Today's Top 20 Stories
  1. Single payer in California in governor's court after release of feasibility report

    Gov. Gavin Newsom's commission on the feasibility of a single-payer healthcare system in California released its final report April 25, but it leaves more questions than answers, according to CalMatters.
  2. UnitedHealth in the news: 5 recent headlines

    From its founder retiring from the board of directors, to it quietly acquiring two independent primary care groups in Oregon, here are five recent headlines involving UnitedHealth:
  3. Mississippi provider-BCBS dispute going to mediator

    Blue Cross and Blue Shield of Mississippi and University of Mississippi Medical Center have agreed to use mediation to settle their contract dispute, Mississippi Today reported April 27. 

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  1. Insurers seek permanent extension of ACA marketplace premium subsidies

    Health insurer lobby and trade group America's Health Insurance Plans is calling on Congress to permanently extend ACA premium subsidies included with federal coronavirus relief that are set to expire at the end of the year. 
  2. New Jersey recovers $9M in unspent funds from Medicaid provider

    New Jersey's Medicaid program recovered $9 million in a settlement with provider Community Access Unlimited, NJ Spotlight News reported April 26. 
  3. Texas orders payer to cease all operations

    Salvasen Health is out of business in Texas after the state's insurance department ordered the Houston-based payer to stop selling health plans April 26.
  4. Humana's 16% revenue growth in Q1: 7 things to know

    Humana took in $930 million in net income during the first quarter and aims to continue adding Medicare Advantage members, according to its earnings report released April 27.

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  1. Kansas lawmakers table Medicaid contract talks until 2023

    Lawmakers in the Kansas House and Senate have voted to delay negotiations of the state's nearly $4 billion Medicaid contracts until 2023, the Kansas Reflector reported April 26. 
  2. Centene updating office of the CEO, reducing real estate footprint

    Centene is updating its leadership structure, CEO Sarah London said on the company's April 26 first-quarter 2022 earnings call. 
  3. 'Functionally uninsured': Arizona BCBS members head to Mexico for affordable care

    After an Arizona family with health coverage from Blue Cross Blue Shield of Texas faced over $7,000 in medical bills, they headed to an out-of-network physician in Mexico to receive affordable care for their son, according to Kaiser Health News.
  4. UnitedHealthcare to roll out prior authorization changes for radiation therapy in June

    Effective June 7, United Healthcare will require and Optum will manage prior authorization for the following outpatient radiation therapies:

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  1. 9 recent deals involving payers

    From an expansion of provider networks to investments in value-based health plans, these are nine recent payer partnerships and purchases:
  2. Colorado requiring payers to collect voluntary demographic data from providers, members

    Some payers in Colorado are being required to collect demographic data voluntarily given by network providers, including data on race, ethnicity, disability status, sexual orientation and gender identity, according to Kaiser Health News.
  3. Highest-paid payer CEOs in 2021

    Proxy statements for 2021 have been filed for the nation's largest payers, including the public release of CEO salaries and compensation packages.
  4. UF Health Jacksonville gets $3.7M BCBS grant for health equity center

    Blue Cross Blue Shield is donating $3.7 million to UF Health Jacksonville to establish a Center for Health Equity and Social Justice, the payer's philanthropic foundation said April 26.   
  5. Medicare accounted for 20% of US healthcare spending in 2020, report says

    In 2020, Medicare spending comprised 12 percent of the federal budget and 20 percent of national healthcare spending overall, according to the Kaiser Family Foundation.  
  6. Appeals court revives tribe's lawsuit against BCBS of Michigan

    A federal appellate court has revived the Saginaw Chippewa Indian Tribe's lawsuit against Blue Cross Blue Shield of Michigan that alleges the payer failed to fulfill its fiduciary duties in administering tribal health insurance, costing the tribe millions of dollars.
  7. Molina Healthcare in the news: 5 recent stories 

    From joining the S&P 500 to facing a lawsuit over its 401(k) plan, here are five recent headlines about the Long Beach, Calif., managed care organization: 
  8. UnitedHealth Group founder to retire from board of directors 

    UnitedHealth Group's founder is retiring from the payer's board of directors, the Minneapolis Star Tribune reported April 26. 
  9. UnitedHealth CEO compensation in 2021: $18.4M

    UnitedHealth Group CEO Andrew Witty earned over $18.4 million in fiscal year 2021, on par with other CEOs but ranking below Cigna Chair and CEO David Cordani and above Humana President and CEO Bruce Broussard, according to a proxy statement filed April 22. 

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