Today's Top 20 Stories
  1. California's ACA marketplace, Google partner on AI-powered enrollment

    California’s ACA marketplace, Covered California, is partnering with Google to automate parts of the coverage enrollment process using artificial intelligence.
  2. Analysts not ruling out Cigna, Humana merger

    A merger between Humana and Cigna could still be in the cards according to one analyst, Bloomberg reported April 22. 
  3. UnitedHealth Group in the headlines: 12 updates

    From a hearing date set for CEO Andrew Witty's testimony before a congressional panel, to the release of its first earnings report since the Change Healthcare cyberattack, here are 12 updates on UnitedHealth Group that Becker's has reported since April 3. 

Becker's Fall Payer Issues Roundtable

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  1. Broker caps a step toward level playing field for Medicare Advantage

    New rules implemented by CMS will create a level playing field for community health plans in Medicare Advantage, Ceci Connolly, CEO of Alliance of Community Health Plans, said. 
  2. UnitedHealth CEO to testify before House subcommittee May 1

    UnitedHealth Group CEO Andrew Witty will testify May 1 before a U.S. House subcommittee about the cyberattack on the company's Change Healthcare subsidiary. 
  3. Medicare Advantage in the headlines: 5 recent updates

    CMS has published its final rates and rules for Medicare Advantage in 2025. Payers say the new rate payments are putting more pressure on already strained margins. 
  4. 2 payers among LinkedIn's best workplaces in 2024

    UnitedHealth Group and Elevance Health notched spots on LinkedIn's top 50 workplaces for 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. Feds to investigate integrated Part D plans, PBMs

    HHS' Office of Inspector General will investigate the impact of vertically integrated Medicare Part D plans and pharmacy benefit managers on drug prices. 
  2. 8 payers to challenge new Florida Medicaid contracts 

    Eight managed care organizations have filed notices of intent to challenge Florida's recent Medicaid contract awards, which provide health coverage to more than 3.4 million people, per Florida Politics.
  3. Humana sets quarterly dividend

    Humana's board of directors authorized a $0.885 per-share cash dividend to be paid on July 26. 
  4. Feds launch portal for reporting anticompetitive healthcare deals

    The Biden administration has launched an online portal for reporting "potentially unfair and anticompetitive" healthcare practices to the Justice Department's Antitrust Division and the FTC.

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. Texas Medicaid shake-up could force 1.8 million to switch plans

    A major shake-up in Texas's Medicaid contract awards could threaten the existence of some hospital-owned plans, The Texas Tribune reported April 18. 
  2. Elevance Health's new $4B primary care venture: 5 things to know

    Elevance Health hopes to bring more providers into downside risk-sharing arrangements with a new primary care venture. 
  3. Trial date set for Florida Medicaid unwinding challenge

    A federal judge in Florida has set a May 13 trial date for a lawsuit filed by two families accusing the state of terminating their Medicaid coverage without proper notice or a chance to contest the decision. 
  4. Elevance Health posts $2.2B profit in Q1 

    Elevance Health posted $2.2 billion in net income during the first quarter, a nearly 13% increase compared to the same period last year, according to the company's earnings report published April 18.
  5. Former BCBS North Carolina execs raise millions for startup aimed at coordinating care outside US

    Two former executives with Blue Cross and Blue Shield of North Carolina have completed a $2.1 million seed round for their startup aimed at finding healthcare services outside the U.S. for patients, TriangleInno reported April 16.
  6. Mississippi weighs state-based ACA exchange

    Legislation has been introduced in Mississippi that would transition the state to a state-run ACA exchange.
  7. 3 Pennsylvania health systems sue Aetna for breach of contract

    A group of three Pennsylvania health systems has sued Aetna, alleging the insurer subtracted the cost of supplemental benefits from money intended for patient care. 
  8. Some Blues not reconnecting to Change Healthcare, BCBS Association says

    Some Blue Cross Blue Shield plans are reconnecting to Change Healthcare's platforms and other plans are not, the BCBS Association told lawmakers April 16. 
  9. BCBS Association names chief legal officer

    The Blue Cross Blue Shield Association has named Monica Auciello as chief legal officer and general counsel. 

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