Today's Top 20 Stories

  1. Southern California payer puts $52M behind affordable housing 

    Jakob Emerson -
    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. 

  2. 5 things to know about Humana's next CEO

    Rylee Wilson -
    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. 

  3. MetroPlusHealth names chief marketing officer

    Rylee Wilson -
    MetroPlusHealth has named Laura Santella-Saccone as chief marketing and brand officer. 

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  1. Elevance Health cuts jobs as company confirms 'changes'

    Jakob Emerson -
    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.

  2. Texas extends Medicaid redetermination deadlines

    Rylee Wilson -
    Texas is granting some Medicaid beneficiaries an extra month to complete renewal paperwork. 

  3. Virginia health system ending its Medicare Advantage plan

    Rylee Wilson -
    Fredericksburg, Va.-based Mary Washington Healthcare will not offer its Medicare Advantage plan in 2024, the Free Lance-Star reported Oct. 11. 

  4. BCBS Michigan, Vermont receive green light for affiliation

    Jakob Emerson -
    Vermont regulators have approved Blue Cross Blue Shield of Vermont becoming a subsidiary of Blue Cross Blue Shield of Michigan.

How one Midwest hospital is driving financial efficiency with interconnected systems

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  1. North Carolina's unique new Medicaid challenge

    Jakob Emerson -
    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.

  2. Envision CEO will be Humana's next top exec

    Rylee Wilson -
    Envision Healthcare president and CEO Jim Rechtin will be Humana's next CEO. 

  3. Lawmakers are scrutinizing managed care

    Rylee Wilson -
    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. 

  4. Push for Florida Medicaid disenrollment pause continues

    Rylee Wilson -
    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. 

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. Arkansas completes Medicaid redetermination speed run, disenrolls 370,000

    Rylee Wilson -
    Arkansas has completed its Medicaid unwinding process, one of the first states to do so. 

  2. 6 health systems launching Medicare Advantage plans

    Jakob Emerson -
    Some health systems may be dropping patients with Medicare Advantage plans, but others are continuing to expand into the MA market or are entering it for the first time in 2024.

  3. Cigna's Evernorth buys telehealth platform Bright.md

    Jakob Emerson -
    The Cigna Group's Evernorth Health Services is purchasing telehealth platform Bright.md for an undisclosed amount to enhance its existing virtual services through MDLive.

  4. 9 Medicare Advantage plans with NCQA's Health Equity accreditation

    Rylee Wilson -
    Just nine Medicare Advantage plans have obtained the National Committee for Quality Assurance's health equity accreditation. 

  5. California again weighs single-payer system

    Nick Thomas -
    The appetite for a single-payer health system in California is growing, with plans to introduce a bill in early 2024, according to a Bloomberg report.

  6. The 'wild west' of Medicare Advantage, and how to fix it

    Rylee Wilson -
    The average older adult has dozens of Medicare Advantage plans to choose from, and many turn to brokers to help them make a decision about the best option for them. 

  7. University Hospitals launches Medicare Advantage plan with PrimeTime Health Plan

    Rylee Wilson -
    Cleveland-based University Hospitals is launching a co-branded Medicare Advantage plan with PrimeTime Health Plan. 

  8. HealthPartners to launch hybrid, prevention-focused care plans

    Jakob Emerson -
    HealthPartners, an integrated payer-provider organization, is launching a new hybrid preventive care offering designed around health screenings, immunizations and other routine care.

  9. 29 ways payers can improve equity

    Rylee Wilson -
    Health plans are working to improve health equity, appointing chief health equity officers, improving data collection and implementing initiatives to reduce disparities in health outcomes. 

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