Today's Top 20 Stories
  1. UnitedHealth Group's president and COO to retire

    UnitedHealth Group president and COO Dirk McMahon plans to retire April 1. 
  2. Payer execs sweat proposed Medicare Advantage rates

    Payer executives are not happy with CMS' proposed Medicare Advantage rates for 2025. 
  3. California payer drops 4 Prime hospitals

    CalOptima, a Medicaid insurer in Orange County, Calif., terminated its contract with four hospitals owned by Ontario, Calif.-based Prime Healthcare on Feb. 5.

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  1. Humana study builds on health literacy efforts

    Asking Medicare Advantage members a single question over the phone can help determine their health literacy status, a study from Humana published in the American Journal of Managed Care Feb. 7 found. 
  2. Cigna's Medicare sale is an uphill battle for HCSC: Moody's

    It's going to be a difficult task for Health Care Service Corp. to turn Cigna's Medicare business into a financially successful endeavor, according to a Moody's analysis shared with Becker's.
  3. Payers ranked by medical loss ratios in 2023

    The nation's largest payers have filed their fourth-quarter earnings reports, revealing how medical loss ratios changed year over year.
  4. Georgia sues federal government over Medicaid work program

    Georgia is suing the Biden administration to keep the state's partially expanded Medicaid expansion program running until Sept. 30, 2028, the Georgia Recorder reported Feb. 2. 

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  1. Big payers ranked by 2023 revenue

    The nation's largest payers have filed their fourth-quarter earnings reports, revealing which recorded the largest revenues in 2023.
  2. The 10 best payer tools, per KLAS

    KLAS Research, a healthcare IT data and insights company, named its "Best in KLAS" payer tools for 2024. 
  3. CVS Health cuts earnings guidance amid rising Medicare Advantage costs

    Facing rising spending in Medicare Advantage, CVS Health lowered its 2024 earnings guidance. 
  4. Big payers ranked by 2023 profit

    The nation's largest payers have filed their fourth-quarter earnings reports, revealing which recorded the largest profits in 2023.

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  1. 7 recent payer rebrands

    These are seven health insurance industry rebrands that have taken place since Jan. 1:
  2. Insurers split in '2 camps' on rising Medicare Advantage costs

    Insurers are reporting rising costs in the Medicare Advantage business but differ in their predictions of how these trends will affect their business in 2024. 
  3. Florida sues HHS over CHIP eligibility requirements

    Florida is challenging rules from CMS that require states keep eligible children enrolled in Medicaid and CHIP for a full 12 months, even if their families do not pay premiums. 
  4. What's behind Florida's health insurance crisis?

    On top of a home insurance crisis, Florida residents face higher than average health insurance premiums due to a growing senior population and limited competition in the insurance marketplace, Newsweek reported Feb. 6.
  5. Centene's UK exit complete

    Centene completed the sale of its U.K. companies. 
  6. UnitedHealthcare facing split with Arkansas system

    UnitedHealthcare and Jonesboro, Ark.-based St. Bernards Healthcare have been unable to reach a new contract as several deadlines approach, Arkansas Business reported Feb. 5. 
  7. Centene records 88% marketplace enrollment growth in 2023

    Centene lost more than 1.5 million Medicaid members through redeterminations year over year, but posted 88% enrollment growth in its marketplace segment, according to the company's earnings report published Feb. 6.
  8. Humana to close its Louisville headquarters

    Humana will consolidate its Louisville, Ky., headquarters, exiting the 27-story tower that bears its name. 
  9. 2 payers among the 'most just' companies

    The Cigna Group and Elevance Health were ranked in the top 10 on Just Capital and CNBC's ranking of the "most just" companies. 

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