Today's Top 20 Stories
  1. Michigan awards Medicaid contracts to 9 payers

    Michigan has awarded contracts to 9 payers to administer its managed Medicaid program, which serves nearly 2 million people across 10 regions.
  2. Groups unveil value-based care playbook

    AHIP, the American Medical Association and the National Association of ACOs have released a playbook of voluntary best practices for value-based care payment arrangements. 
  3. 10 providers seeking payer contracting talent

    Ten providers recently posted job listings seeking leaders in payer contracting and relations.

Becker's Fall Payer Issues Roundtable

Sponsored
Becker's is gathering 500+ payer execs in Chicago this fall. Learn how your company can join them — here.
  1. Meet UnitedHealth's executive team

    UnitedHealth Group has made several executive leadership moves in 2024, including adding president to CFO John Rex's title and naming Heather Cianfrocco Optum's CEO. 
  2. Investigation reveals UnitedHealth, Cigna, Aetna made millions in fees from out-of-network claims

    Major insurers made millions in fees by using MultiPlan, a data analytics firm, to determine how much to pay providers for out-of-network claims, according to an investigation from The New York Times. 
  3. 7 prior authorization updates

    From Point32Health announcing home health prior authorization cuts to a state's proposed gold carding program legislation failing, here are seven updates on prior authorization that Becker's has reported since March 21.   
  4. Clover Health faces delisting threat for 2nd time

    For the second time in just shy of a year, Clover Health is facing a possible Nasdaq delisting. 

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. CVS Health's 5 highest-paid executives in 2023

    CVS CEO Karen Lynch was paid $21.6 million in total compensation in 2023, according to a regulatory filing published April 5.  
  2. Payer outlook clouded by rising Medicare utilization: Fitch

    A Medicare utilization surge in the fourth quarter of 2024 is clouding the health insurance industry's outlook in 2024, according to an April 8 report from Fitch Ratings shared with Becker's. 
  3. 3 things to know about UnitedHealthcare's new Medicare president

    UnitedHealthcare recently named Robert Hunter president of its Medicare business.
  4. BCBS Massachusetts boosting reimbursement rates to small primary care practices

    Blue Cross Blue Shield of Massachusetts is increasing reimbursement rates to qualifying small, independent primary care practices. 

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. Aetna, Dignity cut ties across California, Arizona, Nevada

    Aetna's commercial and Medicare Advantage plans went out of network with Dignity Health facilities in California, Arizona and Nevada on April 4.
  2. 5 payers among Newsweek's most trustworthy companies in 2024

    Aetna and UnitedHealth Group earned spots on Newsweek's list of the most trustworthy companies in 2024. 
  3. Oscar Health's ACA bet starts to pay off

    Of the 24 start-up companies selling insurance when the ACA market first opened, Oscar Health is the last one standing. 
  4. CMS finalizes 2025 Medicare Advantage rule: 11 key updates

    CMS issued its final 2025 Medicare Advantage and Part D rule April 4, setting new standards around marketing, broker payments, and prior authorization.
  5. Why one payer CEO feels good about CMS' Medicare Advantage rates

    Clover Health CEO Andrew Toy feels good about CMS' 2025 Medicare Advantage rates. 
  6. CareFirst BCBS offers support in wake of Baltimore bridge collapse

    CareFirst BlueCross BlueShield is offering space in its Baltimore headquarters for Small Business Administration employees assisting business owners in the wake of the Francis Scott Key Bridge collapse. 
  7. 7 recent UnitedHealth leadership moves 

    From CEO to COO, these are seven moves from top executives that have taken place this year across UnitedHealth Group's core lines of business:
  8. Healthcare services ranked by Medicare Advantage utilization increases

    Medicare Advantage plans saw utilization rates rise 8.1% in the fourth quarter of 2023, primarily driven by outpatient and emergency room services, according to an AHIP survey.
  9. UnitedHealthcare names Medicare president

    UnitedHealthcare has named Robert (Bobby) Hunter as president of its Medicare business.

Top 40 articles from the past 6 months