Today's Top 20 Stories
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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: -
CMS finalizes marketplace network rules: 5 things to know
CMS finalized several proposed changes to regulations for the ACA marketplace in 2025. -
Why higher Medicare Advantage utilization wasn't reflected in 2025 rates
CMS has finalized a slight decrease in Medicare Advantage benchmark payments for 2025, despite large insurers reporting rising costs and utilization among MA members.
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Aetna names Medicare chief medical officer
Aetna has named Ali Khan, MD, as chief medical officer for Medicare and dual-eligible beneficiaries. -
Rising medical costs offset revenue gains for Independence Blue Cross
Investment income drove a $377 million net income for Independence Blue Cross in 2023. -
Cigna, ProMedica split
Cigna and Toledo, Ohio-based ProMedica are out of network as of April 1. -
Centene's scrapped East Coast campus sold
Investment advisory firm Vanguard Group is acquiring the Charlotte, N.C.-based office campus that was once planned to be Centene's East Coast headquarters, the Charlotte Business Journal reported April 2.
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Weight loss drugs ranked by Medicare Part D spend
Medicare total spending hit $5.7 billion in 2022 after rebates for GLP-1 drugs such as Ozempic, Wegovy and Mounjaro, up from $57 million in 2018, according to a March 22 KFF analysis. -
BCBS must face antitrust conspiracy claims from Ford Motor, judge rules
A federal judge has ruled that the Blue Cross Blue Shield Association and BCBS Michigan must face a lawsuit from Ford Motor Co. over an alleged antitrust conspiracy among Blues plans to fix healthcare prices, thereby overcharging Ford for health insurance provided to its employees. -
Medicare premiums may rise as plans move to cover Wegovy
Wegovy was approved in March to reduce the risk of heart attack and stroke in adults with heart disease, paving the way for Medicare coverage of weight loss drugs. Now, healthcare policy experts anticipate monthly premiums for millions of Medicare enrollees could increase by 2026, though the amount by which prices may jump remains to be seen. -
CMS finalizes 2025 Medicare Advantage rates
CMS finalized a slight decrease in Medicare Advantage benchmark payments for 2025.
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Home Depot asks Supreme Court to rule on $2.7B BCBS antitrust settlement
Home Depot has asked the U.S. Supreme Court to consider its challenge to a $2.67 billion settlement with Blue Cross Blue Shield companies following a decade long legal battle over alleged anticompetitive behavior. -
UnitedHealth's new president: 5 things to know
UnitedHealth Group CFO John Rex took on the additional role of president effective April 1. -
Medicaid redeterminations 1 year later: 10 numbers to know
It's now been one year since the first states began redetermining Medicaid eligibility following a three-year period of continuous coverage enrollment during the COVID-19 public health emergency. -
UnitedHealth Group in the headlines: 12 updates
From the Senate Finance Committee planning a hearing with CEO Andew Witty to regulators reviewing the company's proposed acquisition of Amedisys, here are 12 updates on UnitedHealth Group that Becker's has reported since March 15: -
MVP Health Care names president of health management
MVP Health Care has named Richard Dal Col, MD, as president of health management and provider & network strategy. -
Elevance Health's 5 highest-earning executives in 2023
Elevance Health CEO Gail Boudreaux was paid $21.9 million in total compensation in 2023, up from $20.9 million in 2022. -
9 payers cutting jobs | 2024
Payers are trimming their workforces and cutting jobs due to financial or operational challenges, along with restructuring strategies. -
Health insurance executive moves | 2024
Payer executive moves reported by Becker's in 2024: -
Switching to high deductible health plans tied to diabetes complications
Switching to a high-deductible health plan was tied to higher likelihood of diabetes complications, a study published March 22 in JAMA Open Network found.
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