Today's Top 20 Stories
  1. Cigna to sell Medicare business to HCSC for $3.3B

    The Cigna Group reached a deal to sell its Medicare business to Health Care Service Corp. for $3.3 billion. 
  2. Inside 1 payer's strategy as hospitals become 'more discerning' about Medicare Advantage

    Some hospitals and health systems are paring the number of Medicare Advantage plans with which they contract, seeking payer partners that align on clinical and financial outcomes. 
  3. BCBS Association names VP of strategic execution and partnerships

    The Blue Cross Blue Shield Association named Kathy Paro vice president of strategic execution and partnerships. 

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  1. Medicare Advantage in the headlines: 9 recent updates

    Challenges loom for Medicare Advantage in 2024, with payers reporting rising medical costs and lower growth expectations for the year. 
  2. States ranked by ACA enrollment growth in 2024

    Open enrollment for the ACA exchanges is finished in most states and a record 21.3 million people are enrolled — a 30% increase year over year, or 5 million people.
  3. Self-funded plans on the rise

    The share of U.S. employees in healthcare plans funded by their employer rose from 2015 to 2021, a study published in the January issue of Health Affairs found. 
  4. ACO participation grows for 2024

    Nearly half of people with traditional Medicare are aligned with Accountable Care Organizations, CMS said Jan. 29. 

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  1. Humana names chief insurance actuary

    Humana has promoted Chris Chappelear to senior vice president and chief insurance actuary, according to a Jan. 28 LinkedIn post.
  2. Dr. Sachin Jain: 5 fixes for Medicare Advantage

    Five key changes could improve Medicare Advantage, SCAN Group CEO Sachin Jain, MD, wrote in Forbes Jan. 30. 
  3. Humana to add 3 more CenterWell markets

    Humana is expanding its primary care business for seniors into three new markets in 2024 and adding new centers in eight existing markets.
  4. Idaho state health plan to switch from Blue Cross to Regence BlueShield

    Idaho's state health plan administrator is set to switch from Blue Cross of Idaho to Regence BlueShield of Idaho in July, the Idaho Capital Sun reported Jan. 29.

How one Midwest hospital is driving financial efficiency with interconnected systems

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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. Former Aetna president named CEO of Convey Health Solutions

    Daniel Finke, former president of Aetna, was named CEO of health plan services company Convey Health Solutions, according to a Jan. 29 news release. 
  2. No big changes to Medicare Advantage, 61 senators urge

    A bipartisan group of lawmakers is urging CMS to maintain "payment and policy" stability in Medicare Advantage. 
  3. No Surprises Act prevents 10M surprise bills, insurance groups say

    The federal No Surprises Act is estimated to have prevented more than 10 million surprise medical bills during the first nine months of 2023, according to a Jan. 26 report from AHIP and the Blue Cross Blue Shield Association. 
  4. Why Blue Shield of California's Medicaid plan is paying for members to get GEDs

    Blue Shield of California Promise Health Plan is now offering its Medicaid members in Los Angeles and San Diego counties the opportunity to earn their GED diploma at no cost, a first of its kind program in the state.
  5. Kaiser Permanente, Blue Shield of California up office security amid crime concerns

    Two large insurers based in Oakland, Calif., are implementing tougher security measures in response to rising crime in the city's downtown, the San Francisco Chronicle reported Jan. 26. 
  6. Lawmakers urge more action on Medicare Advantage overpayments

    Two lawmakers are asking CMS to do more to curb overpayments to the Medicare Advantage program. 
  7. Has Medicare Advantage lost its luster?

    Though Medicare Advantage enrollment keeps climbing, the program may not have the profitability it once did for insurers. 
  8. Cigna sells 7 outpatient imaging centers in Arizona

    Cigna's Evernorth has sold seven outpatient imaging centers in Phoenix to diagnostic imaging provider RadNet for an undisclosed amount.
  9. North Carolina state health plan drops weight loss drug coverage

    North Carolina's State Health Plan will not cover existing prescriptions for weight-loss drugs past April 1, WECT reported Jan. 26.

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