Today's Top 20 Stories
  1. BCBS Texas, Hendrick Health extend contract, avoid split for now

    Blue Cross Blue Shield of Texas and Abilene, Texas-based Hendrick Health have extended their contract agreement through April 30, avoiding a split between the two organizations. The contract was set to expire Feb. 1. 
  2. eHealth names chief digital officer

    Online insurance marketplace eHealth has named Ketan Babaria as senior vice president and chief digital officer.
  3. California system back in network with UnitedHealthcare; negotiations ongoing with 2 others

    Clovis, Calif.-based Community Health System is back in network with UnitedHealthcare and continues to negotiate new contracts with the two other payers it went out of network with at the end of 2022, The Fresno Bee reported Jan. 22.

Becker's Payer Issues Rountable

Leaders from Cigna, UnitedHealth, Kaiser, BCBS + more tackle 2023's most pressing issues at Becker’s exclusive Payer Issues Roundtable. Join them April 3-4. Apply to be a live reviewer now.
  1. Why 2023 could bring Medicare Advantage challenges for payers

    Payers' stocks, which remained strong through 2022, could take a hit in 2023 as the Federal Reserve relaxes interest rate hikes and federal regulators tighten rules around Medicare Advantage, The Wall Street Journal reported Jan. 23. 
  2. Georgia won't take up full Medicaid expansion anytime soon, lawmakers say

    Georgia will not consider a full expansion of Medicaid in the near future, The Atlanta Journal-Constitution reported Jan. 19. 
  3. UnitedHealth facing UK antitrust probe

    The U.K.'s Competition and Markets Authority is investigating UnitedHealth Group's proposed acquisition of the health technology firm EMIS Group, Seeking Alpha reported Jan. 20. 
  4. 6 recent payer partnerships

    From payers diving deeper in social determinants of health to expanded payer-provider models, these are six payer partnerships reported by Becker's since Dec. 15:

Becker's Payer Issues Rountable

From equity to transparency, join senior execs from leading payers – Cigna, BCBS, Kaiser, UnitedHealth + more – in exclusive roundtables on today's most pressing payer issues. Apply to be a live reviewer now.
  1. Meet the executive team at the nation's largest publicly operated health plan

    L.A. Care Health Plan is the largest publicly operated health plan in the nation, serving more than 2.7 million low-income members in Los Angeles County.
  2. North Carolina officials grew frustrated with BCBS before contract switch, records show

    Issues with Blue Cross Blue Shield of North Carolina's claims processing system led state officials to request new contract bids to manage its state health plan, the Charlotte Observer reported Jan. 19. 
  3. New York City's Medicare Advantage plan 'dead,' city leaders say

    A plan to shift New York City retirees' coverage to Medicare Advantage has stalled indefinitely, the New York Daily News reported Jan. 19. 
  4. North Carolina rejects BCBS, UnitedHealthcare protests of state health plan award

    North Carolina is moving ahead with its plans to hand over its State Health Plan to Aetna, rejecting protests from Blue Cross Blue Shield of North Carolina and UMR, a UnitedHealthcare subsidiary. 

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Orthopedic spine procedures are linked to higher risks of opioid dependence. See how to mitigate this risk here.
  1. Dr. Sachin Jain: It's time to end 'magical thinking' in healthcare

    Wishful thinking about the impact of technology in healthcare and unrealistic beliefs that valuations can increase forever have slowed the industry's transformation for the better, according to Sachin Jain, MD.
  2. BCBS Minnesota hiring 300 employees to manage Medicaid program, ending contract with Amerigroup

    Blue Cross and Blue Shield of Minnesota is bringing on 300 employees to manage back-office work for its Medicaid programs, ending its contract with Amerigroup to manage these services, the Star Tribune reported Jan. 19. 
  3. Solis Health Plans names director of sales and marketing

    Solis Health Plans, a Medicare Advantage company in Florida, has named Maria Cabeza as director of sales and marketing.
  4. Optum's health violations at Arizona drug facility 'put patients at risk,' FDA says

    The FDA sent a warning letter to Optum Infusion Services Dec. 13 after the agency said it found "serious deficiencies" in safety practices at a Chandler, Ariz., facility where it produces compounded medications.
  5. 10 states with the largest gains in insured rate during the pandemic

    The overall insured rate in the U.S. rose between 2019 and 2021, with some states outpacing the national average growth in the insured rate of .7 percent, according HHS data. 
  6. UnitedHealthcare launches new virtual behavioral benefits through Optum

    More than 5 million UnitedHealthcare commercial fully insured members can now access new virtual behavioral offerings at no additional cost.
  7. Express Scripts headquarters sold for $36M

    Cigna's pharmacy benefit manager Express Scripts' St. Louis (Mo.) County headquarters has been sold for $36 million just as the company renewed its lease, the St. Louis Business Journal reported Jan. 18. 
  8. Humana adding 3 new CenterWell clinics in North Carolina

    CenterWell, Humana's primary care organization, is opening three new clinics in Charlotte, N.C., focused on care for older adults. 
  9. Integrated benefits save employers money, Cigna study finds

    Integrating medical, pharmacy and behavioral benefits led to savings for employers, a study from Cigna found. 

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