Today's Top 20 Stories
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7 prior authorization updates
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. -
Clover Health faces delisting threat for 2nd time
For the second time in just shy of a year, Clover Health is facing a possible Nasdaq delisting. -
CVS Health's 5 highest-paid executives in 2023
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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Payer outlook clouded by rising Medicare utilization: Fitch
A Medicare utilization surge in the fourth quarter of 2024 is clouding the health insurance industry's outlook in 2024, according to an April 8 report from Fitch Ratings shared with Becker's. -
5 payer M&A updates
From UnitedHealth Group's plans to buy a physician group from Steward Health Care to Elevance buying Kroger's speciality pharmacy business, here are five payer merger and acquisition updates that Becker's reported since March 15: -
3 things to know about UnitedHealthcare's new Medicare president
UnitedHealthcare recently named Robert Hunter president of its Medicare business. -
BCBS Massachusetts boosting reimbursement rates to small primary care practices
Blue Cross Blue Shield of Massachusetts is increasing reimbursement rates to qualifying small, independent primary care practices.
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Aetna, Dignity cut ties across California, Arizona, Nevada
Aetna's commercial and Medicare Advantage plans went out of network with Dignity Health facilities in California, Arizona and Nevada on April 4. -
5 payers among Newsweek's most trustworthy companies in 2024
Aetna and UnitedHealth Group earned spots on Newsweek's list of the most trustworthy companies in 2024. -
Oscar Health's ACA bet starts to pay off
Of the 24 start-up companies selling insurance when the ACA market first opened, Oscar Health is the last one standing. -
CMS finalizes 2025 Medicare Advantage rule: 11 key updates
CMS issued its final 2025 Medicare Advantage and Part D rule April 4, setting new standards around marketing, broker payments, and prior authorization.
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Why one payer CEO feels good about CMS' Medicare Advantage rates
Clover Health CEO Andrew Toy feels good about CMS' 2025 Medicare Advantage rates. -
CareFirst BCBS offers support in wake of Baltimore bridge collapse
CareFirst BlueCross BlueShield is offering space in its Baltimore headquarters for Small Business Administration employees assisting business owners in the wake of the Francis Scott Key Bridge collapse. -
7 recent UnitedHealth leadership moves
From CEO to COO, these are seven moves from top executives that have taken place this year across UnitedHealth Group's core lines of business: -
Healthcare services ranked by Medicare Advantage utilization increases
Medicare Advantage plans saw utilization rates rise 8.1% in the fourth quarter of 2023, primarily driven by outpatient and emergency room services, according to an AHIP survey. -
UnitedHealthcare names Medicare president
UnitedHealthcare has named Robert (Bobby) Hunter as president of its Medicare business. -
Aetna, Horizon BCBS snag New Jersey state employee benefits contracts
Nearly 600,000 New Jersey state and public school employees, along with their dependents, now have the choice to enroll in health plans offered by Aetna and Horizon Blue Cross Blue Shield of New Jersey. -
3 Optum M&A updates
Optum could soon purchase Steward's physician group, a clinic chain in Oregon and home health provider Amedisys. -
Point32Health to make prior authorization cuts
The parent company of Harvard Pilgrim Health Care and Tufts Health Plan is updating prior authorization for home health services as it conducts a larger review of its requirements. -
Centene in the headlines: 8 updates
From Vanguard Group acquiring the sale of its scrapped East Coast campus, to completing the sale of its U.K. companies, here are eight updates on Centene that Becker's has reported since Feb. 6:
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