Today's Top 20 Stories
  1. Idaho legislator introduces bill that could repeal Medicaid expansion

    A proposed bill in Idaho would repeal Medicaid expansion if the state does not implement work requirements and enrollment limits in the program, Idaho Press reported Jan. 22. 
  2. How UnitedHealthcare is using price transparency within its fastest growing health plan

    UnitedHealthcare's deductible-free and fastest growing commercial health plan, Surest, is saving money for employers and employees by offering a shoppable healthcare experience.
  3. 4 prior authorization updates

    From the finalization of a rule CMS estimates will save $15 billion over 10 years to the implementation of another, here are four prior authorization updates Becker's has reported on since Dec. 29:

Smart Medicare Advantage Plans Invest In Caregiver Support

Sponsored
Health plans that build relationships with caregivers are at a distinct advantage - This free eBook will show you why and how.
  1. Delaware committee advises against Medicare Advantage for state retirees

    A state committee is recommending Delaware cast aside any plans to provide retired state employees health benefits through Medicare Advantage. 
  2. Cigna's top healthcare trends for 2024

    Cigna is expecting employers to turn their attention to virtual care, social determinants of health and behavioral care in 2024. 
  3. MedPAC mulls standardizing Medicare Advantage supplemental benefits

    The Medicare Payment and Advisory Commission is considering standardizing the supplemental benefits Medicare Advantage insurers can offer, to make it easier for beneficiaries to compare plans. 
  4. 10 payers that lost Medicare Advantage members for 2024

    While overall Medicare Advantage enrollment grew 2.5% during the annual enrollment period, several payers saw their membership decline, according to an analysis published by Baltimore Health Analytics.

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. 10 providers seeking payer contracting talent

    Ten providers recently posted job listings seeking leaders in payer contracting and relations.
  2. Centene names Medicare CEO

    Centene has named Michael Carson as president and CEO of Wellcare, its Medicare Advantage business. 
  3. Payers ranked by Medicare Advantage enrollment in 2024 

    UnitedHealth is still the largest Medicare Advantage carrier in the country, while CVS Health recorded 15% growth in MA membership during the annual enrollment period, according to an analysis published by Baltimore Health Analytics.
  4. UnitedHealthcare launches new vendor hub for employers

    UnitedHealthcare is launching a new curated vendor hub aimed at connecting self-funded employers and their employees to health services. 

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. Highmark snags Medicaid contract in West Virginia

    West Virginia has awarded Highmark Blue Cross Blue Shield of West Virginia a four-year Medicaid managed care contract.
  2. Medicaid disenrollments top 15 million: 5 things to know

    More than 15 million people have been disenrolled from Medicaid since April 2023, surpassing HHS' original estimates with several months left in the redeterminations process. 
  3. New Hampshire awards Medicaid contracts

    New Hampshire has awarded three payers contracts to manage the state's Medicaid managed care programs. 
  4. Independence Blue Cross names national market president

    Independence Blue Cross has named Joe Geist as senior vice president and president of national markets. 
  5. Medicare Advantage in the headlines: 10 recent updates

    Several insurers reported higher-than-expected medical costs in Medicare Advantage, and federal regulators predicted the program would receive billions in overpayments in 2024. 
  6. Senators file bill to ban federally-funded health coverage for undocumented individuals 

    A group of Republican senators have introduced legislation that would ban the use of federal funding to expand state Medicaid benefits to undocumented residents.
  7. 'ICHRA's time has come': 5 market updates

    There are major disruption opportunities ahead in the employer group insurance market by way of individual exchange coverage, and some payers are hedging their bets on the market through a newer product: ICHRAs.
  8. Higher medical costs will hurt 2023 earnings, Humana reports

    Humana is expecting higher medical costs and lower Medicare Advantage enrollment to hurt its year-end earnings. 
  9. Appeals court upholds UnitedHealth win in facility fee case

    A federal appeals court upheld UnitedHealth Group's win in a class-action lawsuit by more than 200 physicians who said they were not paid facility fees for office-based surgeries. 

Top 40 articles from the past 6 months