Today's Top 20 Stories
  1. MetroPlusHealth names new chief operating officer

    MetroPlusHealth promoted Lila Benayoun to chief operating officer, the insurer said Sept. 21. 
  2. UnitedHealthcare, Peloton expand partnership

    As many as 10 million UnitedHealthcare commercial members may become eligible for digital fitness classes under a renewed and expanded partnership with Peloton. 
  3. Viewpoint: Pharmacists need standard pathway to bill for Paxlovid

    Pharmacists need a pathway to bill payers for the costs associated with assessing and prescribing the COVID-19 antiviral treatment Paxlovid, two attorneys write in Health Affairs. 

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  1. Race, not insurance, bigger factor in severe pregnancy complications, study finds

    A review of maternal morbidity rates among Blue Cross Blue Shield members and women with Medicaid found rates of severe complications during pregnancy are continuing to rise. 
  2. Fewer people with end-stage kidney disease enrolled in Medicare, study finds

    The proportion of people with end-stage kidney disease enrolled in Medicare dropped from 2006 to 2016 due to policy change that made it easier for this population to access private insurance, a new study found. 
  3. When Inflation Reduction Act Medicare changes take effect, year-by-year

    The Inflation Reduction Act, signed by President Joe Biden Aug. 16, includes several big changes for Medicare, including Medicare Advantage plans. These new policies will be introduced over the next several years. AARP laid out when to expect the biggest changes to take effect, year-by-year. 
  4. Blue Cross, U of Mississippi Medical Center remain at impasse months after agreeing to mediation

    Blue Cross and Blue Shield of Mississippi and Jackson-based University of Mississippi Medical Center have yet to reach a new contract more than four months after the sides agreed to a mediator, Mississippi Today reported Sept. 20.  

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  1. 'Already a three-headed dragon': Medical groups rebuke judge's approval of UnitedHealth, Change merger

    Medical associations nationwide have condemned a federal judge's move to clear UnitedHealth Group's acquisition of Change Healthcare for $7.8 billion following a challenge from the Justice Department.
  2. UnitedHealth Group names chief digital and technology officer at Optum

    UnitedHealth Group has named Sandeep Dadlani executive vice president and chief digital and technology officer at Optum.
  3. BCBS Texas, Southwestern Health Resources ending in-network services Oct. 3

    Blue Cross and Blue Shield of Texas and Farmers Branch-based Southwestern Health Resources will have no in-network contract with each other after Oct. 3 without a new agreement, WFAA reported Sept. 20.
  4. Dual-eligible Medicare plans not providing more equitable care, study finds

    Medicare Advantage plans designed for dual eligible populations are not broadly outperforming plans not specifically catered to this population, a new study in Health Affairs found. 

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  1. Meet the BCBS CEOs of the Northeast

    Most of the nation's largest health payers have a single CEO at the helm and operate under one name across many states. In contrast, Blue Cross and Blue Shield payers function as smaller, independent companies, though they are often the largest insurer within their respective state.
  2. 7 recent payer office, workforce moves

    From new headquarters to committing to permanent remote work, these are seven recent payer workforce stories reported by Becker's since Aug. 31:
  3. Lawsuits, rulings and settlements: 7 recent payer legal updates to know

    From rulings that could strike down preventive care requirements, to Medicaid fraud settlements, here are seven recent legal updates involving payers Becker's has reported on since Sept. 1. 
  4. Johns Hopkins, CareFirst dispute reveals deeper issues in Maryland's insurance system: Viewpoint

    The dispute between CareFirst BlueCross BlueShield and Johns Hopkins Health System is the result of structural issues within the state's unique health insurance system, Maryland State Medical Society President Gene Ransom said.
  5. A timeline of UnitedHealth Group's acquisition of Change Healthcare

    UnitedHealth Group's path to acquire Change Healthcare was cleared by a Washington, D.C., federal judge's decision Sept. 19.
  6. Startup Cityblock Health expanding to Indiana to serve MDwise plan members

    Cityblock Health, a New York City-based startup focused on providing care to low-income patients, is expanding to Indiana through a partnership with MDwise. 
  7. Aetna cancels contract with senior transportation vendor after complaints from Ohio Medicaid

    Aetna has canceled a contract with its vendor that provides transportation to low-income seniors in Ohio following complaints from beneficiaries and the state about no-show rides, WCPO reported Sept. 19.
  8. Former Humana execs launch small business benefits startup

    Two former Humana executives have launched a new company, Arrow Health, aimed at allowing more small businesses to offer health benefits, KYInno reported Sept. 20.
  9. California hospital, Anthem terminate contract

    Hollister, Calif.-based Hazel Hawkins Memorial Hospital's contract with Anthem Blue Cross has been terminated, NBC affiliate KSBW reported Sept. 19. 

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