Today's Top 20 Stories

  1. 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. 

  2. 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.

  3. 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. 

The state of AI in healthcare

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  1. Phoenix Children's, Aetna strike deal

    Rylee Wilson -
    Phoenix Children's and Aetna have reached a new contract agreement. 

  2. Oregon health system drops Humana, Centene Medicare Advantage plans

    Rylee Wilson -
    St. Charles Health System in Bend, Ore., will no longer be in-network with Humana and Centene subsidiaries HealthNet and WellCare Medicare Advantage plans in 2024. 

  3. Medicare Advantage in the headlines: 10 recent updates

    Rylee Wilson -
    As open enrollment for Medicare approaches, payers are striking partnerships with Instacart and Meijer and expanding to new markets. 

  4. The healthiest states for women and children in 2023, per UnitedHealth

    Jakob Emerson -
    For women and children, Minnesota is the healthiest state in the nation while Mississippi is the least healthy, according to the "2023 Health of Women and Children Report" from the United Health Foundation.

How one Midwest hospital is driving financial efficiency with interconnected systems

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  1. UnitedHealthcare names CEO for exchange plans

    Jakob Emerson -
    UnitedHealthcare has promoted Marcus Robinson to CEO of its individual and family plans business.

  2. How UnitedHealthcare cut employers' healthcare costs by 15%

    Rylee Wilson -
    UnitedHealthcare's deductible-free health plan saved money for employers and employees, according to an Oct. 5 news release from the insurer. 

  3. OIG: Aetna received estimated $25.5M in Medicare Advantage overpayments

    Rylee Wilson -
    Aetna received $632,070 in overpayments for Medicare Advantage claims from 2015 to 2016, an audit from HHS' Office of Inspector General found. 

  4. What claims data reveals about long COVID-19

    Rylee Wilson -
    One in 4 people with an acute COVID-19 infection experienced at least one symptom of long COVID-19, a review of claims data from AHIP and the Healthcare Cost Institute. 

How one Midwest hospital is driving financial efficiency with interconnected systems

Sponsored
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. 3 payer CEOs among Fortune's most powerful women in business

    Rylee Wilson -
    CVS Health CEO Karen Lynch topped Fortune's ranking of the 100 most powerful women in business for the third year in a row. 

  2. The biggest markets for Medicare Advantage advertising

    Rylee Wilson -
    Payers, brokers and other third parties aired more than 10,000 ads for Medicare Advantage plans in Houston from October to December 2022, according to a report from KFF. 

  3. Aetna in the headlines: 8 recent updates

    Rylee Wilson -
    Aetna is expanding its Medicare Advantage and ACA plan offerings for 2024. 

  4. BCBS Tennessee names new Medicare executive

    Jakob Emerson -
    BlueCross BlueShield of Tennessee has named Jason Habich as vice president and general manager of Medicare, according to an October LinkedIn post.

  5. BCBS Massachusetts snags divisional UnitedHealth CFO

    Jakob Emerson -
    Blue Cross Blue Shield of Massachusetts has named Ruby Kam as its new CFO. 

  6. Feds to limit predictive tools for Medicare Advantage

    Mariah Taylor -
    The federal government will restrict how Medicare Advantage plans use predictive technology tools to make some coverage decisions, KFF Health News reported Oct. 5.

  7. Lawmakers want feds to 'carefully scrutinize' UnitedHealth's Amedisys acquisition

    Andrew Cass -
    A pair of lawmakers are calling on the Federal Trade Commission and the Justice Department's antitrust division to "carefully scrutinize" UnitedHealth Group's proposed $3.3 billion acquisition of home and hospice care provider Amedisys.

  8. Point32Health expands maternal health program with Brigham and Women's, Harvard

    Rylee Wilson -
    Point32Health is bringing its TeamBirth maternal healthcare program to nine more hospitals and provider groups in Massachusetts. 

  9. How Medicaid plans can build fundamental trust with providers

    Rylee Wilson -
    In a decade leading the Illinois Association of Medicaid Health Plans, CEO Samantha Olds Frey has worked to build managed care in the state from the ground up, winning "hard-fought" trust from providers. 

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