Today's Top 20 Stories
  1. Health plans, Medicaid, Medicare hit by massive MOVEit breach

    Millions of health plan members have had their personal information, including Social Security numbers and medical history, breached in a massive attack affecting hundreds of organizations. 
  2. Payers brace for behavioral health costs to keep rising

    Demand for behavioral healthcare is on the rise. 
  3. Cigna in the headlines: 7 recent updates

    Cigna is rolling back prior authorizations and adding new AI-based offerings for members. 

A new framework for measuring RCM success — Insights from Denver Health

RCM optimization isn't cheap — but what hospitals really can't afford is sticking to the status quo. Discover how this safety-net hospital is advancing digital transformation in RCM here.
  1. Humana partners with Interwell on kidney care

    Humana and kidney care provider Interwell Health have reached a value-based care agreement in 13 states for most Humana Medicare Advantage HMO and PPO members living with chronic kidney disease as well as members across the country living with end-stage kidney disease.
  2. 4 recent payer rebrands

    Here are four payer rebrands that Becker's has reported since June 23: 
  3. The fight against Medicaid disenrollments is underway

    The first lawsuit challenging the Medicaid redetermination process was filed in Florida on Aug. 22. On the same day, community organizers in Arkansas protested the process outside the state's capitol. 
  4. Cigna ends prior authorization requirements for 25% of procedures

    Cigna Healthcare has removed prior authorization requirements for more than 600 medical procedures, cutting the number of prior authorizations it requires by 25 percent. 

5 signs it's time for end-to-end RCM

There are 5 signs that it's time to switch to end-to-end RCM. Learn what they are + solutions here.
  1. BCBS Massachusetts names chief consumer experience officer

    Blue Cross Blue Shield of Massachusetts has named Paul Long as chief consumer experience officer. 
  2. Elevance rebranding CareMore to Carelon Health

    CareMore Health, an Elevance Health subsidiary, will rebrand as Carelon Health in January 2024. 
  3. 40 payers among Forbes' best-in-state employers

    Forty health insurers and health systems with health plans were named to Forbes' 2023 list of Best Employers by State. 
  4. Michigan seeks bids for Medicaid program overhaul

    Michigan is seeking contractors to manage Medicaid care for more than 2.2 million people. 

How one Midwest hospital is driving financial efficiency with interconnected systems

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. Employers sour on virtual care

    Employers are less optimistic about the importance of virtual care, according to a survey from the Business Group on Health. 
  2. CarelonRx: Healthcare leaders can improve community health by adopting a patient-first mindset in specialty pharmacy

    The use of specialty medications is on the rise, and we don't see that trend slowing.
  3. UnitedHealth Group in the headlines: 10 updates

    From layoffs at Optum to Justice Department scrutiny over its proposed acquisition of Amedisys, here are 10 updates on UnitedHealth Group that Becker's has reported since Aug. 3: 
  4. UnitedHealth to pay cash dividend to shareholders

    UnitedHealth Group's board of directors authorized to pay a cash dividend of $1.88 per share on Sept. 19 to all shareholders of record as of Sept. 11, according to an Aug. 23 company news release. 
  5. Kaiser extends coverage for larger employers across all of Colorado

    Oakland, Calif-based Kaiser Permanente is expanding its insurance plans for employers across all of Colorado, moving away from just its current urban focus in the state, according to an Aug. 22 Denver Business Journal report.
  6. Appellate court partially revives UnitedHealth reprocessing case

    A federal appellate court ruled that some beneficiaries of UnitedHealth Group's behavioral health unit may be entitled to have their claims reprocessed, according to an Aug 22 decision. 
  7. Anthem slaps Bon Secours with cease and desist amid escalating contract fight

    Anthem Blue Cross Blue Shield of Virginia has filed a cease and desist order against Cincinnati-based Bon Secours Mercy Health for allegedly denying access to Anthem's Medicaid patients amid a tense reimbursement rate dispute between the organizations, ABC affiliate WRIC reported Aug. 22.
  8. Florida sued over Medicaid unwinding process

    A proposed class-action lawsuit was filed Aug. 22 on behalf of two families accusing Florida of terminating their Medicaid coverage without proper notice or a chance to contest the decision. 
  9. States with the highest rates of children enrolled in Medicaid

    New Mexico has the highest rate of youth enrollment in Medicaid/CHIP, while Utah has the lowest, according to new data published by KFF.

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