Today's Top 20 Stories
  1. Lawsuit alleges UnitedHealth failed to disclose antitrust investigation

    UnitedHealth Group is facing a proposed securities fraud class-action lawsuit alleging that the company failed to disclose that the Justice Department opened an antitrust investigation into the company. 
  2. The two-midnight rule and Medicare Advantage: 8 updates

    In 2024, Medicare Advantage plans must provide coverage for an inpatient admission when the admitting physician expects the patient to require hospital care for at least two midnights, otherwise known as the two-midnight rule.
  3. UnitedHealth shakes up legal lineup

    UnitedHealth Group is shuffling its top legal lineup. 

Becker's Spring Payer Issues Roundtable

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Becker's is gathering 500+ payer execs in Chicago next April. Learn how your company can join them — here.
  1. BCBS Michigan names new CEO

    Blue Cross Blue Shield of Michigan has named Tricia Keith as its next president and CEO, effective in 2025. 
  2. UnitedHealth 'really comfortable' with Medicare Advantage as competitors sweat

    UnitedHealth Group executives said they're not planning any major shakeups to their Medicare Advantage business as other insurers plan to pull back their offerings in 2025. 
  3. 3 payers among the top companies for workplace fairness

    Three insurers were named among the top companies for workplace fairness by Fair360. 
  4. UnitedHealthcare beats TeamHealth in Oklahoma trial

    An Oklahoma jury has handed UnitedHealthcare a win in its ongoing legal battle with physician staffing company TeamHealth. 

Becker's Spring Payer Issues Roundtable

Sponsored
Becker's is gathering 500+ payer execs in Chicago next April. Learn how your company can join them — here.
  1. UnitedHealth hits $1B affordable housing investment milestone 

    UnitedHealth Group has surpassed $1 billion in affordable housing investments since the company began prioritizing housing developments in 2011.
  2. Centene, UnitedHealthcare, BCBS plans pick up Kansas Medicaid contracts

    Kansas awarded Medicaid contracts managing care for 458,000 individuals to Centene, UnitedHealthcare and Healthy Blue. 
  3. Many people with Medicaid believe they are uninsured: Study

    Many people disenrolled from Medicaid during the redeterminations process were likely unaware they had coverage to begin with, a study published in the May issue of Health Affairs found. 
  4. CVS could lose 10% of its Medicare Advantage members in 2025

    CVS Health executives are bracing to lose up to 10% of Aetna's Medicare Advantage members next year, Bloomberg reported May 14. 

Becker's Spring Payer Issues Roundtable

Sponsored
Becker's is gathering 500+ payer execs in Chicago next April. Learn how your company can join them — here.
  1. Texas Children's Health Plan laying off 'a few hundred' following Medicaid redeterminations 

    Texas Children's Health Plan is laying off "a few hundred" employees after the health plan lost 30% of its membership during Medicaid redeterminations, the Houston Chronicle reported May 14.
  2. Five women leaders on the shifting landscape of women's health, per UnitedHealthcare

    Health care is shifting its approach to women’s health. Who better to explain what’s driving that change than women executives at UnitedHealthcare and the Advisory Board.
  3. Elevance exec named chief medical officer at Priority Health

    Priority Health has named Elif Oker, MD, as senior vice president and chief medical officer, effective May 20.
  4. Humana's new CEO to assume top role in July

    Jim Rechtin will assume the role of president and CEO of Humana on July 1, the company said May 13. 
  5. 10 states where commercial insurers pay hospitals the highest rates

    Hospitals in Georgia and Florida charge employers and commercial insurers rates 345% higher than Medicare, according to a Rand Corp. report published May 13. 
  6. CMS extends Medicaid waivers to 2025

    CMS will extend flexibilities designed to help states keep more eligible individuals enrolled in Medicaid through June 2025. 
  7. Centene, Wellvana ink multi-year primary care deal for Medicare Advantage members 

    Centene's Wellcare and value-based physician enablement company Wellvana have inked a multi-year primary care partnership for Wellcare Medicare Advantage members in Georgia, Tennessee and Texas. 
  8. Inside a fast-growing Medicare Advantage startup's grassroots approach

    The average Medicare Advantage beneficiary can choose between dozens of plans. With so many options, one of the fastest-growing Medicare Advantage startups is trying to set itself apart with a grassroots approach. 
  9. 1 in 4 people taking weight loss drugs say insurance covered the full cost

    Most adults who have taken GLP-1 drugs say their insurance has covered at least part of the cost, according to a survey from KFF published May 10. 

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