Today's Top 20 Stories
  1. CMS to cut red tape for Medicaid, CHIP enrollment in final rule

    CMS finalized new rules that are intended to eliminate barriers to Medicaid and CHIP access. 
  2. 7 recent payer lawsuits, settlements

    From UnitedHealth Group facing multiple lawsuits in the fallout of the Change Healthcare cyberattack to Walgreens agreeing to pay a $360 million settlement to Humana, here are seven lawsuits, settlements and legal developments involving payers that Becker's has reported since Jan. 8: 
  3. UnitedHealth looks to power nearly 90% of U.S. business through solar

    UnitedHealth Group has launched two new renewable energy initiatives aimed at supplying the company with 89% of its domestic energy needs and 58% of its global energy load.

The state of AI in healthcare

86% of healthcare leaders say AI will define success over the next 5 years. Insights + strategies for successful adoption here.
  1. What 5 recent studies found about Medicare Advantage

    Recent research on Medicare Advantage has highlighted differences in the amount of at-home care beneficiaries in MA and fee-for-service Medicare receive, and studied the potential effects of CMS' proposed benchmark payments in 2025. 
  2. When it comes to Medicare Advantage, couples stick together

    Older couples typically enroll and disenroll in Medicare Advantage plans together, a study published in JAMA found. 
  3. How Centene's WellCare is creating custom SDOH outreach across Kentucky

    Measuring the return on investment for social determinants of health initiatives is no easy task for managed care organizations, but Centene's Medicaid plan in Kentucky, WellCare, is using members' data to create customized and local solutions aimed at improving health outcomes across the state.
  4. The biggest investments 21 payer, healthcare execs will make this year

    Leaders in the payer space are investing in new technologies, population health and their teams in 2024. 

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. Molina's 5 highest-earning executives in 2023

    Molina Healthcare CEO Joseph Zubretsky was paid $21.5 million in total compensation in 2023, down from $22.1 million 2022. 
  2. 3 Medicaid work requirement program updates

    Here are three updates on state efforts to expand Medicaid with work requirements: 
  3. Medicare spending on weight loss drugs through the roof

    Medicare total spending hit $5.7 billion in 2022 for GLP-1 drugs such as Ozempic, Wegovy and Mounjaro, up from $57 million in 2018, according to a March 22 KFF analysis.
  4. New York medical group drops Humana Medicare Advantage across 70 practices

    Community Care Physicians, a Latham, N.Y.-based multispecialty medical group, went out of network with Humana Medicare Advantage plans on March 13.

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. Humana wants Medicare Advantage AI lawsuit thrown out

    Humana is seeking to dismiss a class action lawsuit alleging the insurer used an AI algorithm to wrongfully deny Medicare Advantage beneficiaries care. 
  2. Where Johns Hopkins Health Plans is driving growth, facing headwinds in 2024

    Johns Hopkins Health Plans serves more than 470,000 members across managed care and commercial health plans.
  3. Lawyers made millions from Centene settlements: Report

    Private lawyers made at least $108 million in fees from payments Centene made to states to settle overcharging allegations, The New York Times reported March 21. 
  4. 6 payers among top-rated workplaces, per their employees

    Six insurers are among Top Workplace's 2024 honorees. 
  5. 10 providers seeking payer contracting talent

    Ten providers recently posted job listings seeking leaders in payer contracting and relations.
  6. Medicare Advantage rates 'baffling,' lawmakers say

    A group of Republican lawmakers are asking CMS to reconsider its proposed 2025 rates for Medicare Advantage. 
  7. 3 ways Medicare Advantage affects primary care physicians

    There are few statistically significant differences between the way primary care physicians treat patients in Medicare Advantage and fee-for-service Medicare, according to the Commonwealth Fund. 
  8. 10 recent payer partnerships

    From chronic disease management to mental health investments, these are 10 partnerships announced by health insurers within the last year:
  9. Georgia Medicaid work requirement program spending more on consultants than care: Report

    Georgia's alternative to expanding Medicaid under the ACA has cost $26.6 million through Dec. 31, with 90% of that money going toward administrative and consulting costs, KFF Health News reported March 20.  

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