Today's Top 20 Stories
  1. Payers raise concerns over proposed rate-setting reforms in Massachusetts

    The Massachusetts Division of Insurance is proposing new regulations around the rate-setting process that payers use to set premiums for members and small businesses, according to The Boston Globe.
  2. Clover Health names CEO of value-based care

    Franklin, Tenn.-based Clover Health has appointed Aric Sharp as CEO of value-based care, where he will lead all value-based care operations for the company including for the contracting arm, Clover Health Partners.
  3. The highest-paid payer COOs, chief administrative officers in 2021

    Proxy statements for 2021 have been filed for the nation's largest payers, including the public release of chief operating officer and chief administrative officer salaries and compensation packages. 

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  1. 3 recently launched pilot programs from payers

    Three payers recently launched pilot programs to address needs ranging from colorectal cancer screenings to food insecurity: 
  2. Former UnitedHealth CEO made $142.2M in 2021

    UnitedHealth's former CEO David Wichmann earned $142.2 million in 2021, primarily through previously issued equity awards, according to the Minneapolis Star Tribune. 
  3. Arkansas BCBS hires, promotes 5 new execs

    Arkansas Blue Cross and Blue Shield has named or promoted five individuals for executive positions, according to May 9 reports from Arkansas Business.
  4. Clover Health's major growth in Q1: 6 things to know 

    Clover Health saw explosive growth in revenue and managed lives, but posted a net loss of over $75 million in the first quarter, according to the company's earnings report published May 9.

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  1. 14 million people could lose Medicaid coverage when COVID-19 health emergency ends

    The Kaiser Family Foundation estimated May 10 that 5.3 million to 14.2 million people could lose Medicaid coverage at the end of the COVID-19 public health emergency.
  2. New York weighing out-of-state insurance profit tax

    New York lawmakers are considering a 9.3 percent tax on insurance companies that move their profits out of state, Spectrum News 1 reported May 9. 
  3. U of Mississippi Medical Center, BCBS agree on mediator 

    Mississippi's largest provider and payer have agreed on a mediator to oversee their contract dispute, Mississippi Today reported May 9. 
  4. High-deductible health plans may discourage routine medical care, study finds

    Employees making less than $75,000 have higher rates of acute care utilization and spending but lower rates of primary care spending compared with high-salary employees when high-deductible health plans are present, according to a study published May 9 in the American Journal of Managed Care.

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  1. Top 100 counties with the highest rate of uninsured residents

    Texas has the highest uninsured population of any state in the U.S. and holds 85 of the 100 counties with the most uninsured residents, according to 2019 data from the U.S. Census Bureau.
  2. 7 recently passed state laws affecting payers

    From expansions of Medicaid to include noncitizens to a requirement to cover fertility care, these are seven recently passed state laws that affect payers.
  3. Big payers ranked by Q1 net income

    The nation's largest payers have filed their first-quarter earnings reports, revealing which pulled in the largest income and which grew their incomes the most year over year.
  4. Centene subsidiary selected for Missouri foster care specialty contract

    Centene's Missouri subsidiary Home State Health will be the sole provider of a specialty plan under the state's Medicaid program that serves about 40,000 foster children and children receiving adoption subsidy assistance.
  5. How the ACA boosted enrollment in healthcare-sharing ministries

    In less than a decade, healthcare-sharing ministries have seen their membership grow by more than a million people, in part due to an exemption provided in the ACA.   
  6. Prescription drug spending per member grew faster under individual plans than group, study finds

    Prescription drug spending per member, before and after manufacturer rebates, grew faster for those with individual plans than for those enrolled in large group plans from 2015 to 2019, according to a new study published May 6 in the JAMA Health Forum.
  7. Viewpoint: Copay assistance programs are perpetuating 'reckless spending' in healthcare

    Kaiser Health News Editor-in-Chief Elisabeth Rosenthal, MD, penned an op-ed in the Los Angeles Times on April 19 arguing copay assistance and coupon programs from drug manufacturers are leading to higher premiums and deductibles. 
  8. Arizona passes law requiring payers to cover biomarker testing for cancer patients

    Arizona Gov. Doug Ducey has signed legislation requiring payers to cover biomarker testing for cancer patients when there is a clinical need.
  9. Sentara Health Plan to open community care centers

    Sentara Health Plans will operate community care centers in Virginia and Northeastern North Carolina with the aim of improving care for the uninsured and Medicaid recipients in underresourced communities. 

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