Today's Top 20 Stories
  1. Press Ganey chief medical officer joins BCBS Massachusetts board

    Thomas Lee, MD, Press Ganey's chief medical officer, has joined Blue Cross Blue Shield of Massachusetts' board of directors. 
  2. Elevance Health launches weight management program

    CarelonRx, Elevance Health's pharmaceutical benefits arm, will launch a digital weight management program. 
  3. The best changes 33 healthcare leaders made this year

    Leaders in the payer space are making changes to simplify members' experiences, improve equity and level-up the way their teams work together. 

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  1. Medicare Advantage members could see $396 benefit cut in 2025

    Medicare Advantage beneficiaries could see their supplemental benefits reduced or cost-sharing increase by $33 a month on average in 2025, according to an analysis from the Berkeley Research Group. 
  2. New Mexico taps Medicaid director

    The New Mexico Human Services Department has named Dana Flannery director of the state's Medicaid program. 
  3. UPMC Health Plan CEO to retire

    Diane Holder, president and CEO of UPMC Health Plan, will retire at the end of 2024. 
  4. Humana's plan to improve provider directory accuracy

    Humana says new technology will help it maintain more accurate provider directories. 

How one Midwest hospital is driving financial efficiency with interconnected systems

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  1. UnitedHealth Group sets quarterly dividend

    UnitedHealth Group's board of directors authorized a $1.88 per-share cash dividend to be paid on March 19. 
  2. Maryland could open ACA exchange to undocumented immigrants

    Maryland legislators are considering a bill that would allow people to purchase insurance on Maryland's health insurance exchange, regardless of their immigration status. 
  3. What 3 recent studies found about Medicare Advantage

    Recent research on Medicare Advantage has uncovered differences in the types of care and experiences Medicare Advantage enrollees report when compared to their peers in fee-for-service. 
  4. Anthem under fire for 'massively screwed-up' Medicare Advantage contract implementation

    New Hampshire officials are planning to leverage fines against Anthem Blue Cross Blue Shield for issues with mail-order prescriptions. 

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. 5 payer leaders among world’s most influential CEOs in 2024 

    Five insurance leaders have been named among the world's 200 most influential CEOs in 2024 by CEO World's annual ranking published in January.
  2. CVS puts additional $35M behind affordable housing in Hawaii

    CVS Health is providing an additional $35 million for affordable housing developments in Hawaii. 
  3. 50 things to know about Medicare Advantage

    Before 2006, Medicare Advantage in its current form didn't exist. Now, the public-private program has more enrollees than traditional Medicare — how did it get here?
  4. UnitedHealthcare, UNC Health near split date

    UnitedHealthcare and Chapel Hill, N.C.-based UNC Health are continuing to negotiate on a new contract but remain at odds as an April 1 split date looms, Fox affiliate WGHP reported Feb. 22. 
  5. CMS proposal could have 'catastrophic impact' on Medicare, Medicaid research

    CMS is proposing raising prices and tightening access to Medicare and Medicaid claims data, changes academics fear could hinder health policy research, ProPublica reported Feb. 22. 
  6. Medicare Advantage enrollees report more prior authorization delays

    Medicare Advantage enrollees are more likely to report delays in care than their counterparts in traditional Medicare, according to a survey from the Commonwealth Fund. 
  7. UnitedHealthcare, UVM Health strike last-minute deal

    UnitedHealthcare and Burlington-based University of Vermont Health Network reached a new contract just days before its current deal was set to expire, VTDigger reported Feb. 21. 
  8. UnitedHealthcare: Employers should use SDOH data to improve employee health outcomes, costs

    Where an employee lives and the social risk factors they face affects overall health outcomes — employers should be incorporating SDOH data when designing health benefits to improve employee outcomes, productivity and associated costs, according to a white paper published Feb. 21 by UnitedHealthcare and the Health Action Council. 
  9. Single payer still a tough sell in California

    California legislators are putting a single-payer system back on the table, but it still faces long odds of becoming a reality, the Los Angeles Times reported Feb. 21. 

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