Today's Top 20 Stories
  1. Cigna posts $1B profit in Q4

    The Cigna Group is projecting $235 billion in revenue by the end of 2024 and recorded double-digit growth in the fourth quarter across its core lines of business at Evernorth Health Services and Cigna Healthcare, according to the company's year-end earnings report published Feb. 2.
  2. 3 Blues plans becoming providers

    As the nation's largest insurers have evolved, several Blue Cross Blue Shield companies are following suit and becoming providers as well.
  3. Florida Blue adds Medicare-focused primary care center

    Florida Blue has opened a primary care center for Medicare beneficiaries and Florida Blue members over 50. 

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  1. Louisiana physicians vote 'no' on Elevance-BCBS deal

    The Louisiana State Medical Society has voted against the proposed sale of Blue Cross Blue Shield of Louisiana to Elevance Health.
  2. Mississippi prior authorization bill makes 2nd go-round, but governor has other plans

    The Mississippi Senate has advanced an updated version of a prior authorization bill that was vetoed by the governor last year, but this version's chances of being signed into law remain unlikely, the Magnolia Tribune reported Jan. 31. 
  3. Cigna's Medicare sale 'clears path' for M&A

    Cigna's plan to sell its Medicare business to Health Care Service Corp. is clearing a path for future mergers and acquisitions, according to S&P analysts. 
  4. 15 sentenced in California for $40M health insurance fraud scheme

    The last of 15 defendants have been sentenced in Santa Clara, Calif. for their roles in a $40 million statewide insurance scam involving "overpriced and unneeded" telehealth prescriptions and medical devices.

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  1. CMS proposes Medicare Advantage rate cut

    CMS proposed a slight decrease in Medicare Advantage benchmark payments for 2025. 
  2. 6 payers among Fortune's most admired healthcare companies

    Six payers are among Fortune's annual list of the World's Most Admired Companies.
  3. Meet the UnitedHealthcare CEO for every state

    UnitedHealthcare's regional CEOs are responsible for employer and individual plan operations across large geographies and usually have extensive experience with the company. 
  4. Cigna to sell Medicare business to HCSC for $3.3B

    The Cigna Group reached a deal to sell its Medicare business to Health Care Service Corp. for $3.3 billion. 

How one Midwest hospital is driving financial efficiency with interconnected systems

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  1. Inside 1 payer's strategy as hospitals become 'more discerning' about Medicare Advantage

    Some hospitals and health systems are paring the number of Medicare Advantage plans with which they contract, seeking payer partners that align on clinical and financial outcomes. 
  2. BCBS Association names VP of strategic execution and partnerships

    The Blue Cross Blue Shield Association named Kathy Paro vice president of strategic execution and partnerships. 
  3. Medicare Advantage in the headlines: 9 recent updates

    Challenges loom for Medicare Advantage in 2024, with payers reporting rising medical costs and lower growth expectations for the year. 
  4. States ranked by ACA enrollment growth in 2024

    Open enrollment for the ACA exchanges is finished in most states and a record 21.3 million people are enrolled — a 30% increase year over year, or 5 million people.
  5. Self-funded plans on the rise

    The share of U.S. employees in healthcare plans funded by their employer rose from 2015 to 2021, a study published in the January issue of Health Affairs found. 
  6. ACO participation grows for 2024

    Nearly half of people with traditional Medicare are aligned with Accountable Care Organizations, CMS said Jan. 29. 
  7. Humana names chief insurance actuary

    Humana has promoted Chris Chappelear to senior vice president and chief insurance actuary, according to a Jan. 28 LinkedIn post.
  8. Dr. Sachin Jain: 5 fixes for Medicare Advantage

    Five key changes could improve Medicare Advantage, SCAN Group CEO Sachin Jain, MD, wrote in Forbes Jan. 30. 
  9. Humana to add 3 more CenterWell markets

    Humana is expanding its primary care business for seniors into three new markets in 2024 and adding new centers in eight existing markets.

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