Today's Top 20 Stories
  1. 5 ways AHA wants Congress to improve Medicare Advantage oversight

    The American Hospital Association said some Medicare Advantage policies can hurt beneficiaries, contribute to clinician burn and drive up the cost of care. 
  2. The top-rated Medicare plans in each state

    The National Committee for Quality Assurance has named the top-performing health plans of 2022 based on factors that include care quality, patient satisfaction and efforts to keep improving.
  3. The top-rated commercial health plans in each state

    The National Committee for Quality Assurance has named the top-performing health plans of 2022 based on factors that include care quality, patient satisfaction and efforts to keep improving.

Becker's Payer Issues Roundtable

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  1. Centene to pay Texas $166M to settle Medicaid fraud allegations

    Centene will pay Texas $165.6 million to settle the state's investigation into if the payer violated Medicaid fraud laws, the Texas Attorney General's Office said Sept. 19. 
  2. Dec. 7 looms as breaking point for BCBS Texas, health system

    Amarillo, Texas-based Baptist St. Anthony Health System will go out of network with Blue Cross and Blue Shield of Texas on Dec. 7 if the sides are unable to agree on a new contract, ABC affiliate KVII reported Sept. 19.
  3. Blue Cross and Blue Shield of Kansas City relocates headquarters

    Blue Cross and Blue Shield of Kansas City will move its headquarters to a new 260,000-square-foot space in Kansas City, Mo. 
  4. Many Colorado plans aren't meeting state benchmarks to reduce premiums

    Only one of the eight payers operating in Colorado's new state-sponsored plan will meet state benchmarks to reduce premiums by 5 percent this year, according to a report from the Colorado Consumer Health Initiative. 

UNiD™ Adaptive Spine Intelligence Technology

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  1. Medicare Advantage and traditional Medicare enrollees equally satisfied with care, study finds

    Medicare Advantage and traditional Medicare plans have similar rates of satisfaction with care and overall care coordination among beneficiaries, a review, published Sept. 16, of 62 studies comparing the plans found.
  2. UnitedHealth in the headlines: 7 recent developments

    From a partnership with Walmart to defeating lawsuits, here are seven headlines about UnitedHealth Group that Becker's has covered since Sept. 6: 
  3. Big payers ranked by CEO tenure

    From 13 years to a few months, here is how long the CEOs of 10 of the nation's largest payers have held their roles: 
  4. Humana Foundation CEO: Investment in health equity can mitigate effects of natural disasters

    In the wake of severe flooding and tornadoes that damaged communities in rural Kentucky in July, Humana Foundation CEO Tiffany Benjamin says future investments in rural areas can help bolster health equity before natural disasters strike again. 

The influence of Nanotechnology on postoperative opioid consumption in ALIF procedures

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  1. 7 in 10 employers expect insurance costs to rise next year: Survey

    Employers expect the costs of providing health insurance to their employees to rise, a survey from Willis Towers Watson found.
  2. Cigna joins other payers in covering BrainsWay's neurostimulation device for treating OCD 

    Cigna has joined other payers in covering a noninvasive neurostimulation device from BrainsWay that treats obsessive-compulsive disorder.
  3. BCBS Association names SVP of policy and advocacy

    The Blue Cross Blue Shield Association has named David Merritt senior vice president of policy and advocacy, effective Oct. 24.
  4. BCBS Arkansas names 2 clinical quality execs

    Arkansas Blue Cross and Blue Shield has added two clinical quality executives to its leadership team, Arkansas Business reported Sept. 19.
  5. 5 reactions to the passage of the House prior authorization reform bill

    Here are what leaders of five organizations said following the House of Representatives' unanimous passage Sept. 14 of a bill to reform the Medicare Advantage prior authorization process. 
  6. Capping cost-sharing monthly, rather than yearly, could save patients money

    Capping cost-sharing each month, rather than on an annual basis, could result in savings for consumers, a new research brief published in JAMA Network Open found. 
  7. Centene subsidiary awarded foster care contract

    Centene's Texas-based subsidiary, Superior HealthPlan has been awarded a six-year contract to continue providing healthcare coverage for foster care youths through the State of Texas Access Reform Health Medicaid program. 
  8. Expect Medicare Advantage star ratings to decline next year, McKinsey says

    Medicare Advantage plan star ratings hit their highest-ever levels in 2022 — but plans shouldn't expect these increases to continue, McKinsey analysts warn. 
  9. 10 recent findings by HHS' oversight arm

    From Medicare Advantage providers denying access to care unnecessarily to the nation's organ transplant network being vulnerable to a cyberattack, these are 10 recent findings from HHS' Office of the Inspector General:

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