Today's Top 20 Stories
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What 5 recent studies found about Medicare Advantage
Recent research on Medicare Advantage has highlighted differences in the amount of at-home care beneficiaries in MA and fee-for-service Medicare receive, and studied the potential effects of CMS' proposed benchmark payments in 2025. -
When it comes to Medicare Advantage, couples stick together
Older couples typically enroll and disenroll in Medicare Advantage plans together, a study published in JAMA found. -
How Centene's WellCare is creating custom SDOH outreach across Kentucky
Measuring the return on investment for social determinants of health initiatives is no easy task for managed care organizations, but Centene's Medicaid plan in Kentucky, WellCare, is using members' data to create customized and local solutions aimed at improving health outcomes across the state.
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The biggest investments 21 payer, healthcare execs will make this year
Leaders in the payer space are investing in new technologies, population health and their teams in 2024. -
Molina's 5 highest-earning executives in 2023
Molina Healthcare CEO Joseph Zubretsky was paid $21.5 million in total compensation in 2023, down from $22.1 million 2022. -
3 Medicaid work requirement program updates
Here are three updates on state efforts to expand Medicaid with work requirements: -
Medicare spending on weight loss drugs through the roof
Medicare total spending hit $5.7 billion in 2022 for GLP-1 drugs such as Ozempic, Wegovy and Mounjaro, up from $57 million in 2018, according to a March 22 KFF analysis.
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New York medical group drops Humana Medicare Advantage across 70 practices
Community Care Physicians, a Latham, N.Y.-based multispecialty medical group, went out of network with Humana Medicare Advantage plans on March 13. -
Humana wants Medicare Advantage AI lawsuit thrown out
Humana is seeking to dismiss a class action lawsuit alleging the insurer used an AI algorithm to wrongfully deny Medicare Advantage beneficiaries care. -
Where Johns Hopkins Health Plans is driving growth, facing headwinds in 2024
Johns Hopkins Health Plans serves more than 470,000 members across managed care and commercial health plans. -
Lawyers made millions from Centene settlements: Report
Private lawyers made at least $108 million in fees from payments Centene made to states to settle overcharging allegations, The New York Times reported March 21.
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6 payers among top-rated workplaces, per their employees
Six insurers are among Top Workplace's 2024 honorees. -
10 providers seeking payer contracting talent
Ten providers recently posted job listings seeking leaders in payer contracting and relations. -
Medicare Advantage rates 'baffling,' lawmakers say
A group of Republican lawmakers are asking CMS to reconsider its proposed 2025 rates for Medicare Advantage. -
3 ways Medicare Advantage affects primary care physicians
There are few statistically significant differences between the way primary care physicians treat patients in Medicare Advantage and fee-for-service Medicare, according to the Commonwealth Fund. -
10 recent payer partnerships
From chronic disease management to mental health investments, these are 10 partnerships announced by health insurers within the last year: -
Georgia Medicaid work requirement program spending more on consultants than care: Report
Georgia's alternative to expanding Medicaid under the ACA has cost $26.6 million through Dec. 31, with 90% of that money going toward administrative and consulting costs, KFF Health News reported March 20. -
10 greatest payers for job starters: Newsweek
Ten health insurers were named to Newsweek's list of "America's Greatest Workplaces for Job Starters 2024." -
States lacking in Medicaid denial oversight, government watchdog says
States and CMS can increase their oversight of denials by Medicaid managed care organizations, according to a report from the Government Accountability Office. -
Centene subsidiary to reimburse hospitals' health equity accreditation costs
Meridian Health Plan of Illinois will reimburse a portion of the certification fees for hospitals that participate in The Joint Commission's Health Care Equity Certification.
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