Today's Top 20 Stories
  1. 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. 
  2. 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. 
  3. 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. 

The state of AI in healthcare

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  1. 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. 
  2. 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. 
  3. 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.
  4. 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.

How one Midwest hospital is driving financial efficiency with interconnected systems

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  1. 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. 
  2. Most uninsured cities in America

    The Houston metropolitan area had the highest percentage of uninsured residents in 2022, while the Boston metro had the lowest, according to new data released by the Census Bureau Sept. 14 as part of its American Community Survey. 
  3. States ranked by percentage of Medicaid enrollees in 2022

    New Mexico had the highest percentage of residents enrolled in Medicaid in 2022, while Utah had the lowest, according to new data released by the Census Bureau Sept. 14 as part of its American Community Survey. The national Medicaid enrollment rate was 21.2 percent.
  4. Cigna sued by shareholder following ProPublica report on mass claim denials

    A shareholder is suing the Cigna Group in Delaware's Court of Chancery to obtain more information about the company's claims review process following a ProPublica report that alleges the company denies large batches of members' claims without individual review, Law360 reported Sept. 13.

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. MetroPlusHealth names chief people officer

    MetroPlusHealth has named Mary DiGangi as chief people officer. 
  2. Medicaid in the headlines: 10 recent updates

    As Medicaid redeterminations continue, Florida is facing allegations it illegally discriminated against families and children of color in its redetermination process, and Hawaii has paused disenrollments for the remainder of 2023 in the wake of the Maui wildfires. 
  3. States ranked by percentage of privately insured residents in 2022

    North Dakota and Utah had the highest percentage of privately insured individuals in 2022, according to data from the U.S. Census Bureau, published Sept. 14. 
  4. BCBS Michigan CEO to retire

    Blue Cross Blue Shield of Michigan's president and CEO, Daniel Loepp is retiring at the end of 2024 after more than two decades with the company.
  5. Universal Health Services rebrands insurance plan to Prominence Health

    Prominence Health Plan, a subsidiary of King of Prussia, Pa.-based Universal Health Services, is rebranding to Prominence Health. 
  6. States ranked by percentage of uninsured residents in 2022

    Texas had the highest percentage of uninsured residents in 2022, while Massachusetts had the lowest, according to new data released by the Census Bureau Sept. 14 as part of its American Community Survey. The national uninsured rate was eight percent.
  7. Blue Shield of California opens Long Beach office

    More than 1,000 Blue Shield of California employees will work at the company's new office space in Long Beach.. 
  8. World's best payers, per Time

    Time and Statista released their list of the 750 "best" companies in the world, which includes seven U.S. health insurers.
  9. Aetna, Optum can't escape class-action status in 'dummy code' case

    The 4th U.S. Circuit Court of Appeals said Sept. 13 it won't review a lower court's ruling that certified class-action status in a lawsuit alleging Aetna and OptumHealth Care Solutions conspired to use "dummy code" to make administrative fees appear to be billable medical charges.

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