Today's Top 20 Stories
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Payer executives expect limited change in ACA subsidies
Payer executives expressed confidence in the continuation of enhanced ACA subsidies in some form past 2025. -
Value-based models picked up steam in 2023: 5 numbers to know
The percentage of healthcare risk dollars in two-sided risk arrangements grew across all types of health plans in 2023, according to the Healthcare Payment Learning and Action Network's annual report. -
CMS official: Call centers will be less important in future Medicare Advantage star ratings
CMS will give less weight to call center metrics in future Medicare Advantage star ratings, according to a top CMS official.
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Elevance in the headlines: 10 updates
From announcing plans to buy CareBridge to suing CMS over its Medicare Advantage star ratings, here are 10 updates on Elevance Health that Becker's has reported since Oct. 17: -
Payers confronted by COVID vaccine lawsuits
Two Blue Cross Blue Shield plans have now lost in federal court for terminating employees that refused to get vaccinated against COVID-19, and other insurers are facing similar lawsuits. -
States ranked by total Medicare Part D enrollment
California has the highest number of individuals with Medicare Part D coverage, while Washington, D.C. has the lowest amount, according to KFF. -
Michigan cancels new D-SNP contracts, reopens bidding
Michigan has canceled contracts with nine health plans to manage the state's Medicaid program for individuals dually-eligible for Medicare and Medicaid.
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Why Elevance Health cut some Medicare Advantage broker commissions
Elevance Health is focusing its attention on markets with the most disruption during Medicare Advantage open enrollment, CFO Mark Kaye told investors. -
HHS sued over Medicare Advantage audit records
KFF Health News is suing HHS to release audits of Medicare Advantage plans and other records, the health news outlet reported Nov. 12. -
UnitedHealth Group sets quarterly dividend
UnitedHealth Group's board of directors authorized a $2.10 per-share cash dividend to be paid on Dec. 17. -
Medical Mutual names interim CEO
Medical Mutual has named an interim CEO, with current CEO Steven Glass set to exit.
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Strategies to reengineer the current drug supply chain and build something that benefits everyone
What do you do when there’s an oligopoly controlling an industry, inhibiting price competition and consumer choice? You break it up. The three dominant pharmacy benefit managers (PBMs), CVS Caremark, Cigna’s Express Scripts and United’s OptumRx are drug-pricing middlemen, increasing costs and limiting choice for more than 200 million Americans. Collectively, they process more than 80% of prescriptions in the U.S., up from 50% in 2012. It’s time for their hold on employers and consumers to end. -
Meet the Cigna Group's executive leadership team
Cigna directly confirmed on Nov. 11 that it is not pursuing a merger with Humana and said it "continues to deliver shareholder value through focused execution against stated operational and financial targets, and via disciplined capital deployment including dividends and share repurchase." -
Centene subsidiary names CEO
Centene subsidiary Sunshine Health Plan has named Charlene Zein plan president and CEO. -
Centene president to retire
Centene president Ken Fasola plans to retire in July 2025. -
Humana names chief human resources officer
Humana has named Michelle O'Hara as chief human resources officer. -
Justice Department sues UnitedHealth over Amedisys deal
The U.S. Justice Department is suing UnitedHealth Group and home health company Amedisys over the companies' planned $3.3 billion merger. -
10 providers seeking payer contracting talent
Ten providers recently posted job listings seeking leaders in payer contracting and relations. -
Centene CEO buys 4K+ shares of company stock
Centene CEO Sarah London bought 4,117 shares of the company's stock, according to a Nov. 8 SEC filing. -
Medicare Advantage plans ramp up lobbying efforts
Medicare Advantage insurers are ramping up efforts to persuade lawmakers to increase funding for the program, Politico reported Nov. 11.
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