Today's Top 20 Stories

  1. 7 recent payer M&A updates

    Jakob Emerson -
    From the merging of two payers to multibillion-dollar acquisitions, these are seven M&A updates involving payers reported by Becker's since Nov. 17:

  2. Optum inks operations partnership with Kentucky health system, will hire over 500 employees  

    Jakob Emerson -
    Optum is hiring 575 employees from Owensboro (Ky.) Health and will begin managing the company's revenue cycle operations and IT services.

  3. 5 million individuals eligible for premium-free ACA plans

    Rylee Wilson -
    At least 5 million uninsured people are eligible for premium-free plans on the ACA exchange, according to a new analysis from Kaiser Family Foundation published Jan. 10. 

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  1. BCBS Massachusetts names VP of measurement, evaluation

    Jakob Emerson -
    BCBS of Massachusetts has named Debbie Peikes, PhD, as vice president of measurement and evaluation.

  2. CareFirst BCBS partners with care access startup Live Chair Health on Medicaid outreach 

    Jakob Emerson -
    CareFirst BCBS and Live Chair Health are partnering on healthcare access for Medicaid members, focusing particularly on closing social determinants of health gaps in Baltimore and other parts of Maryland.

  3. Who's buying the most online Medicare Advantage ads?

    Rylee Wilson -
    Insurance brokers, dealers and partners buy the majority of online Medicare Advantage advertising. 

  4. Humana in the headlines: 7 recent updates

    Rylee Wilson -
    Humana is boosting its outlook for Medicare Advantage members in 2023, while preparing to shut down its SeniorBridge home care facilities. 

Becker's Payer Issues Rountable

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  1. Regence BlueShield of Washington Medicare Advantage members still waiting for resolution with Optum-owned clinics

    Rylee Wilson -
    Despite coming to an agreement to keep Regence BlueShield of Washington commercial members in-network at the Polyclinic and Everett Clinic, the payer's Medicare advantage members are still left in limbo, The Daily Herald reported Jan. 10. 

  2. Bright Health market president departs for digital health provider

    Rylee Wilson -
    Rondi Rabuse, former Northeast market president at Bright Health, has been named president and chief operating officer at UCM Digital Health. 

  3. UnitedHealth Group names chief innovation officer

    Jakob Emerson -
    UnitedHealth Group named Dame Vivian Hunt as its new chief innovation officer Jan. 9.  

  4. CMS outlines Medicaid redetermination strategies for states

    Andrew Cass -
    Medicaid redeterminations will begin on April 1, and CMS has released guidance on how states can work with managed care plans to prepare for the return to regular eligibility and enrollment operations. 

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  1. 50 things to know about Medicare Advantage

    Jakob Emerson -
    Before 2006, Medicare Advantage in its current form didn't exist. Now, the public-private program is expected to overtake traditional Medicare this year — how did it get here?

  2. The healthcare facilities where No Surprises Act disputes are most common

    Jakob Emerson -
    Hospital emergency rooms make up 81 percent of where No Surprises Act disputes occurred between April 15 and Sept. 30, according to CMS' initial report on the independent dispute resolution process. 

  3. BCBS Michigan beats 'Blues Conspiracy' antitrust allegations over anesthesiology rates

    Jakob Emerson -
    A federal judge dismissed a claim Dec. 29 against Blue Cross Blue Shield of Michigan from the Anesthesia Associates of Ann Arbor (A4) over an alleged decadeslong scheme to control the state's anesthesia market.

  4. Former Bright Health exec tapped to lead Texas Mutual insurance subsidiary

    Andrew Cass -
    Bright Healthcare's former Texas market president, Meredith Duncan, has been named CEO of Texas Mutual Insurance Co.'s new health insurance subsidiary. 

  5. BCBS Vermont names Margaret Pinello-White chief administrative officer

    Rylee Wilson -
    Blue Cross and Blue Shield of Vermont has named Margaret Pinello-White chief administrative officer. 

  6. UnitedHealth tops ranking of world's largest insurance companies; Centene, Elevance improve position

    Rylee Wilson -
    UnitedHealth Group is the world's largest insurance company by net premiums for the eighth year in a row, according to AM Best's latest ranking of global insurers. 

  7. Anthem Blue Cross, Mary Washington Healthcare could split March 1

    Rylee Wilson -
    Anthem Blue Cross could go out of network with Fredericksburg, Va.-based Mary Washington Healthcare if the two sides can't agree on a new contract by March 1, The Free Lance-Star reported Jan. 7. 

  8. Centene, Missouri health system split, affecting foster care children and families

    Rylee Wilson -
    Centene and Springfield, Mo.-based CoxHealth will go out of network Feb. 16 after the two sides were unable to reach a new contract agreement, Springfield News-Leader reported Jan. 9. 

  9. Excellus BCBS names new execs for pharmacy, provider relations

    Rylee Wilson -
    Excellus Blue Cross Blue Shield has appointed three employees to senior vice president roles. 

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