Today's Top 20 Stories
  1. CMS' 2025 Medicare Advantage rates lower than expected, Humana says

    CMS' proposed Medicare Advantage rates for 2025 are lower than Humana predicted, the company said in a filing with the Securities and Exchange Commission Feb. 5.
  2. J&J worker accuses employee health plan of drug benefits mismanagement

    A Johnson & Johnson employee is suing the New Brunswick, N.J.-based pharmaceutical giant for allegedly mismanaging workers' prescription drug benefits and violating its fiduciary duties under the Employee Retirement Income Security Act.
  3. BCBS Massachusetts launches reproductive clinical team, expanded services

    Blue Cross Blue Shield of Massachusetts is launching a set of new initiatives aimed at ensuring access to reproductive care services.

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  1. BCBS Arizona, Dignity Health split

    Blue Cross Blue Shield of Arizona is out of network with San Francisco-based Dignity Health's Arizona locations as of Feb. 1. 
  2. Employee arrested for making threats after Medica layoffs

    A former Dean Health Plan employee was arrested for making threats after being laid off from his job, according to a Madison, Wis. police incident report. 
  3. Complaint filed with FTC over Deloitte's Medicaid eligibility software

    A software Texas uses to process Medicaid renewals is not working accurately, causing people to be wrongfully disenrolled from the program, advocates allege. 
  4. Cigna isn't done with Medicare

    Cigna is selling its Medicare plans, but Evernorth, its health services arm, is still in the business. 

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  1. $12M Medicaid expansion campaign launches in Florida

    A campaign to put a Medicaid expansion proposal to Florida voters is underway, the Tallahassee Democrat reported Feb. 1. 
  2. Judge rejects proposed class-action challenge to BCBS, Elevance deal

    A Louisiana judge rejected a proposed class-action lawsuit seeking to block the current terms of the proposed sale of Blue Cross Blue Shield of Louisiana to Elevance Health, nola.com reported Feb. 1. 
  3. After called-off merger, Humana, Cigna double down on Medicare strategies

    After a called-off merger between Humana and Cigna, executives at both companies say they are focused on staying on their existing courses. 
  4. Cigna posts $1B profit in Q4

    The Cigna Group is projecting $235 billion in revenue by the end of 2024 and recorded double-digit growth in the fourth quarter across its core lines of business at Evernorth Health Services and Cigna Healthcare, according to the company's year-end earnings report published Feb. 2.

How one Midwest hospital is driving financial efficiency with interconnected systems

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  1. 3 Blues plans becoming providers

    As the nation's largest insurers have evolved, several Blue Cross Blue Shield companies are following suit and becoming providers as well.
  2. Florida Blue adds Medicare-focused primary care center

    Florida Blue has opened a primary care center for Medicare beneficiaries and Florida Blue members over 50. 
  3. Louisiana physicians vote 'no' on Elevance-BCBS deal

    The Louisiana State Medical Society has voted against the proposed sale of Blue Cross Blue Shield of Louisiana to Elevance Health.
  4. Mississippi prior authorization bill makes 2nd go-round, but governor has other plans

    The Mississippi Senate has advanced an updated version of a prior authorization bill that was vetoed by the governor last year, but this version's chances of being signed into law remain unlikely, the Magnolia Tribune reported Jan. 31. 
  5. Cigna's Medicare sale 'clears path' for M&A

    Cigna's plan to sell its Medicare business to Health Care Service Corp. is clearing a path for future mergers and acquisitions, according to S&P analysts. 
  6. 15 sentenced in California for $40M health insurance fraud scheme

    The last of 15 defendants have been sentenced in Santa Clara, Calif. for their roles in a $40 million statewide insurance scam involving "overpriced and unneeded" telehealth prescriptions and medical devices.
  7. CMS proposes Medicare Advantage rate cut

    CMS proposed a slight decrease in Medicare Advantage benchmark payments for 2025. 
  8. 6 payers among Fortune's most admired healthcare companies

    Six payers are among Fortune's annual list of the World's Most Admired Companies.
  9. Meet the UnitedHealthcare CEO for every state

    UnitedHealthcare's regional CEOs are responsible for employer and individual plan operations across large geographies and usually have extensive experience with the company. 

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