Today's Top 20 Stories
  1. Big payers ranked by 2023 revenue

    The nation's largest payers have filed their fourth-quarter earnings reports, revealing which recorded the largest revenues in 2023.
  2. The 10 best payer tools, per KLAS

    KLAS Research, a healthcare IT data and insights company, named its "Best in KLAS" payer tools for 2024. 
  3. CVS Health cuts earnings guidance amid rising Medicare Advantage costs

    Facing rising spending in Medicare Advantage, CVS Health lowered its 2024 earnings guidance. 

The state of AI in healthcare

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  1. Big payers ranked by 2023 profit

    The nation's largest payers have filed their fourth-quarter earnings reports, revealing which recorded the largest profits in 2023.
  2. 7 recent payer rebrands

    These are seven health insurance industry rebrands that have taken place since Jan. 1:
  3. Insurers split in '2 camps' on rising Medicare Advantage costs

    Insurers are reporting rising costs in the Medicare Advantage business but differ in their predictions of how these trends will affect their business in 2024. 
  4. Florida sues HHS over CHIP eligibility requirements

    Florida is challenging rules from CMS that require states keep eligible children enrolled in Medicaid and CHIP for a full 12 months, even if their families do not pay premiums. 

How one Midwest hospital is driving financial efficiency with interconnected systems

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  1. What's behind Florida's health insurance crisis?

    On top of a home insurance crisis, Florida residents face higher than average health insurance premiums due to a growing senior population and limited competition in the insurance marketplace, Newsweek reported Feb. 6.
  2. Centene's UK exit complete

    Centene completed the sale of its U.K. companies. 
  3. UnitedHealthcare facing split with Arkansas system

    UnitedHealthcare and Jonesboro, Ark.-based St. Bernards Healthcare have been unable to reach a new contract as several deadlines approach, Arkansas Business reported Feb. 5. 
  4. Centene records 88% marketplace enrollment growth in 2023

    Centene lost more than 1.5 million Medicaid members through redeterminations year over year, but posted 88% enrollment growth in its marketplace segment, according to the company's earnings report published Feb. 6.

How one Midwest hospital is driving financial efficiency with interconnected systems

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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. Humana to close its Louisville headquarters

    Humana will consolidate its Louisville, Ky., headquarters, exiting the 27-story tower that bears its name. 
  2. 2 payers among the 'most just' companies

    The Cigna Group and Elevance Health were ranked in the top 10 on Just Capital and CNBC's ranking of the "most just" companies. 
  3. CMS' 2025 Medicare Advantage rates lower than expected, Humana says

    CMS' proposed Medicare Advantage rates for 2025 are lower than Humana predicted, the company said in a filing with the Securities and Exchange Commission Feb. 5.
  4. J&J worker accuses employee health plan of drug benefits mismanagement

    A Johnson & Johnson employee is suing the New Brunswick, N.J.-based pharmaceutical giant for allegedly mismanaging workers' prescription drug benefits and violating its fiduciary duties under the Employee Retirement Income Security Act.
  5. BCBS Massachusetts launches reproductive clinical team, expanded services

    Blue Cross Blue Shield of Massachusetts is launching a set of new initiatives aimed at ensuring access to reproductive care services.
  6. BCBS Arizona, Dignity Health split

    Blue Cross Blue Shield of Arizona is out of network with San Francisco-based Dignity Health's Arizona locations as of Feb. 1. 
  7. Employee arrested for making threats after Medica layoffs

    A former Dean Health Plan employee was arrested for making threats after being laid off from his job, according to a Madison, Wis. police incident report. 
  8. Complaint filed with FTC over Deloitte's Medicaid eligibility software

    A software Texas uses to process Medicaid renewals is not working accurately, causing people to be wrongfully disenrolled from the program, advocates allege. 
  9. Cigna isn't done with Medicare

    Cigna is selling its Medicare plans, but Evernorth, its health services arm, is still in the business. 

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