Today's Top 20 Stories
  1. Medicare Advantage insurers ranked by prior authorization denial rates

    Medicare Advantage insurers denied 7.4% of prior authorization requests in 2022, according to data published by KFF. 
  2. After hitting record low, uninsured rates climb: CDC

    After hitting record lows in 2023, uninsured rates are beginning to rise again, according to new CDC data. 
  3. Where payers landed on Fortune's Global 500 | 2024

    UnitedHealth Group and CVS Health are among the 10 largest companies in the world, according to Fortune's Global 500. 

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  1. Weight loss drugs 1 factor behind ACA premium increases: 3 things to know

    Premiums for plans on the ACA marketplace will rise 7% on average in 2025, according to an analysis from Peterson-KFF Health System Tracker published Aug. 5. 
  2. UnitedHealth sues Minnesota over law banning for-profit Medicaid insurers

    UnitedHealth Group is suing the state of Minnesota over a law that bans for-profit Medicaid managed-care providers from participating in the state's Medicaid program. 
  3. Medicare Advantage plans collect billions through home visits: WSJ

    Insurers made billions from diagnoses added to Medicare Advantage beneficiaries' charts during home visits, The Wall Street Journal  found in an investigation published Aug. 5. 
  4. Few know they can challenge their insurer: Survey

    Fewer than half of people who receive an unexpected bill from their insurer will challenge the charges, a survey from the Commonwealth Fund found. 

How one Midwest hospital is driving financial efficiency with interconnected systems

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  1. CVS launches extreme weather initiative for Aetna members

    CVS Health has launched a first-of-its-kind environmental initiative aimed at supporting people with health conditions that are vulnerable to extreme weather events.
  2. ICHRA a 'niche' market: Cigna

    Cigna isn't sweating the growth of the individual coverage health reimbursement arrangement market. 
  3. Cigna's GLP-1 program enrolls 2 million

    EncircleRx, a program helping employers control the cost of GLP-1 drugs for weight-loss, has reached 2 million enrollees in its first six months. 
  4. CareFirst BCBS to move into new headquarters

    CareFirst BlueCross BlueShield is consolidating six offices into a new headquarters in Washington, D.C.

How one Midwest hospital is driving financial efficiency with interconnected systems

Sponsored
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. Cigna posts $1.5B profit in Q2

    The Cigna Group beat investor expectations and reported major growth at Evernorth in its second quarter earnings published Aug. 1.
  2. UnitedHealthcare launching national gold-card program

    UnitedHealthcare will launch its national gold-card program on Oct. 1. 
  3. Humana CEO: Medicare Advantage plans need to work better with CMS

    The Medicare Advantage sector needs to get better at understanding where it can deliver value to taxpayers, Humana CEO Jim Rechtin said. 
  4. Humana: 2-midnight rule driving up inpatient costs

    The two-midnight rule is driving up inpatient costs for Humana. 
  5. Humana expects Medicare Advantage membership to decline by 'a few hundred thousand'

    Humana expects to lose a "few hundred thousand" Medicare Advantage members through market and plan exits in 2025. 
  6. Why Blue Shield of California is pushing a 'blue zone' lifestyle to members 

    Blue Shield of California's 4.8 million members can now access a first-of-its-kind program from a health plan aimed at emulating the lifestyle habits of the world's longest living people.
  7. Wells Fargo sued over health plan drug costs

    Four former Wells Fargo employees are suing the financial services company, alleging it mismanaged its employee health plan. 
  8. Mark Cuban's big warning for employers

    Mark Cuban is issuing a big warning to self-insured employers: If your company receives pharmacy rebates through employee benefits, prepare for an eventual lawsuit.
  9. Humana posts $679M in Q2 profit

    Humana reported $679 million in net income in the second quarter of 2024. 

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