Today's Top 20 Stories
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The size of 4 payers' mental, behavioral provider networks
Payers continue to rapidly expand their mental and behavioral care provider networks nationwide in an effort to meet the rising demand from members. -
Cigna, Phoenix Children's contract down to final months amid dispute
Phoenix Children's Hospital will go out of network with Cigna if the sides are unable to reach a new contract by Feb. 1, the Phoenix Business Journal reported Dec. 2. -
Optum expecting $214B in revenue in 2023
UnitedHealth Group expects Optum to see a long-term double-digit revenue growth rate and bring in a range between $212 billion to $214 billion in 2023 revenues.
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Report: ACO savings range from under 1% to 6%
Accountable care organization savings vary widely, from under 1 percent in some studies, to 6 percent for high performing organizations, according to a report from Health Affairs. -
AMA, 7 other provider organizations file brief supporting ACA preventive care requirements
The American Medical Association and seven other physician groups filed an amicus brief supporting the ACA's preventive care requirements in a case in Texas court challenging the law. -
New Jersey looks to require some payers to cover abortions
New Jersey is likely to soon become the eighth state to require state-regulated health plans to cover abortion services, Bloomberg reported Dec. 1. -
Senators want more accurate Medicare Advantage, Medicaid provider directories
The Senate Finance Committee wants Medicare Advantage plans to create more accurate provider directories.
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Brokers say Colorado is steering Bright, Oscar Health customers to public option, even if it costs more
Insurance brokers allege Colorado officials are unfairly promoting the state's new Colorado Option plans, suggesting them to Bright Health and Oscar Health members who need to find a new plan, The Colorado Sun reported Dec. 2. -
UnitedHealth Group CEO outlines 5 growth priorities
UnitedHealth Group CEO Andrew Witty listed five enterprise growth opportunities in a letter ahead of the company's Nov. 29 investor conference. -
UnitedHealthcare expecting $276B in revenue in 2023
UnitedHealthcare expects 2023 revenues to be at least $274 billion. -
Blue Shield of California to lay off 373 employees
Blue Shield of California is planning to layoff 373 employees across the state by Jan. 25, the San Francisco Business Times reported Dec. 1.
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6 policy changes in 2023 payers should know
Several policy changes will take effect in 2023, including some of the first provisions of the inflation act. Payers are also bracing for the end of the federal public health emergency, which could leave millions of Medicaid enrollees without coverage. -
Why 7 payers recently added new roles to their C-suite
From several positions focused on government relations to a state investing more in value-based care, these are seven inaugural titles recently added to payer C-suites: -
More employers are offering Medicare Advantage plans to their retirees
Half of employers who offer retirees health benefits do so through Medicare Advantage plans, up from 26 percent in 2017, according to a report from Kaiser Family Foundation published Dec. 1. -
Can new CMS rules reduce Medicaid churn? 4 things to know
Rates of "churn" are high among Medicaid recipients who also qualify for Medicare, mostly due to administrative burdens, an analysis published Nov. 30 by Kaiser Family Foundation found. -
5 updates on Medicaid expansion
From South Dakota voters approving a ballot measure to Georgia moving ahead with a plan with work requirements, here are five recently Medicaid expansion stories reported on by Becker's: -
The cities with the most competitive Medicare Advantage markets
Many local Medicare Advantage markets are largely controlled by one payer, according to the American Medical Association. -
Medicare has coverage gaps for substance abuse treatment, experts say
Experts and advocates say Medicare is not adequately covering substance abuse treatment for older adults, Roll Call reported Nov. 30. -
Humana boosts Medicare Advantage outlook by 100K members
Humana is projecting at least 100,000 more Medicare Advantage members in 2023 than it originally predicted. -
UnitedHealthcare loses to TeamHealth — again — over alleged underpayments
A three-judge arbitration panel in Florida ruled that UnitedHealthcare must award $10.8 million to a TeamHealth clinician group for underpayments from 2017 to 2020.
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