Today's Top 20 Stories
  1. Recent payer moves to exit or enter markets

    Some payers expanded this year to reach half of the U.S. population, while others were forced out of business in some states altogether. Here are seven recent payer moves to enter or exit markets:
  2. Memorial Hermann sues BCBS Texas over alleged $3M owed in payments

    Memorial Hermann Health System says Blue Cross Blue Shield of Texas owes it over $3 million in claims payments, according to federal court documents filed May 5.
  3. Big payers ranked by Q1 revenues

    The nation's largest payers have filed their first-quarter earnings reports, revealing which grew their revenues the most year over year.

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  1. 3 payers named top companies for diversity

    Payers Humana, Cigna and Centene are among the top 50 companies for diversity in 2022, according to DiversityInc. 
  2. Medica paid over $230M for majority stake in Wisconsin payer

    Medica paid nearly $233 million in 2021 to buy a 55 percent stake in Madison, Wis.-based Dean Health Plan, according to the Star Tribune
  3. Waymark taps 2 top execs from Aetna, Anthem to grow value-based Medicaid line 

    Waymark has named former Aetna Medicaid executive David Livingston as head of growth and former Anthem Medicaid executive Dana Thomas as growth partnerships leader. 
  4. HHS secretary questioned over Biden administration's slow move to regulate junk plans

    Senate lawmakers questioned HHS Secretary Xavier Becerra May 4 over when and how the Biden administration will take action against "junk plans," or short-term health plans that are not subject to certain rules under the Affordable Care Act.

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  1. Cigna's $44B revenues in Q1: 7 things to know

    Cigna reported over $44 billion in total revenues in the first quarter, with the strongest growth in the company's Evernorth business. Projected revenues at year end stand at $177 billion, according to the company's earnings report released May 6.
  2. 9.2% of Americans were uninsured in 2021: 7 things to know

    The U.S. had a 9.2 percent uninsured rate last year, a decrease from 9.7 percent in 2020, according to a May 5 report from the CDC's National Center for Health Statistics. 
  3. WakeMed, UnitedHealthcare dispute could affect 20,000 patients

    A contract dispute between Raleigh, N.C.-based WakeMed Health and Hospitals and UnitedHealthcare could leave 20,000 patients out-of-network if an agreement is not reached before June 1, according to a May 5 North Carolina Public Radio report. 
  4. BCBS Massachusetts expands mental healthcare provider network

    Blue Cross Blue Shield of Massachusetts is expanding its mental health provider network to include specialists who focus on obsessive-compulsive disorder, serious mental illness, trauma and substance use disorders.

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  1. Centene increases base salaries of CFO, COO past $1M

    Centene has extended employment agreements with two top executives to boost their base salaries past $1 million and keep them with the company through at least 2024, according to Securities and Exchange Commission documents filed May 2.
  2. HHS to payers on draft abortion ruling: 'We intend to continue to enforce the law'

    HHS Secretary Xavier Becerra addressed big payers about abortion rights this week and said May 4 that the federal agency plans to "double down" to ensure women can continue accessing abortion services nationwide.
  3. Humana in the headlines: 5 recent stories

    From selling a majority of its stake in Kindred at Home to a favorable ruling in a court case against Celgene, here are five recent headlines about Louisville, Ky.-based Humana:
  4. Empire BCBS expands at-home care services with DocGo deal

    Empire BlueCross BlueShield members will soon have increased access to at-home care services through a multiyear agreement with mobile health service provider DocGo. 
  5. Anthem finalizes acquisition of Integra Managed Care

    Anthem has completed its acquisition of Integra Managed Care, purchasing the Lake Success, N.Y.-based managed care company for an undisclosed amount.
  6. 3 recent state actions to expand Medicaid to noncitizens

    Lawmakers in California, Illinois and Connecticut have recently taken action to expand Medicaid coverage to noncitizens:
  7. SelectHealth adds U of Utah to Medicare Advantage network

    SelectHealth is adding University of Utah hospitals, clinics and providers to its Medicare Advantage provider network. 
  8. Centene to sell Magellan, Pantherx pharmacy businesses for $2.8B

    Centene has signed a definitive agreement to sell Magellan Rx and Pantherx Rare in two separate deals for a total of $2.8 billion.
  9. Cigna launches provider consult service for cancer patients

    Cigna has launched a new oncology consulting service to improve health outcomes for members.

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