Today's Top 20 Stories

  1. Elevance Health strikes primary care deal with private equity firm

    Rylee Wilson -
    Elevance Health will enter a partnership with private equity firm Clayton, Dubilier & Rice to develop advanced primary care models. 

  2. Blue Cross Blue Shield in the headlines: 5 updates

    Jakob Emerson -
    From new university partnerships to the launch of reproductive care teams, these are five key updates about Blue Cross Blue Shield companies recently reported by Becker's:

  3. Florida to award 5 Medicaid contracts

    Jakob Emerson -
    Florida intends to award contracts to five organizations to administer its Medicaid managed care program, which provides health coverage to more than 3.4 million people, per Florida Politics.

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  1. AHIP criticizes hospital lobby's response to Change hack

    Giles Bruce -
    AHIP's chief executive criticized the hospital lobby's response to the Change Healthcare cyberattack as "opportunistic" and "maintaining the status quo."

  2. 1 in 4 of those disenrolled from Medicaid are uninsured: 5 things to know

    Rylee Wilson -
    Around 1 in 4 Medicaid beneficiaries disenrolled during the redeterminations process are now uninsured, according to a survey from KFF. 

  3. Feds investigating if Sentara's payer arm unfairly increased premiums

    Andrew Cass -
    The Justice Department is investigating whether Norfolk, Va.-based Sentara Health's insurance arm unfairly increased premiums in 2018 and 2019 as it received more than $655 million in federal subsidies, The Virginian-Pilot reported April 9. 

  4. Florida Blue names west market president

    Rylee Wilson -
    Florida Blue has named Phillip Lee as market president for West Florida. 

How one Midwest hospital is driving financial efficiency with interconnected systems

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  1. Insurers fall short on digital experience: 3 things to know

    Rylee Wilson -
    Health insurance lags behind other industries when it comes to customers' experiences with digital platforms, according to a report from J.D. Power. 

  2. BCBS Louisiana tells employees to come back to the office

    Rylee Wilson -
    Blue Cross Blue Shield of Louisiana is asking its employees to return to the office after four years of remote work, Nola.com reported April 11. 

  3. Elevance Health to acquire New York Medicaid plan

    Rylee Wilson -
    Elevance Health plans to acquire Centers Plan for Healthy Living, a New York-based Medicaid long-term care plan. 

  4. BCBS of Rhode Island reports $26M operating loss in 2023

    Andrew Cass -
    Blue Cross & Blue Shield of Rhode Island reported a $26 million operating loss in 2023, which it said reflected a "substantial surge in medical and pharmacy claims."

How one Midwest hospital is driving financial efficiency with interconnected systems

Sponsored
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. UnitedHealth chairman, executives sold stock before probe became public: Bloomberg

    Andrew Cass -
    Bloomberg reported April 11 that UnitedHealth Group's chairman and three of the company's executives made a combined $101.5 million from stock sales made over a four-month period leading up to the public becoming aware of a Justice Department antitrust investigation. 

  2. Michigan awards Medicaid contracts to 9 payers

    Jakob Emerson -
    Michigan has awarded contracts to 9 payers to administer its managed Medicaid program, which serves nearly 2 million people across 10 regions.

  3. Groups unveil value-based care playbook

    Andrew Cass -
    AHIP, the American Medical Association and the National Association of ACOs have released a playbook of voluntary best practices for value-based care payment arrangements. 

  4. 10 providers seeking payer contracting talent

    Andrew Cass -
    Ten providers recently posted job listings seeking leaders in payer contracting and relations.

  5. Meet UnitedHealth's executive team

    Andrew Cass -
    UnitedHealth Group has made several executive leadership moves in 2024, including adding president to CFO John Rex's title and naming Heather Cianfrocco Optum's CEO. 

  6. Investigation reveals UnitedHealth, Cigna, Aetna made millions in fees from out-of-network claims

    Rylee Wilson -
    Major insurers made millions in fees by using MultiPlan, a data analytics firm, to determine how much to pay providers for out-of-network claims, according to an investigation from The New York Times. 

  7. 7 prior authorization updates

    Andrew Cass -
    From Point32Health announcing home health prior authorization cuts to a state's proposed gold carding program legislation failing, here are seven updates on prior authorization that Becker's has reported since March 21.   

  8. Clover Health faces delisting threat for 2nd time

    Andrew Cass -
    For the second time in just shy of a year, Clover Health is facing a possible Nasdaq delisting. 

  9. CVS Health's 5 highest-paid executives in 2023

    Andrew Cass -
    CVS CEO Karen Lynch was paid $21.6 million in total compensation in 2023, according to a regulatory filing published April 5.  

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