Today's Top 20 Stories
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From Medicaid to Medicare: Lessons in managed care from Aetna's chief medical officer
Cathy Moffitt, MD, has been a senior vice president at CVS Health and chief medical officer at Aetna since late 2022. She sat down with Becker's to discuss the organization's medical strategy as older adults seek services post-pandemic and the cost of care continues to rise. -
Medicare Advantage plan facing termination challenges star ratings methodology
A Medicare Advantage insurer facing termination of one of its contracts from the program is suing CMS over the methodology it uses to calculate star ratings. -
Medicare Advantage in the headlines: 8 recent updates
More providers are dropping Medicare Advantage plans, and lawmakers are pressing CMS over proposed payment rates to the program.
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Elevance, Highmark appoint chief marketing officers
Highmark Health has promoted Craig Riner to executive vice president and chief marketing officer, and Elevance Health has named its chief strategy officer, Kyle Weber, as interim CMO. -
6 most innovative payers, per Fortune
Out of the 200 companies named by Fortune as the most innovative in 2024, six are health insurers. -
CMS to cut red tape for Medicaid, CHIP enrollment in final rule
CMS finalized new rules that are intended to eliminate barriers to Medicaid and CHIP access. -
7 recent payer lawsuits, settlements
From UnitedHealth Group facing multiple lawsuits in the fallout of the Change Healthcare cyberattack to Walgreens agreeing to pay a $360 million settlement to Humana, here are seven lawsuits, settlements and legal developments involving payers that Becker's has reported since Jan. 8:
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UnitedHealth looks to power nearly 90% of U.S. business through solar
UnitedHealth Group has launched two new renewable energy initiatives aimed at supplying the company with 89% of its domestic energy needs and 58% of its global energy load. -
What 5 recent studies found about Medicare Advantage
Recent research on Medicare Advantage has highlighted differences in the amount of at-home care beneficiaries in MA and fee-for-service Medicare receive, and studied the potential effects of CMS' proposed benchmark payments in 2025. -
When it comes to Medicare Advantage, couples stick together
Older couples typically enroll and disenroll in Medicare Advantage plans together, a study published in JAMA found. -
How Centene's WellCare is creating custom SDOH outreach across Kentucky
Measuring the return on investment for social determinants of health initiatives is no easy task for managed care organizations, but Centene's Medicaid plan in Kentucky, WellCare, is using members' data to create customized and local solutions aimed at improving health outcomes across the state.
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The biggest investments 21 payer, healthcare execs will make this year
Leaders in the payer space are investing in new technologies, population health and their teams in 2024. -
Molina's 5 highest-earning executives in 2023
Molina Healthcare CEO Joseph Zubretsky was paid $21.5 million in total compensation in 2023, down from $22.1 million 2022. -
3 Medicaid work requirement program updates
Here are three updates on state efforts to expand Medicaid with work requirements: -
Medicare spending on weight loss drugs through the roof
Medicare total spending hit $5.7 billion in 2022 for GLP-1 drugs such as Ozempic, Wegovy and Mounjaro, up from $57 million in 2018, according to a March 22 KFF analysis. -
New York medical group drops Humana Medicare Advantage across 70 practices
Community Care Physicians, a Latham, N.Y.-based multispecialty medical group, went out of network with Humana Medicare Advantage plans on March 13. -
Humana wants Medicare Advantage AI lawsuit thrown out
Humana is seeking to dismiss a class action lawsuit alleging the insurer used an AI algorithm to wrongfully deny Medicare Advantage beneficiaries care. -
Where Johns Hopkins Health Plans is driving growth, facing headwinds in 2024
Johns Hopkins Health Plans serves more than 470,000 members across managed care and commercial health plans. -
Lawyers made millions from Centene settlements: Report
Private lawyers made at least $108 million in fees from payments Centene made to states to settle overcharging allegations, The New York Times reported March 21. -
6 payers among top-rated workplaces, per their employees
Six insurers are among Top Workplace's 2024 honorees.
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