Today's Top 20 Stories
  1. Aetna, CVS adding resources and crisis support for members affected by Hurricane Ian

    Aetna is expanding eligibility for its Resources for Living program, which connects members to community resources, to support members affected by Hurricane Ian. 
  2. Centene subsidiary Western Sky adding virtual doula network

    Western Sky Community Care is launching a virtual doula network for Medicaid members in New Mexico, the Centene subsidiary said Sept. 27. 
  3. CMS should strengthen oversight of medical loss ratio reports, HHS says

    Nearly half of Medicaid managed care plans' medical loss ratio reports submitted to states were incomplete, according to a report from the HHS inspector general's office.

Becker's Payer Issues Roundtable

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  1. Where payers are spending their investment dollars

    Payers and their venture arms have spent 2022 investing in a variety of new healthcare companies, including digital insurance marketplaces and behavioral health providers.
  2. Elevance backs Medicare marketplace GoHealth in $50M funding round

    GoHealth, a health insurance marketplace and Medicare-focused digital health company, has closed a $50 million private investment round that included the backing of Elevance Health.
  3. States with lowest average healthcare costs

    The five states where residents currently see the cheapest cost of care on average are Kentucky, Arkansas, Maryland, Alabama and Tennessee, according to data from the Missouri Economic Research and Information Center.
  4. 8 recent payer executive moves

    Here are eight payer executive hirings and promotions Becker's has reported since Sept. 19.

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  1. Comprehensive Primary Care Plus did not save payers money or improve quality, study finds

    The Comprehensive Primary Care Plus Program did not result in improvements in costs or quality for private insurers, a study published in the September issue of Health Affairs found. 
  2. CMS reopens comment on pandemic-era Medicaid fund matching rules

    CMS is seeking feedback on a policy that requires state Medicaid agencies to keep beneficiaries enrolled through the end of the public health emergency for the COVID-19 pandemic, according to a Sept. 23 memo. 
  3. BCBS of Massachusetts funds $16.5M in health equity grants

    Twelve Massachusetts health systems are receiving Blue Cross Blue Shield of Massachusetts-funded grants for projects to improve equity of care and race, ethnicity and language data collection practices.
  4. CMS can make it easier to verify Medicaid eligibility: Viewpoint

    With as many as 15 million people expected to lose Medicaid coverage when the pandemic-era public health emergency ends, CMS can do more to reduce administrative hurdles to verify eligibility, advocates write in Health Affairs. 

The influence of Nanotechnology on postoperative opioid consumption in ALIF procedures

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  1. The White House wants CMS and private insurers to address food insecurity: 5 things to know

    The Biden Administration unveiled a five-point plan to address hunger, nutrition and health Sept. 27. The White House wants Medicare, Medicaid and private insurers to play a role in solving food insecurity and food related illness. Here are five things to know about the proposal: 
  2. Medicare Part B premiums, deductibles to decrease in 2023: 7 things to know

    Medicare Part B premiums and deductibles are set to decrease in 2023, one year after seeing a historic hike. 
  3. The 4 attributes of effective leadership with exec from Cigna

    Peter McCauley Sr., MD, CPE, is the medical officer at Bloomfield, Conn-based Cigna. 
  4. The CEO of Alliance of Community Health Plans' opinion on 'Care Anywhere' and value-based care

    Ceci Connolly is the president and chief executive officer at Washington, D.C-based Alliance of Community Health Plans. 
  5. Study finds which states use the most low-value care

    Alabama, Hawaii, Florida, New York and New Jersey are the states with the highest incidences of low-value care, a new study published in Health Affairs found. 
  6. 51% of businesses struggle to afford insurance for their employees: survey

    Many owners of small and midsize businesses say they are struggling with the cost of healthcare premiums for their employees, a new survey found. 
  7. 2 million Californians may need to switch insurance after Medi-Cal shakeup

    Millions of Medi-Cal recipients may have to switch health insurers, and doctors, after the state awarded Molina a swath of Medicaid contracts in some of its largest counties, according to a Kaiser Health News report published by the Los Angeles Times Sept. 25. 
  8. Payers need to cut medical, administrative costs, McKinsey says

    To survive the rapid increase in healthcare costs, payers need to focus on slimming down medical and administrative costs, a new analysis from McKinsey & Co. says. 
  9. Thousands of independent pharmacies to be dropped from Tricare network

    Nearly 15,000 independent and community pharmacies will be dropped from Tricare's network next month, military.com reported Sept. 23. 

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