Today's Top 20 Stories

  1. South Dakota puts Medicaid work requirement question on ballot

    Andrew Cass -
    South Dakota voters will decide in the November election if the state can implement work requirements on its Medicaid expansion population, the Sioux Falls Argus Leader reported Feb. 27. 

  2. CareSource to pick up ACA co-op plan

    Rylee Wilson -
    CareSource plans to affiliate with one of the last surviving ACA co-op plans. 

  3. UnitedHealth Group cybersecurity incident not expected to affect ratings: Fitch, Moody's

    Andrew Cass -
    UnitedHealth Group's Change Healthcare reported a cybersecurity incident Feb. 21 that disrupted connectivity and healthcare operations nationwide, but Fitch Ratings and Moody's are not expecting the event to affect UnitedHealth's ratings. 

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  1. Justice Department begins antitrust investigation into UnitedHealth

    Madeline Ashley -
    The Justice Department has begun an antitrust investigation into UnitedHealth Group, The Wall Street Journal reported Feb. 27.

  2. Walgreens to offer online shopping with Medicare Advantage benefits

    Rylee Wilson -
    Walgreens will allow Medicare Advantage members to purchase products using supplemental benefits online. 

  3. 10 states that could see largest Medicare Advantage cuts in 2025

    Rylee Wilson -
    Medicare Advantage beneficiaries in Nevada could see their supplemental benefits reduced or cost-sharing increase by over $90 each month in 2025, according to estimates from Berkeley Research Group. 

  4. Press Ganey chief medical officer joins BCBS Massachusetts board

    Andrew Cass -
    Thomas Lee, MD, Press Ganey's chief medical officer, has joined Blue Cross Blue Shield of Massachusetts' board of directors. 

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  1. Elevance Health launches weight management program

    Rylee Wilson -
    CarelonRx, Elevance Health's pharmaceutical benefits arm, will launch a digital weight management program. 

  2. The best changes 32 healthcare leaders made this year

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

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

    Rylee Wilson -
    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. 

  4. New Mexico taps Medicaid director

    Andrew Cass -
    The New Mexico Human Services Department has named Dana Flannery director of the state's Medicaid program. 

How one Midwest hospital is driving financial efficiency with interconnected systems

Sponsored
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. UPMC Health Plan CEO to retire

    Rylee Wilson -
    Diane Holder, president and CEO of UPMC Health Plan, will retire at the end of 2024. 

  2. Humana's plan to improve provider directory accuracy

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

  3. UnitedHealth Group sets quarterly dividend

    Andrew Cass -
    UnitedHealth Group's board of directors authorized a $1.88 per-share cash dividend to be paid on March 19. 

  4. Maryland could open ACA exchange to undocumented immigrants

    Rylee Wilson -
    Maryland legislators are considering a bill that would allow people to purchase insurance on Maryland's health insurance exchange, regardless of their immigration status. 

  5. What 3 recent studies found about Medicare Advantage

    Rylee Wilson -
    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. 

  6. Anthem under fire for 'massively screwed-up' Medicare Advantage contract implementation

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

  7. 5 payer leaders among world’s most influential CEOs in 2024 

    Jakob Emerson -
    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.

  8. CVS puts additional $35M behind affordable housing in Hawaii

    Jakob Emerson -
    CVS Health is providing an additional $35 million for affordable housing developments in Hawaii. 

  9. 7 payers cutting jobs | 2024

    Jakob Emerson -
    Payers are trimming their workforces and cutting jobs due to financial or operational challenges, along with restructuring strategies. 

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