Today's Top 20 Stories
  1. Kentucky prior authorization gold carding bill 'dead'

    Proposed legislation in Kentucky to create a gold carding program for prior authorization requests has failed, the Winchester Sun reported March 29.
  2. UnitedHealthcare's fastest growing commercial plan: 10 numbers to know 

    UnitedHealthcare's Surest is the organization's fastest growing commercial health plan, boasting no deductibles and a shoppable healthcare experience built around price transparency.
  3. Centene's 5 highest-earning executives in 2023

    Centene CEO Sarah London was paid $18.6 million in total compensation in 2023, up from $13.2 million in 2022. 

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  1. UnitedHealth Group names president

    UnitedHealth Group has named CFO John Rex as president of the company. 
  2. Blue Shield of California, Kaiser sign on to $10M safety initiative amid crime concerns

    Kaiser Permanente and Blue Shield of California are joining a $10 million initiative to improve employee safety in Oakland, Calif. 
  3. CMS to extend ACA signup window for those losing Medicaid coverage

    CMS will extend a special enrollment period for ACA coverage with the goal of getting more people losing Medicaid insured. 
  4. Elevance, Kaiser, CVS Medicare plans will cover Wegovy in certain cases

    Several major insurers will cover the weight-loss drug Wegovy for Medicare members with certain heart conditions, the Wall Street Journal reported March 28. 

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  1. UnitedHealthcare, UNC Health strike deal

    Chapel Hill, N.C.-based UNC Health and UnitedHealthcare agreed to a new multi-year contract just days before their current contract was set to expire. 
  2. Largest payers' membership mix

    The largest payers have a higher share of commercial and Medicare members than smaller plans, according to an analysis from Mark Farrah Associates. 
  3. Biden cracks down on junk health plans

    The Biden administration is cracking down on short-term 'junk' health plans that can leave members with poor coverage and large medical expenses.
  4. Why Blue Shield of California partners with Big Tech

    Blue Shield of California is working with big tech companies to provide an improved digital experience for members and better coordinate their care, its chief technology officer told Becker's.

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. 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.
  2. 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. 
  3. 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. 
  4. 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.
  5. 6 most innovative payers, per Fortune

    Out of the 200 companies named by Fortune as the most innovative in 2024, six are health insurers. 
  6. 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. 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: 
  8. 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.
  9. 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. 

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