Today's Top 20 Stories
  1. Medicare Advantage in the headlines: 5 recent updates

    CMS has published its final rates and rules for Medicare Advantage in 2025. Payers say the new rate payments are putting more pressure on already strained margins. 
  2. 2 payers among LinkedIn's best workplaces in 2024

    UnitedHealth Group and Elevance Health notched spots on LinkedIn's top 50 workplaces for 2024. 
  3. Feds to investigate integrated Part D plans, PBMs

    HHS' Office of Inspector General will investigate the impact of vertically integrated Medicare Part D plans and pharmacy benefit managers on drug prices. 

The state of AI in healthcare

86% of healthcare leaders say AI will define success over the next 5 years. Insights + strategies for successful adoption here.
  1. 8 payers to challenge new Florida Medicaid contracts 

    Eight managed care organizations have filed notices of intent to challenge Florida's recent Medicaid contract awards, which provide health coverage to more than 3.4 million people, per Florida Politics.
  2. Humana sets quarterly dividend

    Humana's board of directors authorized a $0.885 per-share cash dividend to be paid on July 26. 
  3. Feds launch portal for reporting anticompetitive healthcare deals

    The Biden administration has launched an online portal for reporting "potentially unfair and anticompetitive" healthcare practices to the Justice Department's Antitrust Division and the FTC.
  4. Texas Medicaid shake-up could force 1.8 million to switch plans

    A major shake-up in Texas's Medicaid contract awards could threaten the existence of some hospital-owned plans, The Texas Tribune reported April 18. 

How one Midwest hospital is driving financial efficiency with interconnected systems

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. Elevance Health's new $4B primary care venture: 5 things to know

    Elevance Health hopes to bring more providers into downside risk-sharing arrangements with a new primary care venture. 
  2. Trial date set for Florida Medicaid unwinding challenge

    A federal judge in Florida has set a May 13 trial date for a lawsuit filed by two families accusing the state of terminating their Medicaid coverage without proper notice or a chance to contest the decision. 
  3. Elevance Health posts $2.2B profit in Q1 

    Elevance Health posted $2.2 billion in net income during the first quarter, a nearly 13% increase compared to the same period last year, according to the company's earnings report published April 18.
  4. 5 top execs that have recently left Optum

    In 2024, at least five top executives previously with UnitedHealth Group's Optum have announced their departures for new positions with companies across the country. 

How one Midwest hospital is driving financial efficiency with interconnected systems

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 BCBS North Carolina execs raise millions for startup aimed at coordinating care outside US

    Two former executives with Blue Cross and Blue Shield of North Carolina have completed a $2.1 million seed round for their startup aimed at finding healthcare services outside the U.S. for patients, TriangleInno reported April 16.
  2. Mississippi weighs state-based ACA exchange

    Legislation has been introduced in Mississippi that would transition the state to a state-run ACA exchange.
  3. 3 Pennsylvania health systems sue Aetna for breach of contract

    A group of three Pennsylvania health systems has sued Aetna, alleging the insurer subtracted the cost of supplemental benefits from money intended for patient care. 
  4. Some Blues not reconnecting to Change Healthcare, BCBS Association says

    Some Blue Cross Blue Shield plans are reconnecting to Change Healthcare's platforms and other plans are not, the BCBS Association told lawmakers April 16. 
  5. BCBS Association names chief legal officer

    The Blue Cross Blue Shield Association has named Monica Auciello as chief legal officer and general counsel. 
  6. UnitedHealth vows to bring back Change Healthcare stronger than before hack

    UnitedHealth Group plans to bring Change Healthcare back stronger than it was before it suffered the largest cyberattack in the history of the U.S. healthcare system. 
  7. Medicare Advantage costs begin to stabilize, UnitedHealth says

    Rising medical cost trends aren't going down, but they are stabilizing, UnitedHealth Group executives say. 
  8. UnitedHealth posts $1.4B loss in Q1 following Change cyberattack

    UnitedHealth Group posted a $1.4 billion net loss in the first quarter of 2024 following the sale of its Brazil operations and the unprecedented cyberattack on its Change Healthcare subsidiary in late February. Despite the losses, the company beat investor expectations and shares rose more than 6% to above $474, the Wall Street Journal reported.
  9. L.A. Care CEO to retire

    The CEO of the largest publicly operated health plan will retire at the end of 2024. 

Top 40 articles from the past 6 months