Today's Top 20 Stories
  1. UPMC launches in-home drug disposal program for Medicare Advantage members

    University of Pittsburgh Medical Center Health Plan will distribute in-home medication disposal bags to more than 11,000 members of its UPMC for Life Medicare Advantage plan throughout the month of May.
  2. The town in each state with the highest rate of health coverage

    While an estimated 28.9 million Americans under 65 were uninsured in 2019, over a dozen towns across the country boasted uninsured rates of effectively zero during the same period, according to financial news site 24/7 Tempo.
  3. Most physicians accepting new Medicare, private insurance patients

    The vast majority of nonpediatric office-based physicians are accepting new patients with Medicare and private insurance, according to a May 12 Kaiser Family Foundation report.

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  1. New York governor unveils watchdog bureau aimed at regulating PBMs

    New York Gov. Kathy Hochul has created the Department of Financial Services' Pharmacy Benefits Bureau, an office tasked with licensing and regulating the state's pharmacy benefits industry.
  2. BCBS Association names new chief human resources officer

    The Blue Cross Blue Shield Association has named Lynn Merritt as its new chief human resources officer. Ms. Merritt started May 9 and is based in BCBSA's Chicago office. 
  3. Oscar Health, Bright Health, Clover Health post Q1 losses topping $330M

    Despite explosive growth in revenues and total membership, some of the largest insurtech companies posted losses exceeding a combined $332 million in the first quarter of 2022.
  4. Nearly 25% of employees used their job insurance for mental health in 2020

    Forty-one million of the nearly 180 million Americans with employer-provided health insurance received mental health support in 2020, according to the health insurer lobby and trade group America's Health Insurance Plans.

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  1. Medicare prescription drug spending surpasses development costs, study says

    Medicare Part D spending on top brand-name drugs over a five-year period "more than made up the money" that drugmakers say it costs to develop new medications, according to a May 11 AARP report. 
  2. UnitedHealthcare wins Medicaid contract in Missouri

    UnitedHealthcare Community Plan of Missouri was selected by the state as one of three managed care organizations to serve Medicaid enrollees in the Temporary Assistance for Needy Families and Children's Health Insurance Program.
  3. Medical debt fell during pandemic, but that trend could reverse, report says

    Despite little change before the pandemic, the number of adults with medical debt, issues paying medical bills and medical debt in collections have declined since the pandemic began. New policies will be needed to sustain the decrease, according to a May 11 report from the Urban Institute. 
  4. The 25 counties with the most Medicare Advantage plan options

    More Medicare Advantage plans were available in 2022 than any other year, according to the Kaiser Family Foundation. 

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  1. 15 recent payer investments in mental, behavioral healthcare

    From network expansions to major acquisitions, there have been many significant payer investments in mental and behavioral healthcare in 2022.
  2. Better health outcomes when payers, providers share financial risk, data shows

    When payers and providers share financial risk through capitation arrangements instead of fee-for-service payment models, the results are higher-quality care and lower costs, according to a new analysis from the Integrated Healthcare Association.
  3. 25 health plans recognized by Pharmacy Quality Alliance for high achievement in medication quality

    The Pharmacy Quality Alliance has recognized 25 Medicare plan contracts with a PQA Laura Cranston Excellence in Quality or Quality Improvement Award for high achievement or significant improvement in PQA measures of medication safety and appropriate use.
  4. Vast majority of Americans satisfied with their employer-sponsored mental healthcare, AHIP poll finds

    Nearly 90 percent of American voters with employer-sponsored health insurance are satisfied with the mental healthcare they've received since the start of the COVID-19 pandemic, according to a poll published May 10 by America's Health Insurance Plans.
  5. Colorado passes PBM minimum rates bill opposed by payers

    The Colorado General Assembly has passed a bill setting minimum rates for what pharmacy benefit managers can pay to a pharmacy for prescription drugs.
  6. How payers are addressing health equity

    From hiring leaders to launching programs, here are some of the ways payers are addressing health equity:
  7. Oscar Health to exit 2 states, releases Q1 earnings

    Oscar Health saw major growth in enrollment and revenue in the first quarter, but reported a net loss topping $77 million and plans to exit the Arkansas and Colorado insurance markets after this year, according to the company's earnings report published May 10.
  8. Why high-deductible health plans are least prevalent in Hawaii

    On average, the percentage of U.S. private-sector employees enrolled in high-deductible health insurance plans in 2020 was 53 percent. But Hawaii boasts the lowest percentage in the nation, with less than 18 percent of employees enrolled in HDHPs.
  9. Meet Centene's office of the CEO

    Centene announced April 26 that it's updating its leadership structure. Here's a closer look at Centene's new office of the CEO:

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