Today's Top 20 Stories
  1. 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. 
  2. 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. 
  3. 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. 

Leaders, we want to hear your care management strategy.

A quick survey + free access to Becker's Payer event: 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. 7 payers cutting jobs | 2024

    Payers are trimming their workforces and cutting jobs due to financial or operational challenges, along with restructuring strategies. 
  4. 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?

5 signs it's time for end-to-end RCM

There are 5 signs that it's time to switch to end-to-end RCM. Learn what they are + solutions here.
  1. 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. 
  2. 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. 
  3. 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. 
  4. 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. 

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. 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. 
  2. 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. 
  3. Independence Blue Cross names VP of corporate strategy

    Independence Blue Cross has promoted Peishan Ang to vice president of corporate strategy. 
  4. 4 Medicaid expansion updates

    From Georgia suing the Biden administration to extend the state's partially expanded program to a Florida group launching a ballot initiative, here are four state Medicaid expansion updates Becker's has reported since Feb. 2: 
  5. Cambia names vice president of state affairs

    Cambia Health Solutions has promoted Stephen Foxley to vice president of state affairs. 
  6. Indiana system dropping Aetna, Humana Medicare Advantage plans

    Community Healthcare Systems is dropping two Medicare Advantage plans, citing unreasonable denials and delayed payments, The Times of Northwest Indiana reported Feb. 20. 
  7. Longtime UnitedHealth exec named CEO of dental benefits administrator

    Dental benefits administrator Liberty Dental Plan has named longtime UnitedHealth Group executive Tom Choate president and CEO. 
  8. OIG: Trinity's Medicare Advantage plan received estimated $3.7M in overpayments

    MediGold, the Medicare Advantage subsidiary of Livonia, Mich.-based Trinity Health, received an estimated $3.7 million in net Medicare Advantage overpayments in 2017 and 2018, according to an audit from HHS' Office of Inspector General published Feb. 16. 
  9. What's behind Aetna's industry-leading Medicare Advantage growth?

    It's no secret that big insurers are facing challenges in the Medicare Advantage space, leaving enrollment growth flat or even on the decline for much of the industry in 2024.

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