Today's Top 20 Stories
  1. AmeriHealth Caritas names Florida market president

    AmeriHealth Caritas has named Melody Bonomo as Florida market president. 
  2. The fate of North Carolina's Medicaid expansion could be tied to casinos

    North Carolina lawmakers are proposing tying funding to expand the state's Medicaid program to a bill approving four new casinos in the state, the News and Observer reported Sept. 18. 
  3. Oregon to establish basic health program for lower income adults

    Oregon is asking CMS to approve a basic health program for lower-income individuals who make too much to qualify for Medicaid, a move that could raise premiums prices on the state's individual insurance market. 

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  1. 18 recent payer CEO moves

    From several new Blue Cross Blue Shield CEOs to a shakeup at Optum, these are 18 payer CEO moves reported by Becker's since Jan. 1:
  2. New York's Medicaid program paid $388M for federally-funded services, audit shows

    New York's Medicaid program paid $388 million for medical services between 2016 and 2022 that should have been paid by federally-funded plans such as Medicare, according to two audits from the state's comptroller published Sept. 14.
  3. BCBS Texas funds doula education program

    Blue Cross and Blue Shield of Texas is partnering with Huston-Tillotson University, a historically Black university in Austin, Texas, on a new program aimed at educating doulas. 
  4. Cigna program aims to reduce out-of-pocket costs for musculoskeletal conditions

    Cigna Healthcare is offering employers a supplemental benefit designed to help employees diagnosed with musculoskeletal conditions. 

How one Midwest hospital is driving financial efficiency with interconnected systems

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  1. Aetna in the headlines: 7 recent updates

    CVS Health said it will lay off over 500 Aetna employees in the coming weeks, and the company welcomed a new president of Aetna in September. 
  2. UnitedHealthcare, Cigna prior authorization cuts not to be confused with major progress: AMA

    UnitedHealthcare and Cigna's prior authorization cuts are steps in the right direction, but the American Medical Association is "careful not to confuse positive developments with major progress," the organization's immediate past president Jack Resneck, MD, said. 
  3. Nevada adds 114,000 residents back to Medicaid rolls

    A federal policy change has allowed Nevada reinstate Medicaid coverage to 114,000 residents who lost coverage because they did not return their renewal documentation. 
  4. UnitedHealth Group to leave HQ building for Optum campus

    UnitedHealth Group will move from its headquarters building in Minnetonka, Minn., to Optum's campus in Eden Prairie, Minn., in 2024, the Minneapolis/St. Paul Business Journal reported Sept. 18. 

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. NCQA: The best-rated commercial health plans in each state | 2023

    The National Committee for Quality Assurance has named the best commercial health plans of 2023 based on factors that include care quality, patient satisfaction and efforts to keep improving.
  2. Blue Cross of Idaho names chief medical officer, COO

    Blue Cross of Idaho has named Melissa Kizilos, MD, as chief medical officer and Leslie Carter as chief operations officer. 
  3. The best-rated Medicare Advantage plans in each state, per NCQA

    The National Committee for Quality Assurance awarded 24 Medicare Advantage contracts 4.5 star ratings for 2023. 
  4. The best-rated Medicaid plans of 2023, per NCQA

    Thirteen Medicaid plans in seven states received 4.5 star ratings from the National Committee for Quality Assurance. 
  5. How Medicare Advantage plans can tackle loneliness, per Elevance Health

    A program designed to support socially-isolated Medicare Advantage members helped improve feelings of loneliness and depression, according to a report from the Elevance Health Public Policy Institute. 
  6. States ranked by percentage of publicly insured residents in 2022

    New Mexico had the highest share of publicly insured residents in 2022, with over half of the state's residents receiving insurance through Medicaid, Medicare and other public programs, according to data from the U.S. Census Bureau published Sept. 14. 
  7. Best-rated Medicare Advantage plans in 2023, per NCQA

    The National Committee for Quality Assurance has named the best Medicare Advantage plans of 2023 based on factors that include care quality, patient satisfaction and efforts to keep improving.
  8. The best-rated health plans of 2023, per NCQA

    The National Committee for Quality Assurance has named the best-rated health plans of 2023 based on factors that include care quality, patient satisfaction and efforts to keep improving.
  9. Where Centene's CEO sees an opportunity for disruption

    Centene CEO Sarah London said over the long term, the individual marketplace is going to be the dominant way that consumers shop for health insurance. 

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