Today's Top 20 Stories
  1. Centene's 24% revenue growth in Q1: 11 things to know

    Centene pulled in over $37 billion in revenue in the first quarter and added nearly 2 million members, according to the company's earnings report released April 26.
  2. BCBS of Mississippi sitting on a large surplus, report says

    Financial records show for-profit Blue Cross and Blue Shield of Mississippi has accumulated a surplus significantly larger than what regulators require to protect consumers, according to Mississippi Today. 
  3. BCBS in the headlines: 9 recent stories

    From contract disputes over reimbursement rates to the largest fine in Georgia's history, here are nine recent headlines about Blue Cross Blue Shield companies:

The Next Evolution of Claim Statusing

Sponsored
Outstanding claims hold your time and money in limbo. Get ahead on claim rejections and denials — learn how.
  1. Blue Care Network launches genetic testing pilot program to personalize members' medicine

    Blue Care Network has launched a precision medicine program called Blue Cross Personalized Medicine that will use pharmacogenomics to personalize and tailor medication treatments for members.
  2. UnitedHealth/Optum will be top purchaser of health tech startups this year, survey finds

    Optum will be responsible for a quarter of all health tech startup acquisitions this year, according to Venrock's "2022 Healthcare Prognosis" survey.
  3. BCBS of Michigan, physician services group team up on Medicare value-based contracts

    Blue Cross Blue Shield of Michigan is partnering with Nashville, Tenn.-based Honest Medical Group for a venture they say will ease physicians' transition to value-based care for Medicare and Medicare Advantage patients. 
  4. Postpartum Medicaid coverage increased during pandemic, but that trend is under threat, study finds

    Fewer people lost postpartum health coverage during the COVID-19 pandemic compared to 2019, according to a study from Brown University researchers.

UNiD™ Adaptive Spine Intelligence Technology

Sponsored
It's time to make spine surgery more predictable — here's how.
  1. Insurtech firm raises $35M to scale health plan built for remote workers

    SafetyWing has raised $35 million in a series B funding round to grow its health plan that offers coverage to remote employees without geographic limits, according to Grit Daily.
  2. Illinois expands Medicaid to more noncitizens, midwives

    The Illinois General Assembly has passed legislation that expands Medicaid coverage to midwife services and to noncitizen residents ages 42 and older.
  3. Democrats urge Biden to scrap 'junk' short-term health plans

      Forty-two Democrats in Congress are calling on the Biden administration to toss short-term health plans they say pose financial risks to consumers.  
  4. 10 providers seeking payer contracting talent

    Ten providers —  including Northwestern Medicine and St. Charles Health —  recently posted job listings seeking leaders in payer contracting and relations.

The influence of Nanotechnology on postoperative opioid consumption in ALIF procedures

Sponsored
Orthopedic spine procedures are linked to higher risks of opioid dependence. See how to mitigate this risk here.
  1. Molina Healthcare of Iowa names chief medical officer

    Molina Healthcare of Iowa named Tim Gutshall, MD, chief medical officer April 25. 
  2. 23 states have introduced a public health plan option. Can they find a path to sustained success?

    Since 2010, 23 states have introduced a total of 49 bills to create a public health plan option within their respective marketplaces, according to a March report from the Harvard Journal on Legislation.
  3. CMS ending efforts to rescind Texas Medicaid waiver

    CMS sent a letter to Texas' Medicaid and Children's Health Insurance Program director April 22 to say that it would no longer work to rescind an extension of a Texas Medicaid waiver.
  4. CMS proposes changes to eliminate Medicare coverage delays

    CMS proposed a rule change April 22 it said would eliminate delays in Medicare coverage and extend coverage of immunosuppressive drugs for certain beneficiaries.
  5. States ranked by average ACA marketplace premiums in 2022

    The Kaiser Family Foundation calculated monthly average ACA marketplace benchmark premiums per state in 2022. The national average is $438.
  6. States that have proposed public option health plans

    Since 2010, 23 states have introduced a total of 49 bills to create a public health plan option within their respective marketplaces, according to a report from the Harvard Journal on Legislation.
  7. California improperly reimbursed $23M for opioid treatments, HHS audit finds

    An audit from the HHS Office of the Inspector General estimates California improperly claimed at least $23.1 million in Medicaid reimbursement for opioid treatment services.  
  8. 7 payers recognized for best employer-sponsored wellness benefits programs

    The Business Group on Health named seven payers as winners of the Best Employers Award for Excellence in Health and Well-being.
  9. UnitedHealth Group quietly buys Oregon medical groups

    UnitedHealth Group subsidiary Optum has quietly acquired at least two independent primary care groups in Oregon, according to The Lund Report.

Featured Podcast

Top 40 articles from the past 6 months