Today's Top 20 Stories
  1. Fewer Medicare Advantage plans snag 5-star ratings for 2024

    CMS' overall average star ratings declined slightly for Medicare Advantage plans for plan year 2024. 
  2. UnitedHealth wants to make weight loss drugs cheaper

    UnitedHealth Group wants to lower the price of GLP-1 drugs such as Ozempic and Wegovy, but it needs drug manufacturers to get on board, executives said. 
  3. What's new for Medicare open enrollment in 2023: 5 notes

    Medicare open enrollment begins Oct. 15 and runs through Dec. 7. During this time, enrollees can make changes to their Medicare coverage for the upcoming year, such as switching between Medicare Advantage plans, switching from MA to traditional Medicare and choosing new supplemental coverage. 

The state of AI in healthcare

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  1. UnitedHealth Group posts $5.8B profit in Q3 

    UnitedHealth Group recorded double-digit growth in revenue year over year across its core lines of business at UnitedHealthcare and Optum, according to the company's third-quarter earnings report released Oct. 13.
  2. Medicare premiums to increase in 2024

    Medicare part B premiums and deductibles will increase slightly in 2024. 
  3. HealthPartners names chief medical officer for health plan

    HealthPartners has named Ginger Kakacek, MD, as chief medical officer for its health plan. 
  4. Medicaid in the headlines: 10 recent updates

    Medicaid redeterminations continue, and one state, Arkansas, has finished the process. States are also seeking new Medicaid contractors and dropping others. 

How one Midwest hospital is driving financial efficiency with interconnected systems

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  1. Oscar Health expanding to 165 new counties for 2024

    Oscar Health is expanding its market footprint and adding new plans for 2024. 
  2. Alignment Health opens new community center in Southern California

    Medicare Advantage company Alignment Health opened a new community center in Laguna Woods, California on Oct. 3. 
  3. Southern California payer puts $52M behind affordable housing 

    CalOptima Health, a Medicaid insurer in Orange County, Calif., is awarding $52.3 million in grants to 15 organizations for the creation of affordable and permanent supportive housing. 
  4. 5 things to know about Humana's next CEO

    Humana CEO Bruce Broussard will step down from his role after a decade in 2024, and Envision Healthcare CEO Jim Rechtin will be his successor, the company said Oct. 11. 

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. MetroPlusHealth names chief marketing officer

    MetroPlusHealth has named Laura Santella-Saccone as chief marketing and brand officer. 
  2. Elevance Health cuts jobs as company confirms 'changes'

    Former employees with Elevance Health, previously known as Anthem, and its subsidiaries have taken to social media regarding an unknown number of job cuts they say are occurring across the company. Elevance confirmed "recent changes" with Becker's.
  3. Texas extends Medicaid redetermination deadlines

    Texas is granting some Medicaid beneficiaries an extra month to complete renewal paperwork. 
  4. Virginia health system ending its Medicare Advantage plan

    Fredericksburg, Va.-based Mary Washington Healthcare will not offer its Medicare Advantage plan in 2024, the Free Lance-Star reported Oct. 11. 
  5. BCBS Michigan, Vermont receive green light for affiliation

    Vermont regulators have approved Blue Cross Blue Shield of Vermont becoming a subsidiary of Blue Cross Blue Shield of Michigan.
  6. North Carolina's unique new Medicaid challenge

    North Carolina is expanding its Medicaid program to an additional 300,000 people in December, but the state is facing unique enrollment challenges amid Medicaid redeterminations, The Washington Post reported Oct. 11.
  7. Envision CEO will be Humana's next top exec

    Envision Healthcare president and CEO Jim Rechtin will be Humana's next CEO. 
  8. Lawmakers are scrutinizing managed care

    Federal lawmakers have been probing payers on a variety of issues in recent months, raising concerns on prior authorizations, Medicare Advantage costs, artificial intelligence and more. 
  9. Push for Florida Medicaid disenrollment pause continues

    Advocates are calling for Florida to pause Medicaid enrollments and reinstate coverage for eligible children, as the state defends itself against a potential class action lawsuit. 

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