Today's Top 20 Stories
  1. Florida Blue CEO to serve second term as AHIP chair

    Pat Geraghty, president and CEO of Florida Blue and parent company Guidewell, will serve a second year as chair of AHIP.
  2. Insurers: Mental health parity rule will have 'severe unintended consequences'

    Insurers and employers are pushing back on new rules that would toughen requirements for mental health parity. 
  3. Mercy hands Anthem contract ultimatum over 'denials,' 'red tape'

    St. Louis-based Mercy has notified Anthem Blue Cross Blue Shield that it will go out-of-network with the insurer in Missouri if a new agreement is not reached by Jan. 1, 2025. 

Becker's Fall Payer Issues Roundtable

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Becker's is gathering 500+ payer execs in Chicago this fall. Learn how your company can join them — here.
  1. ​​Payers ranked by digital experience | 2024 

    UnitedHealthcare offers the best desktop digital experience among major insurers, and Anthem BCBS plans offer the best mobile app experience, according to new research from Corporate Insight shared with Becker's.
  2. Medicaid pressures to hit Centene's third-quarter earnings

    Centene expects rising Medicaid expenses to hurt its third-quarter earnings. 
  3. Payers' PBMs ranked by market share

    The four largest pharmaceutical benefit managers account for 70% of the market, an analysis from the American Medical Association found. 
  4. 6 prior authorization updates

    From UnitedHealthcare releasing details about its national gold-card program to a reform bill in California clearing one of its final legislative hurdles, here are six updates on prior authorization that Becker's has reported since Aug. 20: 

How one Midwest hospital is driving financial efficiency with interconnected systems

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Major time savers can stem from single logins. That's how 1 hospital achieved a 50% reduction in month-end close time — read the short case study, here.
  1. GLP-1s and insurance coverage: 10 key numbers

    Insurers and employers face ongoing challenges in covering costly GLP-1 medications, with coverage rates varying significantly based on the individual's insurance plan and employer.
  2. Aetna, HCA Florida reach agreement covering 48 hospitals

    Editor's note: This story was updated Sept. 20 to reflect Aetna and HCA Hospitals reached a new agreement.  Aetna and HCA Healthcare hospitals in Florida have reached a new contract agreement, avoiding a split that would have left 48 hospitals out-of-network. 
  3. The 'great disruption' coming for Medicare Advantage

    Come mid-October, the Medicare Advantage program will enter its annual enrollment period, marked by significant changes for older adults.
  4. Medicare Advantage plans contend with election anxiety

    Medicare Advantage plans are tasked with educating members about significant changes coming to the program in 2025. They also have to find a way to break through the noise of an election year. 

How one Midwest hospital is driving financial efficiency with interconnected systems

Sponsored
Major time savers can stem from single logins. That's how 1 hospital achieved a 50% reduction in month-end close time — read the short case study, here.
  1. White House expands mental health parity coverage

    The Biden administration has finalized new requirements for health plans to strengthen mental health parity laws for 175 million Americans.
  2. Why this Medicare Advantage plan isn't sweating inpatient cost pressures

    Major Medicare Advantage carriers have been reporting an increase in inpatient care costs during the first half of 2024, influencing future pricing and plan design strategies.
  3. Sale 'completely off the table,' BCBS Louisiana CEO says

    Selling Blue Cross Blue Shield of Louisiana is "completely off the table" for new CEO Bryan Camerlinck, Business Report reported Aug. 29. 
  4. 7 state Medicaid contract updates

    Several states have shaken up their Medicaid contractors in recent months. Florida added additional insurers to its Medicaid contract awards, and system-owned health plans in Texas are challenging a contract decision executives say threatens the plans' existence. 
  5. Turning the tables: How providers can maximize their leverage in payer negotiations

    In today’s complex healthcare landscape, providers often find themselves grappling with the challenging dynamics of payer negotiations. While the scales may seem tipped in favor of insurance companies, providers possess more leverage than they may realize — if they understand how to wield it effectively. The negotiation table is not merely a battleground for rates; it’s a strategic arena where savvy maneuvering can transform the prospects for both providers and their patients.
  6. 50 payers lowering ACA premiums in 2025

    Fifty insurers are looking to lower premiums on an ACA marketplace in 2025, according to an analysis from Peterson-KFF.
  7. 20 payers requesting the largest raises for ACA premiums in 2025

    New York state residents will see some of the largest premium increases on the ACA marketplace in 2025, according to an analysis from Peterson-KFF.
  8. Medicare Advantage members expect more — how top-rated payers respond

    Medicare Advantage beneficiaries are getting savvier and expecting more from their plans, executives at the top-rated insurers for customer satisfaction told Becker's. 
  9. Cigna CEO: Expect 'choppiness' in GLP-1 coverage

    Interest in Cigna's GLP-1 management program is "through the roof," CEO David Cordani told investors. 

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