Today's Top 20 Stories

  1. 10 top execs that have recently left Elevance Health

    Jakob Emerson -
    From the CFO of its government business division to the COO of Carelon, these are 10 executive departures from Elevance Health and its subsidiaries over the last year:

  2. 31 5-star Medicare Advantage plans | 2024

    Rylee Wilson -
    CMS gave 31 Medicare Advantage five-star ratings for 2024, the highest rating for quality and member satisfaction awarded by the agency. 

  3. Blue Shield of California taps chief medical officer for Medicaid plan

    Jakob Emerson -
    Blue Shield of California has named Jennifer Nuovo, MD, as chief medical officer for its Promise Health Plan, which provides health coverage to Medi-Cal beneficiaries in Los Angeles and San Diego counties.

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  1. 2 C-suite leaders depart Centene after months on the job

    Jakob Emerson -
    Centene's chief technology and transformation officer, along with its chief customer experience officer, have departed from the company after less than a year in their positions.

  2. Fewer Medicare Advantage plans snag 5-star ratings for 2024

    Rylee Wilson -
    CMS' overall average star ratings declined slightly for Medicare Advantage plans for plan year 2024. 

  3. UnitedHealth wants to make weight loss drugs cheaper

    Rylee Wilson -
    UnitedHealth Group wants to lower the price of GLP-1 drugs such as Ozempic and Wegovy, but it needs drug manufacturers to get on board, executives said. 

  4. What's new for Medicare open enrollment in 2023: 5 notes

    Rylee Wilson -
    Medicare open enrollment begins Oct. 15 and runs through Dec. 7. During this time, enrollees can make changes to their Medicare coverage for the upcoming year, such as switching between Medicare Advantage plans, switching from MA to traditional Medicare and choosing new supplemental coverage. 

5 signs it's time for end-to-end RCM

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  1. UnitedHealth Group posts $5.8B profit in Q3 

    Jakob Emerson -
    UnitedHealth Group recorded double-digit growth in revenue year over year across its core lines of business at UnitedHealthcare and Optum, according to the company's third-quarter earnings report released Oct. 13.

  2. Medicare premiums to increase in 2024

    Rylee Wilson -
    Medicare part B premiums and deductibles will increase slightly in 2024. 

  3. HealthPartners names chief medical officer for health plan

    Rylee Wilson -
    HealthPartners has named Ginger Kakacek, MD, as chief medical officer for its health plan. 

  4. Medicaid in the headlines: 10 recent updates

    Rylee Wilson -
    Medicaid redeterminations continue, and one state, Arkansas, has finished the process. States are also seeking new Medicaid contractors and dropping others. 

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  1. Oscar Health expanding to 165 new counties for 2024

    Rylee Wilson -
    Oscar Health is expanding its market footprint and adding new plans for 2024. 

  2. Alignment Health opens new community center in Southern California

    Jakob Emerson -
    Medicare Advantage company Alignment Health opened a new community center in Laguna Woods, California on Oct. 3. 

  3. Southern California payer puts $52M behind affordable housing 

    Jakob Emerson -
    CalOptima Health, a Medicaid insurer in Orange County, Calif., is awarding $52.3 million in grants to 15 organizations for the creation of affordable and permanent supportive housing. 

  4. 5 things to know about Humana's next CEO

    Rylee Wilson -
    Humana CEO Bruce Broussard will step down from his role after a decade in 2024, and Envision Healthcare CEO Jim Rechtin will be his successor, the company said Oct. 11. 

  5. MetroPlusHealth names chief marketing officer

    Rylee Wilson -
    MetroPlusHealth has named Laura Santella-Saccone as chief marketing and brand officer. 

  6. Elevance Health cuts jobs as company confirms 'changes'

    Jakob Emerson -
    Former employees with Elevance Health, previously known as Anthem, and its subsidiaries have taken to social media regarding an unknown number of job cuts they say are occurring across the company. Elevance confirmed "recent changes" with Becker's.

  7. Texas extends Medicaid redetermination deadlines

    Rylee Wilson -
    Texas is granting some Medicaid beneficiaries an extra month to complete renewal paperwork. 

  8. Virginia health system ending its Medicare Advantage plan

    Rylee Wilson -
    Fredericksburg, Va.-based Mary Washington Healthcare will not offer its Medicare Advantage plan in 2024, the Free Lance-Star reported Oct. 11. 

  9. BCBS Michigan, Vermont receive green light for affiliation

    Jakob Emerson -
    Vermont regulators have approved Blue Cross Blue Shield of Vermont becoming a subsidiary of Blue Cross Blue Shield of Michigan.

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