Today's Top 20 Stories
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Health insurance executive moves | 2024
Payer executive moves reported by Becker's in 2024: -
5 updates on the 2-midnight rule
From a report suggesting that some payers have "hit the snooze button" on the new guidance, to a Humana leader expressing confidence that the company is applying the rule correctly, here are five updates on the two-midnight rule that Becker's has reported since Oct. 23: -
Centene in the headlines: 10 updates
From challenging CMS' Medicare Advantage star ratings to completing the sale of another subsidiary, here are 10 updates on Centene that Becker's has reported since Sept. 11:
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Humana: Why payers, providers aren't aligned on 2-midnight trends
Humana has seen stable inpatient trends in the second and third quarters of 2024, according to CEO Jim Rechtin. -
Humana posts $480M profit in Q3
Humana reported $480 million in net income in the third quarter of 2024, down 42% since the same period last year, according to its third quarter earnings report published Oct. 30. -
States ranked by average ACA benchmark premium
Vermont has the highest average ACA benchmark premium for 2025 coverage, while New Hampshire has the lowest, according to KFF. -
What 10 Medicare Advantage insurers earn from health risk assessments
UnitedHealth Group brought in an estimated $3.7 billion in payments linked to health risk assessments and chart reviews in 2023, according to an audit published by HHS' Office of Inspector General.
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Limited health literacy is a $4.8 billion dollar issue for payers — Here's how we address it
You can think about health literacy in three ways — personally, digitally and organizationally. -
Sachin H. Jain: Why a lawsuit over Star ratings is one of the proudest achievements of my career
The other day, I had a conversation with a colleague I've worked with for years. He's familiar with my career, and he was utterly surprised when I told him that one of my proudest achievements is the lawsuit that my company, SCAN, filed against the Centers for Medicare and Medicaid Services (CMS) challenging our Medicare Advantage Star rating. -
Medicare Advantage in the headlines: 7 recent updates
Several Medicare Advantage plans are challenging CMS' star ratings, and a new audit from HHS' Office of Inspector General examined the widespread use of in-home visits and chart reviews in the program. -
Why low Medicare Advantage star ratings can lead to a 'Darwinian death spiral'
In the world of Medicare Advantage, hundreds of millions of dollars in health plan revenue can hinge on the success of one call.
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UnitedHealth to meet with Justice Department on Amedisys deal: Bloomberg
UnitedHealth Group representatives are set to meet with Justice Department officials to make the case for its acquisition of Amedisys to be approved, Bloomberg reported Oct. 25. -
20 payers cutting jobs | 2024
Payers are trimming their workforces and cutting jobs due to financial or operational challenges, along with restructuring strategies. -
Insurers call OIG Medicare Advantage audit 'misleading'
Groups representing insurers said an audit from HHS' Office of Inspector General "paints a misleading picture." -
Humana sets quarterly dividend
Humana's board of directors authorized a cash dividend of $0.885 per share to be paid on Jan. 31, 2025. -
Some Medicaid challenges ease for Centene: 5 things to know
States are taking action to increase Medicaid rates, Centene executives told investors. -
UnitedHealth Group in the headlines: 12 updates
From reaching a settlement with the Labor Department to releasing its third-quarter 2024 earnings report, here are 12 updates on UnitedHealth Group and its subsidiaries that Becker's has reported since Oct. 9: -
Centene posts $713M in Q3 profit
Centene reported $713 million in net income in the third quarter, per its earnings report published Oct. 25. -
How Medicare Advantage plans are approaching a 'tumultuous' open enrollment
Long Beach, Calif.-based SCAN Health Plan is trying to maintain calm amid a tumultuous Medicare open enrollment. -
Medicare Advantage market exits causing the most disruption
Eighteen insurers have exited Medicare Advantage markets for 2025, with more than 1.8 million people currently enrolled in plans that will not exist next year, according to OliverWyman.
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