Today's Top 20 Stories

  1. 3 former UnitedHealth executives becoming CEOs

    Andrew Cass -
    Three former UnitedHealth executives were recently named CEOs of healthcare companies:

  2. Humana: Change hack affecting payers' ability to gauge medical expenses

    Andrew Cass -
    Humana executives said the cyberattack on Change Healthcare is making it harder for payers to gauge their medical expenses, Bloomberg reported March 5. 

  3. Lifespan may no longer accept Cigna insurance

    Madeline Ashley -
    Providence, R.I.-based Lifespan, the state's biggest health system, might not accept Cigna Healthcare insurance moving forward if an agreement over contract negotiations cannot be met by March 31.

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  1. Centene's canceled East Coast HQ site attracting suitors

    Andrew Cass -
    Centene's canceled East Coast headquarters in Charlotte, N.C., is gaining interest from potential buyers, the Charlotte Business Journal reported March 4. 

  2. Excellus BCBS posts first loss in 15 years

    Andrew Cass -
    Excellus BlueCross BlueShield reported a net loss of $23 million in 2023, its first loss since 2008, NPR affiliate WXXI reported March 4. 

  3. Arkansas system splitting with UnitedHealthcare

    Andrew Cass -
    Starting May 1, Jonesboro, Ark.-based St. Bernards Medical Center and all its related inpatient and outpatient facilities will be out of network with UnitedHealthcare. 

  4. CMS ups 4 Elevance Medicare Advantage star ratings

    Andrew Cass -
    Four Elevance Health Medicare Advantage contracts will have higher 2024 star ratings because CMS updated the original ratings announced in October, according to a March 4 regulatory filing from the payer. 

How one Midwest hospital is driving financial efficiency with interconnected systems

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  1. 4 payers among world's 'most ethical' companies

    Andrew Cass -
    Ethisphere Institute, a for-profit company that defines and measures corporate ethical standards, released its 2024 list of the "World's Most Ethical Companies," which includes health insurers. 

  2. Former UnitedHealthcare exec named Genuine Health Group CEO

    Andrew Cass -
    Genuine Health Group, a physician enablement platform that helps physicians transition to value-based care, has named former UnitedHealthcare executive Roger Rodriguez CEO. 

  3. Appellate court to hear arguments in Texas ruling tossing ACA preventive care provision

    Andrew Cass -
    A federal appellate court will hear arguments March 4 on the Biden administration's appeal of a judge's ruling that struck down an ACA provision that requires insurance companies to provide coverage for preventive services such as certain cancer screenings and HIV prevention drugs. 

  4. Aetna reports some disruptions from Change hack

    Rylee Wilson -
    The Change Healthcare hack is disrupting some of Aetna's business operations, including possible disruptions in payments to providers. 

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. BCBS Michigan sees narrow net gain amid 'massive' medical costs

    Rylee Wilson -
    Blue Cross Blue Shield of Michigan reported a $3.2 billion increase in medical costs in 2023. 

  2. 10 providers seeking payer contracting talent

    Andrew Cass -
    Ten hospitals and health systems recently posted job listings seeking revenue cycle management expertise.

  3. What UnitedHealth Group's CEO has said about the UHC-Optum relationship

    Andrew Cass -
    The Justice Department reportedly has opened an antitrust investigation into UnitedHealth Group and in recent weeks has been interviewing healthcare industry representatives about issues including relationships between the company's UnitedHealthcare and Optum units. 

  4. Virginia awards Medicaid contracts; Molina loses out

    Rylee Wilson -
    Virginia awarded Medicaid managed care contracts to five insurers. 

  5. Cigna, Trinity Health of New England strike new deal

    Andrew Cass -
    Cigna has reached a new multiyear agreement with Trinity Health of New England's Connecticut facilities, the Hartford Business Journal reported Feb. 29.

  6. Highmark launches diversified business segment

    Rylee Wilson -
    Highmark Health launched Alloyed Works, a new segment for its diversified business and health services offerings. 

  7. Medicare Advantage in the headlines: 10 recent updates

    Rylee Wilson -
    Insurers are pushing back against CMS' proposed Medicare Advantage rates for 2025, and an Anthem Medicare Advantage contract is under fire from New Hampshire state officials. 

  8. 2 Medicaid work requirement updates

    Andrew Cass -
    The Mississippi House advanced Medicaid expansion legislation that includes work requirements, while South Dakota lawmakers are putting a ballot issue on work requirements before voters in November. 

  9. Humana's 5 highest-earning executives in 2023

    Rylee Wilson -
    Humana President and CEO Bruce Broussard was paid $16.3 million in 2023, according to the company's annual proxy report published Feb. 22. 

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