Today's Top 20 Stories
  1. OneCare Vermont names interim CEO

    OneCare Vermont has named Abe Berman interim CEO, replacing Vicki Loner, who is stepping down at the end of May. 
  2. SCAN Group names chief legal officer to lead CareOregon deal

    SCAN Group, the operator of Medicare Advantage provider SCAN Health Plan, has named Renée Delphin-Rodriguez as chief legal officer and general counsel.
  3. Florida terminates Medicaid coverage for 250,000

    Florida has disenrolled nearly 250,000 individuals from its Medicaid program over the last month, the Tampa Bay Times reported May 17.

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  1. Virtual-first health plans: 4 updates

    Virtual-first health plans, or plans that prioritize telehealth services for enrolled members, have continued to grow in popularity as payers look to improve care access and affordability.
  2. Molina Healthcare in the headlines: 8 updates

    From the promotion of two senior executives, to reporting double-digit growth in net income in the first quarter of 2023, here are eight updates on Molina Healthcare that Becker's has reported since March 17. 
  3. Highmark Blue Shield inks contract with Temple Health

    Philadelphia-based Temple Health will be in network with Highmark Blue Shield on Jan. 1, 2024 — pending regulatory approval — as the Pittsburgh-based payer expands into Southeastern Pennsylvania. 
  4. Cigna, Chesapeake Regional to split June 1

    Cigna Healthcare and Chesapeake (Va.) Regional Medical Center will be out of network June 1 for those with employer-sponsored health coverage.

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  1. Commercial payers expect to pay $1.1B this year on member rebates

    Payers are expecting to issue a total of about $1.1 billion in medical loss ratio rebates across all commercial markets in 2023, according to preliminary estimates published May 17 by the Kaiser Family Foundation.
  2. Sanders reintroduces single-payer Medicare bill with record sponsors

    Sen. Bernie Sanders, along with Rep. Pramila Jayapal and Rep. Debbie Dingell, introduced the Medicare for All Act of 2023 on May 17 to create a federally administered single-payer healthcare system.
  3. Sunshine Health, Johns Hopkins All Children's strike value-based care agreement

    Centene subsidiary Sunshine Health and St. Petersburg, Fla.-based Johns Hopkins All Children's Care Network have entered into a two-year, value-based care agreement. 
  4. Molina names 2 senior vice presidents

    Molina Healthcare promoted Jim Woys and Mark Keim to senior executive vice president positions. 

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  1. Insurance commissioners eye Cigna following report of physicians denying claims without reading them

    State insurance commissioners and federal lawmakers are raising concerns with Cigna's internal claims review process following reporting from ProPublica in March that said the payer denies large batches of claims without reviewing them first.
  2. Optum's chief consumer officer departs for Amwell

    Amwell has named Kathy Weiler as executive vice president and chief commercial and growth officer, effective June 1. 
  3. BCBS Massachusetts adds 3 physician groups amid primary care shortage

    Blue Cross Blue Shield of Massachusetts added three physician groups to its network as the payer said the state continues to experience a primary care physician shortage due to increased patient demand and more clinicians leaving the field.
  4. Top 20 conditions driving the highest self-insured claims

    Malignant neoplasms accounted for the most expensive claims for self-insured employers in 2022 and during the last four years, according to a May report from Sun Life, a life and health insurance provider.
  5. The healthiest states for seniors in 2023, per UnitedHealth Group

    Utah is the healthiest state in the nation for older adults in 2023, according to the United Health Foundation's 11th annual "America's Health Rankings Senior Report."
  6. The unhealthiest states for seniors in 2023, per UnitedHealth Group

    Mississippi is the unhealthiest state in the nation for older adults  in 2023, according to the United Health Foundation's 11th annual "America's Health Rankings Senior Report."
  7. Centene shareholders officially reject executive pay proposals

    In a wide margin, Centene shareholders have rejected a pair of proposals that took aim at executive pay, according to regulatory documents published May 15.
  8. Cityblock Health to lay off 60

    Cityblock Health, a New York City-based healthcare provider focused on Medicaid and dual-eligible beneficiaries, is laying off 60 employees in Washington, D.C., according to WARN filings published May 8.
  9. Appeals court pauses Texas ruling against ACA preventive care coverage

    The U.S. 5th Circuit Court of Appeals has temporarily blocked a Texas court's ruling earlier this year that struck down an ACA provision requiring payers and employers to provide coverage for preventive services.

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