Today's Top 20 Stories
  1. L.A. Care CEO to retire

    The CEO of the largest publicly operated health plan will retire at the end of 2024. 
  2. Blue Shield of California's virtual-first health plan: 6 key numbers

    Blue Shield of California launched its virtual-first health plan in partnership with Accolade and TeleMed2U in April 2023.
  3. Cigna's Evernorth to build new innovation hub in Ireland 

    Cigna's Evernorth Health Services is building a new innovation hub in Galway, Ireland.

The state of AI in healthcare

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  1. CMS delays implementation of new Medicare, Medicaid data rules

    CMS will delay implementation of new policies designed to heighten security around Medicare and Medicaid data that drew criticism from researchers. 
  2. Vermont providers, BCBS Vermont at odds over prior authorization bill

    Vermont providers are pushing for the passage of a state bill that aims to reform the prior authorization process, while Blue Cross and Blue Shield of Vermont has raised concerns that the proposal could cause rates to rise. 
  3. Elevance Health strikes primary care deal with private equity firm

    Elevance Health will enter a partnership with private equity firm Clayton, Dubilier & Rice to develop advanced primary care models. 
  4. Blue Cross Blue Shield in the headlines: 5 updates

    From new university partnerships to the launch of reproductive care teams, these are five key updates about Blue Cross Blue Shield companies recently reported by Becker's:

How one Midwest hospital is driving financial efficiency with interconnected systems

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  1. Florida to award 5 Medicaid contracts

    Florida intends to award contracts to five organizations to administer its Medicaid managed care program, which provides health coverage to more than 3.4 million people.
  2. AHIP criticizes hospital lobby's response to Change hack

    AHIP's chief executive criticized the hospital lobby's response to the Change Healthcare cyberattack as "opportunistic" and "maintaining the status quo."
  3. 1 in 4 of those disenrolled from Medicaid are uninsured: 5 things to know

    Around 1 in 4 Medicaid beneficiaries disenrolled during the redeterminations process are now uninsured, according to a survey from KFF. 
  4. Feds investigating if Sentara's payer arm unfairly increased premiums

    The Justice Department is investigating whether Norfolk, Va.-based Sentara Health's insurance arm unfairly increased premiums in 2018 and 2019 as it received more than $655 million in federal subsidies, The Virginian-Pilot reported April 9. 

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. Florida Blue names west market president

    Florida Blue has named Phillip Lee as market president for West Florida. 
  2. Insurers fall short on digital experience: 3 things to know

    Health insurance lags behind other industries when it comes to customers' experiences with digital platforms, according to a report from J.D. Power. 
  3. BCBS Louisiana tells employees to come back to the office

    Blue Cross Blue Shield of Louisiana is asking its employees to return to the office after four years of remote work, Nola.com reported April 11. 
  4. Elevance Health to acquire New York Medicaid plan

    Elevance Health plans to acquire Centers Plan for Healthy Living, a New York-based Medicaid long-term care plan. 
  5. BCBS of Rhode Island reports $26M operating loss in 2023

    Blue Cross & Blue Shield of Rhode Island reported a $26 million operating loss in 2023, which it said reflected a "substantial surge in medical and pharmacy claims."
  6. UnitedHealth chairman, executives sold stock before probe became public: Bloomberg

    Bloomberg reported April 11 that UnitedHealth Group's chairman and three of the company's executives made a combined $101.5 million from stock sales made over a four-month period leading up to the public becoming aware of a Justice Department antitrust investigation. 
  7. Michigan awards Medicaid contracts to 9 payers

    Michigan has awarded contracts to 9 payers to administer its managed Medicaid program, which serves nearly 2 million people across 10 regions.
  8. Groups unveil value-based care playbook

    AHIP, the American Medical Association and the National Association of ACOs have released a playbook of voluntary best practices for value-based care payment arrangements. 
  9. 10 providers seeking payer contracting talent

    Ten providers recently posted job listings seeking leaders in payer contracting and relations.

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