Today's Top 20 Stories
  1. How payers' Medicare Advantage market share has changed in 10 years

    UnitedHealthcare had the highest percentage of Medicare Advantage enrollees in 2013 and 2023, but its market share grew by 7 percentage points over that span, according to an Aug. 9 report from KFF. 
  2. Former Cigna market president joins Collective Health

    A former Cigna market president has been tapped to serve as senior vice president of client success for Collective Health, a digital employer health benefits startup.
  3. States ranked by Medicare Advantage market penetration in 2023

    Alabama, Hawaii and Michigan have the highest share of Medicare-eligible residents enrolled in Medicare Advantage plans in 2023, while Alaska has the least, according to an Aug. 9 report from KFF. 

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  1. UnitedHealthcare strikes deal with Arkansas system amid talks with 2 others

    UnitedHealthcare patients will be back in network with Conway (Ark.) Regional Health System Aug. 15 after the sides were able to come to an agreement, Arkansas Business reported Aug. 9. 
  2. How much 7 payers will receive in Medicare Advantage bonus payments in 2023

    Kaiser Permanente will receive the highest bonus-payments per Medicare Advantage enrollee in 2023 of major payers, according to an analysis from KFF. 
  3. 10 digital health startups tapped for UnitedHealthcare Accelerator

    UnitedHealthcare has named the 2023 class for its four-month accelerator program. 
  4. Why new insurance start-ups are focused on the employer market

    Health insurance is a tough business to break into. 

How one Midwest hospital is driving financial efficiency with interconnected systems

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  1. 4 states where ACA premiums will decrease in 2024

    ACA premiums are likely to rise in 2024, with most insurers proposing rate increases of between 2 and 10 percent, according to data from the KFF-Petersen Health System tracker. 
  2. Oscar Health's Florida enrollment freeze lifted

    Oscar Health is accepting new members in Florida after an eight-month pause on new sign-ups in the state. 
  3. Medicare Advantage quality bonus payments on track to grow 30% in 2023

    CMS will pay Medicare Advantage plans $12.8 billion in bonus payments in 2023, according to a KFF analysis published Aug. 9. 
  4. Former BCBS North Carolina Medicaid CEO running for governor

    Former Blue Cross Blue Shield of North Carolina executive Jesse Thomas is running for governor of the state.

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. Will new trial results change insurers' minds about weight loss drugs?

    A new trial that showed weight-loss drug Wegovy has benefits for cardiovascular health could make it more difficult for insurers to justify not covering the drugs, columnist Lisa Jarvis wrote in Bloomberg Aug. 8. 
  2. Oscar Health posts $15M loss in Q2

    Oscar Health posted a $15.4 million loss in the second quarter of 2022, down from a $112.1 million loss in the same period last year, according to the company's earnings report published Aug. 8. 
  3. OSF HealthCare welcomes BCBS Medicaid members

    Patients enrolled in BlueCross BlueShield of Illinois Medicaid can access all OSF HealthCare hospitals and physicians as part of their insurance plan, effective Aug. 8. 
  4. The 2 payers that account for nearly half of Medicare Advantage enrollees

    Medicare Advantage enrollment is highly concentrated among a small number of payers, with just two payers accounting for 47 percent of all enrollees in 2023, according to an Aug. 9 analysis from KFF.  
  5. The career background of Elevance's next CFO

    Mark Kaye will serve as Elevance Health's next CFO, replacing the retiring John Gallina. 
  6. Oscar Health names new CFO

    Oscar Health Chief Transformation Officer R. Scott Blackley will return to the CFO role, effective Aug. 14. 
  7. What Blue Cross Blue Shield data reveals about emergency room upcoding

    A study of Blue Cross Blue Shield claims data from five states found price increases were a bigger contributor to rising emergency room costs than upcoding. 
  8. 10 states where exchange plan premiums will increase the most in 2024

    Premiums for insurance on the ACA exchange in Virginia will increase over 25 percent next year, according to data from the KFF-Petersen Health System tracker. 
  9. Rhode Island AG objects to rate hike proposals from largest payers

    Rhode Island Attorney General Peter Neronha filed objections with the state's health insurance commissioner over the rate hike proposals from six payers. 

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