Today's Top 20 Stories
  1. The Better Medicare Alliance's vision for MA: 10 things to know

    The Better Medicare Alliance is recommending a set of policies to Congress and CMS to improve prior authorization, behavioral health access, equity and more in the program. 
  2. Aetna, OHSU at odds over new contract

    About 30,000 Aetna beneficiaries are at a risk of losing coverage at Portland-based Oregon Health & Science University if the sides are unable to agree on a new contract by Dec. 31, the Lund Report reported Oct. 24. 
  3. How payers' ACOs fared in 2022

    Humana's ACO saved over $25 million for the Medicare program in 2022. 

The state of AI in healthcare

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  1. Centene CEO: Bipartisan support for Medicaid expansion growing

    Centene CEO Sarah London is expecting more states to expand Medicaid. 
  2. BCBS companies ranked by total revenue in first half of 2023

    BCBS companies collectively reported $214.8 billion in revenue in the first half of 2023, according to an Oct. 24 report from Fitch Ratings shared with Becker's.
  3. UnitedHealth in the headlines: 10 updates

    From posting a $5.8 billion profit in the third quarter of 2023 to enhancing the benefits of its UCard, here are 10 updates on UnitedHealth Group Becker's has reported since Sept. 29:
  4. Empire BCBS names president

    Empire BlueCross BlueShield and Empire BlueCross have named Victor DeStefano as its next president.  

How one Midwest hospital is driving financial efficiency with interconnected systems

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  1. Cigna reduces workforce

    Former employees with the Cigna Group and its subsidiaries have taken to social media in October regarding layoffs they say are occurring across the company.
  2. Centene sees 75% marketplace enrollment growth

    Centene's individual marketplace business has grown 75% year over year, adding 1.6 million members since the third quarter of 2022, according to the company's third quarter earnings report published Oct. 24. 
  3. ACO REACH predecessor saved $371M in 2022

    The Medicare Global and Professional Direct Contracting model saved the program more than $300 million in net savings in 2022, according to CMS data published Oct. 24. 
  4. Inside Select Health's Medicare Advantage partnership with Kroger

    Gone are the days when the grocery store was just for food — now it can provide your health insurance, too.

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. Centene names chief growth officer

    Centene has named Wade Rakes as chief growth officer. 
  2. The Medicare ACOs that saved the most in 2022

    Participants in the Medicare Global and Professional Direct Contracting model saved the program more than $300 million in net savings in 2022. 
  3. Centene posts $469M profit in Q3

    Centene reported a 36% decline in net income year-over-year, along with major growth in exchange enrollment, according to its third-quarter earnings posted Oct. 24.
  4. Georgia's Medicaid work requirement program slow to gain participants

    The nation's only Medicaid program that requires proof of work to receive benefits is off to a slow start, the Georgia Recorder reported Oct. 21. 
  5. 2.3 million people will gain insurance if 10 states expand Medicaid

    Around 2.3 million people would gain insurance coverage if 10 states expanded Medicaid in 2024, according to an Oct. 23 report from the Robert Wood Johnson Foundation. 
  6. 8 providers being acquired by payers

    Here are eight providers that payers have acquired or announced plans to acquire in 2023: 
  7. Michigan codifies ACA provisions into state law

    Michigan has codified several provisions of the Affordable Care Act into state law, ahead of a Supreme Court case that could strike down the law's preventive care coverage requirements. 
  8. 4 recent Medicare Advantage overpayment cases

    The Cigna Group will pay over $170 million to settle allegations of Medicare Advantage fraud, and government watchdogs are auditing other plans for potential overpayments. 
  9. UnitedHealthcare names CEO for dental, vision

    UnitedHealthcare has promoted Colleen Van Ham to CEO of its dental and vision divisions, according to an October LinkedIn post.

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