Today's Top 20 Stories
  1. Payer executives expect limited change in ACA subsidies

    Payer executives expressed confidence in the continuation of enhanced ACA subsidies in some form past 2025. 
  2. 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. 
  3. 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. 

Becker's Spring Payer Issues Roundtable

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Becker's is gathering 500+ payer execs in Chicago next April. Learn how your company can join them — here.
  1. 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:
  2. 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.
  3. 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.
  4. 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. 

Becker's Spring Payer Issues Roundtable

Sponsored
Becker's is gathering 500+ payer execs in Chicago next April. Learn how your company can join them — here.
  1. 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. 
  2. 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. 
  3. 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. 
  4. Medical Mutual names interim CEO

    Medical Mutual has named an interim CEO, with current CEO Steven Glass set to exit. 

Becker's Spring Payer Issues Roundtable

Sponsored
Becker's is gathering 500+ payer execs in Chicago next April. Learn how your company can join them — here.
  1. 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.
  2. 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." 
  3. Centene subsidiary names CEO

    Centene subsidiary Sunshine Health Plan has named Charlene Zein plan president and CEO. 
  4. Centene president to retire

    Centene president Ken Fasola plans to retire in July 2025. 
  5. Humana names chief human resources officer

    Humana has named Michelle O'Hara as chief human resources officer. 
  6. 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.
  7. 10 providers seeking payer contracting talent

    Ten providers recently posted job listings seeking leaders in payer contracting and relations.
  8. 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. 
  9. 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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