Today's Top 20 Stories
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UCare posts $82M operating loss in 2023
UCare posted an operating loss of $82.1 million in 2023, a decrease of more than 75% year over year, the Star Tribune reported April 26. -
Connecticut payer sheds 64K square feet of office space following hybrid work shift
ConnectiCare is vacating 64,000 square feet of office space at its corporate headquarters in Farmington, Conn. because of the company's shift to a hybrid work style, CT Insider reported April 24. -
CVS acquires Medicare Advantage broker platform
CVS Health has acquired Medicare Advantage broker platform Hella Health.
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Centene donates $25M office space
Centene has donated a $25 million claims processing facility to the Urban League of Metropolitan St. Louis, the St. Louis Post-Dispatch reported April 26. -
Why the ACA health insurance exchange is the next reimbursement battle ground
There are now more than 20 million Americans enrolled through the individual health insurance exchange marketplace (HIX) and growing. A product originally designed to provide coverage for the uninsured and those caught between having too much to qualify for Medicaid, but not quite enough to afford commercial coverage, is now setting its sights on the small group commercial market through ICHRA, or an individual coverage health reimbursement arrangement. This has the potential to be incredibly disruptive to providers given the negative impact this shift could have on overall reimbursement and provider margins. -
The five non-negotiable traits of an exceptional medical benefits management partner
When it comes to medical benefits management, finding the right partner is crucial. Safeguarding and improving members’ health while effectively supporting providers is paramount to a successful strategy. An exceptional partner should align with your goals and embody five key traits. -
California lawmakers trying again for single-payer
California lawmakers have introduced legislation again that would provide "comprehensive universal single-payer" health coverage for all 39 million residents of the state under a program called CalCare.
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Molina Healthcare eyes more M&A
More mergers and acquisitions are a key part of Molina Healthcare's future strategy, executives told investors. -
Centene: States slow to pick up Medicaid weight-loss drug coverage
Few states are adding coverage of GLP-1 drugs for weight loss, Centene executives said. -
Aetna, Dignity Health strike deal
Aetna and San Francisco-based Dignity Health have reached an agreement on a multiyear contract that allows the payer's members to remain in network with Dignity's facilities and providers in California, Arizona and Nevada. -
Centene posts $1.2B profit in Q1
Centene reported nearly $1.2 billion in net income in the first quarter and a more than 18% decrease in Medicaid membership year over year, according to its first-quarter earnings posted April 26.
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How the payer workforce will evolve, per 12 executives
Payer executives anticipate building their equity and population management teams and leaning on AI and new technology in the coming years. -
7 things to know about UnitedHealth Group's CEO
UnitedHealth Group CEO Andrew Witty is set to testify May 1 before a U.S. House subcommittee about the Feb. 21 cyberattack on the company's Change Healthcare subsidiary. -
Highest-paid payer CFOs in 2023
UnitedHealth Group CFO John Rex was the highest-paid CFO of a major insurer in 2023. -
Cigna sets quarterly dividend
The Cigna Group's board authorized the company to pay a cash dividend of $1.40 to be paid on June 20. -
Payers ranked by total workforce
The nation's largest health insurers collectively employ around 850,000 people in the U.S. -
Humana expands partnership with prior authorization platform
Humana is expanding its use of Cohere's prior authorization platform for diagnostic imaging and sleep services. -
25 payers among Forbes' best employers for diversity
25 payers have been included on Forbes' seventh annual ranking of the nation's best employers for diversity. -
Humana plans to leave some Medicare Advantage markets in 2025
Humana expects to exit Medicare Advantage markets in 2025, company executives told investors. -
Humana posts $741M profit in Q1
Humana reported $741 million in net income in the first quarter of 2024.
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