Today's Top 20 Stories
  1. Senators eye dual-eligible changes: 5 things to know

    A bipartisan group of senators is introducing legislation to require states to offer integrated Medicaid and Medicare plans to dual-eligible beneficiaries. 
  2. Feds sue 6 health plans for allegedly hiding overpayments

    The Justice Department is suing six health plans participating in the Uniformed Services Family Health Plan program for allegedly concealing overpayments for services provided to retired military members and their families. 
  3. Medicare Advantage in the headlines: 9 recent updates

    Several new studies uncovered differences between Medicare Advantage and fee-for-service, and CMS is calling on Medicare Advantage organizations to extend advanced funding to providers affected by the Change Healthcare outage. 

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  1. California names Medicaid director

    California has appointed Tyler Sadwith as the state's Medicaid director. 
  2. 15 payers among Newsweek's greatest workplaces for women in 2024

    Newsweek has published its 2024 "America's Greatest Workplaces for Women" ranking, which includes 15 health insurers.
  3. Feds select 32 health plans for U.S. Postal Service contract

    The U.S. Office of Personnel Management has selected 32 health plans to administer health benefits for U.S. Postal Service employees and their families.
  4. Optum Financial Services names CEO

    Optum Financial Services has named Dhivya Suryadevara as CEO.

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  1. Washington state fines Molina Healthcare for enrollment, billing errors

    The Washington state insurance commissioner's office fined Molina Healthcare of Washington $100,000 for enrollment and billing errors. 
  2. Medicare Advantage beneficiaries receive fewer days of at-home care: Study

    Medicare Advantage beneficiaries received less at-home care than their counterparts in fee-for-service Medicare, a study published March 1 in JAMA Health Forum found. 
  3. Inside Highmark's Change attack response

    Highmark Health has launched an advance funding program for providers struggling with cash flow in the wake of the Change Healthcare attack. 
  4. 5 prior authorization updates

    From HHS asking insurers to pause prior authorizations in the wake of the change Healthcare cyberattack to a report finding that Medicare Part D plans have ramped up restrictions on prescription drugs, here are five updates on prior authorization Becker's has reported since Feb. 15: 

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  1. AMA calls for list of payers offering advanced provider payments following Change hack

    The American Medical Association is asking for more flexibility and resources from the federal government for providers that continue to face disruptions from the Change Healthcare hack in late February.
  2. Humana's top execs could collectively make $75M if M&A deal occurs 

    Humana's top executives could collectively be paid more than $75 million if they leave the company or a change in control occurs, according to regulatory documents filed with the SEC on March 8.
  3. White House urges UnitedHealth CEO to do more in wake of Change attack

    Officials with the Biden administration met with UnitedHealth Group CEO Andrew Witty on March 12, urging the company to provide more emergency funding to healthcare providers facing significant financial disruptions from a cyberattack on its subsidiary, Change Healthcare, people familiar with the meeting told The Washington Post. 
  4. AHIP, HHS diverge on relaxing prior authorizations after Change attack

    Suspending prior authorization requirements as providers continue to to face disruptions from the Change Healthcare hack could do more harm than good, according to AHIP. 
  5. 2 payers among nation's best startup employers in 2024

    Two new players in the health insurance space have been named among the best startups to work for in the U.S. in 2024 by Forbes.
  6. 9 states that could see more Medicare Advantage dollars in 2025

    Medicare Advantage beneficiaries in a few states could see increased supplemental benefits or reduced cost sharing in 2025, according to estimates from Berkeley Research Group. 
  7. Optum looks to fast-track Oregon clinic purchase amid solvency 'emergency'

    UnitedHealth Group's Optum is seeking to fast-track its proposed purchase of Corvallis (Ore.) Clinic, citing an urgent need to "maintain the solvency" of the physician-owned organization.
  8. Aetna, NewYork-Presbyterian 'far apart' as contract deadline nears

    New York City-based NewYork-Presbyterian could go out of network with Aetna if the sides are unable to reach a new contract agreement by March 31, The Journal News reported March 12. 
  9. Why primary care may cost less in Medicare Advantage

    Selective contracting with primary care physicians may be one factor behind lower per-patient expenses in Medicare Advantage, a study published in the March edition of Health Affairs found. 

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