Today's Top 20 Stories
-
Indiana system dropping Aetna, Humana Medicare Advantage plans
Community Healthcare System is dropping two Medicare Advantage plans, citing unreasonable denials and delayed payments, The Times of Northwest Indiana reported Feb. 20. -
Longtime UnitedHealth exec named CEO of dental benefits administrator
Dental benefits administrator Liberty Dental Plan has named longtime UnitedHealth Group executive Tom Choate president and CEO. -
OIG: Trinity's Medicare Advantage plan received estimated $3.7M in overpayments
MediGold, the Medicare Advantage subsidiary of Livonia, Mich.-based Trinity Health, received an estimated $3.7 million in net Medicare Advantage overpayments in 2017 and 2018, according to an audit from HHS' Office of Inspector General published Feb. 16.
-
What's behind Aetna's industry-leading Medicare Advantage growth?
It's no secret that big insurers are facing challenges in the Medicare Advantage space, leaving enrollment growth flat or even on the decline for much of the industry in 2024. -
BCBS Massachusetts names chief people officer
Blue Cross Blue Shield of Massachusetts has named Simmi Singh as chief people officer and executive vice president. -
Friday Health collapse spurs consumer protection bill in Colorado
Colorado lawmakers are considering a bill that would prevent customers from incurring extra out-of-pocket costs if their insurer goes bankrupt in the middle of the year. -
Medicaid programs embrace doula care
Thirteen states provide doula coverage through their Medicaid programs, and another 12 are in the process of implementing coverage, according to a report from the Elevance Health Public Policy Institute.
-
Mississippi lawmakers push Medicaid expansion bill with work requirements
Mississippi lawmakers have introduced a bill that would expand Medicaid for an estimated 250,000 residents, ABC affiliate WAPT reported Feb. 19. -
Payers urge 'stability' from CMS on Medicare Advantage
CMS needs to do more to account for rising utilization rates in Medicare Advantage, the Better Medicare Alliance argued. -
3 Medicaid redetermination updates
Nearly 17 million people have been disenrolled from Medicaid since April 2023. -
Medicare Advantage enrollees receive less postacute care: Study
Medicare Advantage enrollees received less intensive postacute care than their counterparts in traditional Medicare, but did not have a significant change in short-term outcomes, a study published Feb. 16 in JAMA Health Forum found.
-
Blue Cross Blue Shield in the headlines: 5 updates
From canceled acquisitions to contract challenges in court, these are five key updates about Blue Cross Blue Shield companies reported by Becker's in 2024: -
Top challenges, opportunities facing insurance industry in 2024, per 350 execs
Technology modernization and the alignment of investments with organizational goals, along with picking the right vendor to partner with, are top of mind for payer executives in 2024, according to a Jan. 30 survey published by digital solutions firm HealthEdge. -
As workers stay remote, insurers are leaving headquarters behind
With fewer employees spending five days a week in-office, two of the nation's largest insurers are consolidating their headquarters. -
Nebraska lawmakers mull Medicaid coverage of weight loss drugs
Nebraska lawmakers are considering requiring the state's Medicaid program to cover GLP-1 drugs, the Omaha World-Herald reported Feb. 15. -
UnitedHealthcare names chief operating officer
UnitedHealthcare has named Michael Baker as chief operating officer. -
'One of the challenges is ubiquity': How CareFirst's CEO is driving local healthcare on the national stage
Brian Pieninck has led CareFirst BlueCross BlueShield as president and CEO for nearly six years, and he was recently elected as chair of the Blue Cross and Blue Shield Association's board of directors. -
Medicare Advantage in the headlines: 10 recent updates
It has been a busy few weeks for Medicare Advantage policy. CMS proposed a slight cut in benchmark rates, and payer executives were split on the impact of rising costs in the business. -
Some health systems ditch their health plans
Some health systems are getting out of the insurance business. -
Payers ranked by Medicaid losses in 2023
Medicaid redeterminations began in April 2023, and all major payers have released their 2023 earnings, revealing which recorded the largest enrollment losses in the Medicaid market.
Page 13 of 50