Today's Top 20 Stories
  1. AMA urges Justice Department, FTC to modernize payer merger regulations

    The American Medical Association penned a letter to the Justice Department and Federal Trade Commission April 21, urging the federal agencies to modernize the enforcement of antitrust laws regarding mergers in the health insurance market.
  2. 8 payers named among America's best employers for diversity

    Forbes partnered with Statista to publish a list of America's 500 best employers for diversity. 
  3. California extends Medi-Cal to noncitizens over age 50

    California is opening Medi-Cal to noncitizens over the age of 50 starting May 1.

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  1. 7 payers seeking C-suite talent

    Seven payers — including Managed Health Services Indiana and UnitedHealthcare Community Plan of Tennessee — are seeking C-suite talent.   
  2. Medicare Advantage in the news: 5 recent headlines

    From an HHS report raising concerns over denials of prior authorization requests to a McKinsey & Co. report detailing how payers can improve the onboarding process, here are five stories on Medicare Advantage that Becker's has covered since April 7: 
  3. Johns Hopkins health insurance division seeking senior business administrator

    Johns Hopkins HealthCare, the managed care and health services business of Baltimore-based Johns Hopkins Medicine, has an opening for a senior business administrator, the health system confirmed to Becker's.  
  4. Five recent lawsuits against payers

    From a lawsuit from a Native American tribe in Michigan to a federal order to pay back millions in claims to providers, these are five recent lawsuits against payers:

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  1. Black women are leading the charge toward health equity in the payer sphere

    As payers look to improve care outcomes across racial and ethnic lines within the communities they serve, many have recently added a new role to their C-suite lineup: the health equity executive. 
  2. Priority Health's 1st population health, health equity exec: Redefining our community role around providing solutions for disparities

    Priority Health has named Shannon Wilson as its first vice president of population health and health equity. She sat down with Becker's to share her plans for quality improvement in the Grand Rapids, Mich.-based company's commercial and public lines, and how she is developing Priority's population health and health equity strategies.
  3. The highest-paid payer CFOs in 2021

    Proxy statements for 2021 have been filed for the nation's largest payers, including the public release of CFO salaries and compensation packages.
  4. How 7 payer CEO pay packages changed from 2020 to 2021

    Proxy statements for 2021 have been filed for the nation's largest payers, including the public release of CEO salaries and compensation packages.

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  1. Centene's former chief solutions officer joins health tech startup

    TCARE has named former Centene Chief Solutions Officer Nate Moore as the company's chief operating officer.  
  2. Molina's 10% income boost in Q1: 5 things to know

    Molina Healthcare has pulled in revenues of nearly $7.8 billion in 2022 and cited an increase in Medicaid and Medicare members, along with acquisitions, for what's driving growth, according to the company's first-quarter earnings report released April 27.
  3. New CMS rule aims to make ACA coverage more accessible, affordable

    CMS released the Notice of Benefit and Payment Parameters for 2023 Final Rule April 28, with changes aiming to make ACA coverage more accessible and affordable. 
  4. Medicare Advantage Organization denials of prior authorization requests raise concerns

    A report from the HHS Office of the Inspector General released April 27 found Medicare Advantage Organizations sometimes delayed or denied enrollees' access to services even though the request met Medicare coverage rules. 
  5. BCBS North Carolina appoints new member to board of trustees

    Blue Cross and Blue Shield of North Carolina named Willie Deese as the newest addition to its board of trustees.
  6. Providence seeking to fill health plan C-suite position

    Providence Health Plan is looking to hire a chief information officer in California, Oregon or Washington, according to recent job postings.
  7. States ranked by percentage of people with a mental illness who do not have insurance 

    Twenty-one percent of Americans have a mental health issue, but only 11 percent have received mental healthcare this year, while 11 percent of those with mental illness have not.
  8. U of Mississippi Medical Center, UnitedHealthcare OK multiyear network deal

    Mississipians enrolled in UnitedHealthcare Medicare Advantage plans will have long-term access to all University of Mississippi Medical Center facilities and providers for the first time, effective June 1. 
  9. BCBS calls for national standardardization of demographic data collection to address health inequities

    The Blue Cross Blue Shield Association and Blue Cross and Blue Shield companies released a paper April 27 calling on the healthcare system to develop and adopt national industry standards for demographic data collection to address health inequities.

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