Today's Top 20 Stories

  1. BCBS Michigan sees narrow net gain amid 'massive' medical costs

    Rylee Wilson -
    Blue Cross Blue Shield of Michigan reported a $3.2 billion increase in medical costs in 2023. 

  2. 10 providers seeking payer contracting talent

    Andrew Cass -
    Ten hospitals and health systems recently posted job listings seeking revenue cycle management expertise.

  3. What UnitedHealth Group's CEO has said about the UHC-Optum relationship

    Andrew Cass -
    The Justice Department reportedly has opened an antitrust investigation into UnitedHealth Group and in recent weeks has been interviewing healthcare industry representatives about issues including relationships between the company's UnitedHealthcare and Optum units. 

The state of AI in healthcare

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  1. Virginia awards Medicaid contracts; Molina loses out

    Rylee Wilson -
    Virginia awarded Medicaid managed care contracts to five insurers. 

  2. Cigna, Trinity Health of New England strike new deal

    Andrew Cass -
    Cigna has reached a new multiyear agreement with Trinity Health of New England's Connecticut facilities, the Hartford Business Journal reported Feb. 29.

  3. Highmark launches diversified business segment

    Rylee Wilson -
    Highmark Health launched Alloyed Works, a new segment for its diversified business and health services offerings. 

  4. Medicare Advantage in the headlines: 10 recent updates

    Rylee Wilson -
    Insurers are pushing back against CMS' proposed Medicare Advantage rates for 2025, and an Anthem Medicare Advantage contract is under fire from New Hampshire state officials. 

How one Midwest hospital is driving financial efficiency with interconnected systems

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  1. 2 Medicaid work requirement updates

    Andrew Cass -
    The Mississippi House advanced Medicaid expansion legislation that includes work requirements, while South Dakota lawmakers are putting a ballot issue on work requirements before voters in November. 

  2. Humana's 5 highest-earning executives in 2023

    Rylee Wilson -
    Humana President and CEO Bruce Broussard was paid $16.3 million in 2023, according to the company's annual proxy report published Feb. 22. 

  3. 5 payers join White House food security initiative

    Rylee Wilson -
    Several payers are making commitments to advance a White House initiative to end hunger and reduce diet-related disease by 2030. 

  4. South Dakota puts Medicaid work requirement question on ballot

    Andrew Cass -
    South Dakota voters will decide in the November election if the state can implement work requirements on its Medicaid expansion population, the Sioux Falls Argus Leader reported Feb. 27. 

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. CareSource to pick up ACA co-op plan

    Rylee Wilson -
    CareSource plans to affiliate with one of the last surviving ACA co-op plans. 

  2. UnitedHealth Group cybersecurity incident not expected to affect ratings: Fitch, Moody's

    Andrew Cass -
    UnitedHealth Group's Change Healthcare reported a cybersecurity incident Feb. 21 that disrupted connectivity and healthcare operations nationwide, but Fitch Ratings and Moody's are not expecting the event to affect UnitedHealth's ratings. 

  3. Justice Department begins antitrust investigation into UnitedHealth

    Madeline Ashley -
    The Justice Department has begun an antitrust investigation into UnitedHealth Group, The Wall Street Journal reported Feb. 27.

  4. Walgreens to offer online shopping with Medicare Advantage benefits

    Rylee Wilson -
    Walgreens will allow Medicare Advantage members to purchase products using supplemental benefits online. 

  5. 10 states that could see largest Medicare Advantage cuts in 2025

    Rylee Wilson -
    Medicare Advantage beneficiaries in Nevada could see their supplemental benefits reduced or cost-sharing increase by over $90 each month in 2025, according to estimates from Berkeley Research Group. 

  6. Press Ganey chief medical officer joins BCBS Massachusetts board

    Andrew Cass -
    Thomas Lee, MD, Press Ganey's chief medical officer, has joined Blue Cross Blue Shield of Massachusetts' board of directors. 

  7. Elevance Health launches weight management program

    Rylee Wilson -
    CarelonRx, Elevance Health's pharmaceutical benefits arm, will launch a digital weight management program. 

  8. The best changes 33 healthcare leaders made this year

    Rylee Wilson -
    Leaders in the payer space are making changes to simplify members' experiences, improve equity and level-up the way their teams work together. 

  9. Medicare Advantage members could see $396 benefit cut in 2025

    Rylee Wilson -
    Medicare Advantage beneficiaries could see their supplemental benefits reduced or cost-sharing increase by $33 a month on average in 2025, according to an analysis from the Berkeley Research Group. 

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