Today's Top 20 Stories
  1. Highmark names TPA segment president

    Highmark Inc. has named Lori Herzog as president of its third-party administrator segment. 
  2. BCBS Tennessee names chief privacy officer

    BlueCross BlueShield of Tennessee has named Heidi Yernberg as managing director and chief privacy officer.
  3. BCBS Tennessee names chief learning officer

    BlueCross BlueShield of Tennessee has named Michelle Sermon-Davis as managing director and chief learning officer.

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  1. Key tips for insurance coverage of weight loss drugs

    New drugs such as Ozempic and Wegovy can both be used to lose weight, but they're expensive and commercial insurers typically don't cover the cost, though there are options to potentially receive coverage.
  2. Medicare Advantage in the headlines: 7 recent updates

    Payers are expecting big gains in Medicare Advantage enrollment in 2023 as the program now represents more than half of Medicare beneficiaries. 
  3. Blue Cross of Idaho appoints CEO

    Blue Cross of Idaho has named Paul Zurlo as the company's next president and chief executive officer. 
  4. 50 things to know about UnitedHealth Group

    UnitedHealth Group is the largest insurer in the United States by membership and the largest employer of physicians in the country. 

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  1. Cigna taps mid-America general manager

    Cigna has named Brent Hunter as geenral manager for its group employer business in mid-America. 
  2. Centene in the headlines: 8 updates

    From signing a definitive agreement to sell an artificial intelligence platform, to shareholders rejecting a pair of proposals zeroing in on executive pay, here are eight updates about Centene that Becker's reported since April 26:
  3. 'A trust-but-verify approach': Independence Blue Cross leader details prior authorization pilot

    Independence Blue Cross and Philadelphia-based Penn Medicine are piloting a program that allows qualifying physicians to skip prior authorization approvals needed for ultrasounds, CT scans and PET scans. 
  4. Humana adds value-based durable medical equipment contractors for Medicare Advantage members

    Humana will contract with two durable medical equipment companies to provide medical devices to its Medicare Advantage members. 

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Only 2.7% of US adults live a healthy lifestyle — & that costs health plans $500B a year. This approach supports better outcomes + employer savings.
  1. New York settles with Aetna, UnitedHealthcare for $4.6M over allegations of overcharging for student insurance

    Aetna, UnitedHealthcare and two other insurance companies will pay a combined $4.6 million to New York state to settle allegations the companies charged unapproved rates for student insurance. 
  2. Insurtechs lost $282M in the first quarter of 2023

    Prominent insurtech companies — Bright Health Group, Clover Health and Oscar Health — posted a combined $281.7 million in losses in the first quarter of 2023. 
  3. 8 recent OIG audit findings

    HHS' Office of Inspector General has found several Medicare Advantage plans received overpayments in recent months. 
  4. Payers ranked by Medicare Advantage membership | Q1 2023

    Humana had the largest Medicare Advantage membership growth in the first quarter of 2023, according to the company's earnings report. 
  5. Clover Health posts $72.6M loss in Q1

    Clover Health boosted its insurance segment revenue and slightly improved on its losses in the first three months of 2023. 
  6. Humana's Inclusa acquisition passes state reviews

    Humana's plan to purchase Wisconsin-based managed care company Inclusa has passed state reviews, the Wisconsin State Journal reported May 11. 
  7. 30 states have introduced prior authorization reform bills this year, AMA says

    Nearly 90 prior authorization reform bills have been introduced in 30 state legislatures this year, according to the American Medical Association. 
  8. Centene shareholders shoot down executive pay proposals, preliminary results show

    Preliminary results show Centene shareholders rejected a pair of proposals that took aim at executive pay, the St. Louis Business Journal reported May 10. 
  9. 22 million people could lose cost-free mammograms under preventive care court ruling: Report

    Over 20 million women between the ages of 50 and 64 could lose access to cost-free mammograms if a court ruling striking down requirements for payers to cover preventive care at no cost is upheld, according to a report from the Robert Wood Johnson foundation. 

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