Today's Top 20 Stories
  1. UnitedHealth in the headlines: 10 updates

    From posting a $5.8 billion profit in the third quarter of 2023 to enhancing the benefits of its UCard, here are 10 updates on UnitedHealth Group Becker's has reported since Sept. 29:
  2. Meet the CEO of the BCBS affiliate in every state

    Most of the nation's largest health payers have a single CEO at the helm and operate under one name across many states. In contrast, Blue Cross and Blue Shield payers function as smaller, independent companies, though they are often the largest insurer within their respective state.
  3. Empire BCBS names president

    Empire BlueCross BlueShield and Empire BlueCross have named Victor DeStefano as its next president.  

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. Cigna reduces workforce

    Former employees with the Cigna Group and its subsidiaries have taken to social media in October regarding layoffs they say are occurring across the company.
  2. Centene sees 75% marketplace enrollment growth

    Centene's individual marketplace business has grown 75% year over year, adding 1.6 million members since the third quarter of 2022, according to the company's third quarter earnings report published Oct. 24. 
  3. ACO REACH predecessor saved $371M in 2022

    The Medicare Global and Professional Direct Contracting model saved the program more than $300 million in net savings in 2022, according to CMS data published Oct. 24. 
  4. Inside Select Health's Medicare Advantage partnership with Kroger

    Gone are the days when the grocery store was just for food — now it can provide your health insurance, too.

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. Centene names chief growth officer

    Centene has named Wade Rakes as chief growth officer. 
  2. The Medicare ACOs that saved the most in 2022

    Participants in the Medicare Global and Professional Direct Contracting model saved the program more than $300 million in net savings in 2022. 
  3. Centene posts $469M profit in Q3

    Centene reported a 36% decline in net income year-over-year, along with major growth in exchange enrollment, according to its third-quarter earnings posted Oct. 24.
  4. Georgia's Medicaid work requirement program slow to gain participants

    The nation's only Medicaid program that requires proof of work to receive benefits is off to a slow start, the Georgia Recorder reported Oct. 21. 

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. 2.3 million people will gain insurance if 10 states expand Medicaid

    Around 2.3 million people would gain insurance coverage if 10 states expanded Medicaid in 2024, according to an Oct. 23 report from the Robert Wood Johnson Foundation. 
  2. 8 providers being acquired by payers

    Here are eight providers that payers have acquired or announced plans to acquire in 2023: 
  3. The largest commercial payer in each state

    Below are the largest commercial payers in each state by total enrollment, according to data and analytics firm ValuePenguin.
  4. Michigan codifies ACA provisions into state law

    Michigan has codified several provisions of the Affordable Care Act into state law, ahead of a Supreme Court case that could strike down the law's preventive care coverage requirements. 
  5. 4 recent Medicare Advantage overpayment cases

    The Cigna Group will pay over $170 million to settle allegations of Medicare Advantage fraud, and government watchdogs are auditing other plans for potential overpayments. 
  6. UnitedHealthcare names CEO for dental, vision

    UnitedHealthcare has promoted Colleen Van Ham to CEO of its dental and vision divisions, according to an October LinkedIn post.
  7. Illinois pauses enrollment in insurance program for older immigrants

    Illinois will pause enrollment in a Medicaid-like program for immigrant older adults beginning in November. 
  8. Humana plans 8 new CenterWell clinics in Virginia

    Humana plans to open eight new CenterWell clinics in Virginia in 2023 and 2024. 
  9. Medicare Advantage in the headlines: 15 recent updates

    October is a busy month for Medicare Advantage, with the beginning of open enrollment and CMS announcing plans' star ratings. 

Top 40 articles from the past 6 months