Today's Top 20 Stories
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BCBS Oklahoma, Stillwater Medical Center strike agreement
Blue Cross Blue Shield of Oklahoma and Stillwater (Okla.) Medical Center have reached an agreement that will keep Blue Traditional and Blue Choice PPO beneficiaries in network with the health system through 2026. -
Kaiser Permanente names UnitedHealthcare exec as new health plan leader
Oakland, Calif.-based Kaiser Permanente has named Brandon Cuevas as executive vice president for Kaiser Foundation Health Plan. -
Medicare Advantage in the headlines: 8 recent updates
The National Committee for Quality Assurance has named the top Medicare Advantage plans of 2023, and new research is uncovering cost differences between MA and traditional Medicare.
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The most popular TV shows for Medicare Advantage ads
In 2022, viewers tuning into "Dr. Phil" saw an average of eight ads for Medicare Advantage plans per episode during open enrollment season, according to an analysis from KFF. -
Prime Therapeutics names chief compliance officer
Prime Therapeutics has named Tizgel High as chief compliance officer. -
Sendero Health Plans names CEO
Sendero Health Plans has named Sharon Alvis as chief executive officer. -
Elevance-BCBS Louisiana deal faces further delays
Blue Cross and Blue Shield of Louisiana officials said they are again seeking to delay a regulatory hearing over its proposed sale to Elevance Health, nola.com reported Sept. 21.
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How Blue Cross North Carolina is bucking rising costs in the ACA market, per its CFO
Health insurers across the country are looking to raise premiums for individual exchange plans in 2024, with many proposing double-digit increases. In contrast, Blue Cross and Blue Shield of North Carolina says its members will see individual rates go down by an average of 4 percent next year. -
Mississippi governor announces $690M Medicaid reforms for state's hospitals
Hospitals and healthcare systems in Mississippi could benefit by approximately $690 million from a couple of planned proposals announced Sept. 21 by Gov. Tate Reeves. -
Kansas governor says Medicaid expansion the 'top priority' for 2024
Kansas Gov. Laura Kelly has launched a statewide campaign pushing for Medicaid expansion, calling it her top priority for the state's legislative session next year. -
Bright Health's COO to leave company
Bright Health's COO Jeff Cook is departing the company, effective Oct. 13.
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AHIP backs legislation expanding Medicare Advantage supplemental benefits
Two lawmakers are introducing legislation that would expand the scope of supplemental benefits offered in Medicare Advantage. -
Health insurers go all in on Mark Cuban's drug company
It's been a busy year by any measure for Mark Cuban Cost Plus Drug Co., but especially within the world of health insurance. -
UnitedHealthcare cutting some Medicare Advantage plans, expanding overall footprint for 2024
UnitedHealthcare is discontinuing some Medicare Advantage plans and exiting some service areas for 2024. -
Why Medicare Advantage beneficiaries have lower healthcare utilization: 3 things to note
Medicare Advantage beneficiaries have 12 percent lower healthcare expenses than beneficiaries in fee-for-service Medicare, a whitepaper from researchers at Inovalon and Boston-based Harvard Medical School found. -
HHS pauses procedural Medicaid disenrollments in 30 states
HHS has paused procedural Medicaid terminations in 30 states reporting issues with their automatic renewal systems, and coverage for nearly 500,000 people improperly disenrolled through the error will be restored, the agency said Sept. 21. -
These payers air the most Medicare Advantage ads
Humana and UnitedHealthcare account for nearly half of Medicare Advantage enrollment, but just 20 percent of television advertising for MA plans, according to a report from KFF published Sept. 20. -
Judge won't block former Elevance Health exec from joining Molina
Elevance Health cannot prevent a former executive from beginning work at Molina Healthcare, a federal judge ruled. -
EEOC sues UnitedHealthcare over unvaccinated employee's firing
The U.S. Equal Employment Opportunity Commission is suing UnitedHealthcare over allegations the company discriminated against a fully remote employee by refusing to grant her a religious exemption from the company's COVID-19 vaccination requirement. -
AHIP, health systems on opposite sides of No Surprises Act debate
Payers and providers don't agree on much when it comes to the No Surprises Act dispute resolution process.
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