corp. report published May 13. -
CMS extends Medicaid waivers to 2025
CMS will extend flexibilities designed to help states keep more eligible individuals enrolled in Medicaid through June 2025.
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