Today's Top 20 Stories
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SCAN, CareOregon call off merger
CareOregon and SCAN Group have called off a proposed merger between the two nonprofit insurers, after state regulators expressed skepticism about the deal. -
$2.5B BCBS Louisiana, Elevance Health sale on hold again
Blue Cross Blue Shield of Louisiana has put plans to be acquired by Elevance Health on pause again after the proposed sale faced scrutiny from physicians and state officials. -
5 prior authorization updates
From New Jersey signing the nation's most comprehensive reform bill into law, to Inova outlining challenges to the CMS administrator, here are five updates on prior authorization that Becker's has reported since Jan. 26:
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26 payers among nation's best large, midsize employers in 2024
BlueCross BlueShield of Tennessee was ranked 11th overall in Forbes' ranking of the 600 best large employers in America, and Excellus BlueCross BlueShield was ranked sixth among the best midsize employers. -
Payers offloading international assets: 4 updates
UnitedHealth Group, Centene and Cigna have recently completed major divestitures of assets outside the U.S. as the companies focus on domestic growth or core business operations. -
Humana sued over Medicare Advantage 340B payments
Montgomery, Ala.-based Baptist Health is suing Humana, alleging the insurer's Medicare Advantage plan underpaid the hospital for drugs purchased through the 340B program. -
UnitedHealth in the headlines: 12 updates
From its president and COO announcing his retirement plans to an upheld win in a facility fee case, here are 12 updates on UnitedHealth Group that Becker's has reported since Jan. 18:
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Elevance to lay off 90 in Michigan
Elevance Health is laying off 90 employees at a facility in Dearborn, Mich., according to regulatory documents filed with the state Jan. 31. -
Cigna adds HelloFresh benefits for employers
Cigna will offer discounted access to meal kit service HelloFresh to employers. -
Fewer private equity dollars flowing to Medicare Advantage
Facing rising interest rates and regulatory scrutiny, private equity investments in the Medicare Advantage space are slowing down, according to the Private Equity Stakeholder Project. -
The two-midnight rule and Medicare Advantage: 7 updates
In 2024, Medicare Advantage plans must provide coverage for an inpatient admission when the admitting physician expects the patient to require hospital care for at least two midnights, otherwise known as the two-midnight rule.
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FTC obtains $195M judgment against Florida payer, imposes healthcare ban over 'bogus' product
The FTC has obtained a $195 million judgment in a Florida federal court against Simple Health Plans and its CEO Steven Dorfman for selling and enrolling members in "sham" health plans that "effectively left consumers uninsured and exposed to limitless medical expenses." -
Kaiser Permanente reports health plan membership decline
Kaiser Permanente reported a decline in health plan membership, driven by slowed job growth. -
Will insurers cut back on Medicare Advantage extras?
Challenges in the Medicare Advantage market may force insurers to cut back on extra benefits like vision and dental in 2025, The Wall Street Journal columnist David Wainer wrote Feb. 11. -
Opposition mounts to BCBS Louisiana, Elevance sale
More Louisiana officials are voicing opposition to the planned sale of Blue Cross Blue Shield of Louisiana to Elevance Health. -
How payers stack up on investing in employees
Insurers are outpacing the healthcare industry in investing in workers, according to Just Capital and CNBC's ranking of the "most just" companies. -
UnitedHealth completes sale of Brazilian assets
UnitedHealth Group completed the sale of its health insurance and hospital operations in Brazil, the company said in regulatory documents filed Feb. 6. -
Virginia lawmakers eye insurance coverage for undocumented minors
A Virginia lawmaker has proposed new legislation that would expand health insurance coverage to undocumented residents under the age of 19. The bill passed in the Virginia Senate Feb. 13. -
BCBS plans ranked by profit margin in Q3
Elevance Health had the largest profit margin in the third quarter of 2023 among the leading Blue Cross Blue Shield companies, according to a February analysis by Mark Farrah Associates. -
6 insurers, 6 opinions on rising Medicare Advantage costs
Every major insurer has reported that Medicare Advantage costs are going up.
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