Today's Top 20 Stories
  1. 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. 
  2. Prime Therapeutics names chief compliance officer

    Prime Therapeutics has named Tizgel High as chief compliance officer. 
  3. Sendero Health Plans names CEO

    Sendero Health Plans has named Sharon Alvis as chief executive officer. 

The state of AI in healthcare

86% of healthcare leaders say AI will define success over the next 5 years. Insights + strategies for successful adoption here.
  1. 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, reported Sept. 21. 
  2. 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.
  3. 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.
  4. 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.

How one Midwest hospital is driving financial efficiency with interconnected systems

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. Bright Health's COO to leave company

    Bright Health's COO Jeff Cook is departing the company, effective Oct. 13.
  2. 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. 
  3. 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.
  4. 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. 

How one Midwest hospital is driving financial efficiency with interconnected systems

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. 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. 
  2. 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. 
  3. 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. 
  4. 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. 
  5. 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. 
  6. 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. 
  7. Why some payer execs are betting big on individual markets

    Some payer CEOs are feeling optimistic about the future of marketplace insurance. 
  8. Virginia reinstates 45,000 Medicaid members disenrolled through glitch

    Virginia reinstated around 45,000 people improperly removed from its Medicaid program, the Richmond Times-Dispatch reported Sept. 20. 
  9. Medicaid expansion may be inching closer in Mississippi, but would it come too late?

    There have been rumblings in Mississippi recently about putting up the concept of Medicaid expansion for open debate in a state where current Gov. Tate Reeves has repeatedly ruled such a policy out.

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