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Louisiana physicians vote 'no' on Elevance-BCBS deal
The Louisiana State Medical Society has voted against the proposed sale of Blue Cross Blue Shield of Louisiana to Elevance Health. -
Mississippi prior authorization bill makes 2nd go-round, but governor has other plans
The Mississippi Senate has advanced an updated version of a prior authorization bill that was vetoed by the governor last year, but this version's chances of being signed into law remain unlikely, the Magnolia Tribune reported Jan. 31. -
15 sentenced in California for $40M health insurance fraud scheme
The last of 15 defendants have been sentenced in Santa Clara, Calif. for their roles in a $40 million statewide insurance scam involving "overpriced and unneeded" telehealth prescriptions and medical devices. -
Bridging the Health Equity Gap in Rural America Through Exceptional Provider Support
About 60 million people—nearly one in five Americans—live in rural areas and depend on their local hospitals for care. But rural American health care is fragile business. -
Medicare Advantage in the headlines: 9 recent updates
Challenges loom for Medicare Advantage in 2024, with payers reporting rising medical costs and lower growth expectations for the year. -
States ranked by ACA enrollment growth in 2024
Open enrollment for the ACA exchanges is finished in most states and a record 21.3 million people are enrolled — a 30% increase year over year, or 5 million people. -
Self-funded plans on the rise
The share of U.S. employees in healthcare plans funded by their employer rose from 2015 to 2021, a study published in the January issue of Health Affairs found. -
ACO participation grows for 2024
Nearly half of people with traditional Medicare are aligned with Accountable Care Organizations, CMS said Jan. 29. -
Dr. Sachin Jain: 5 fixes for Medicare Advantage
Five key changes could improve Medicare Advantage, SCAN Group CEO Sachin Jain, MD, wrote in Forbes Jan. 30. -
Humana to add 3 more CenterWell markets
Humana is expanding its primary care business for seniors into three new markets in 2024 and adding new centers in eight existing markets. -
No Surprises Act prevents 10M surprise bills, insurance groups say
The federal No Surprises Act is estimated to have prevented more than 10 million surprise medical bills during the first nine months of 2023, according to a Jan. 26 report from AHIP and the Blue Cross Blue Shield Association. -
Why Blue Shield of California's Medicaid plan is paying for members to get GEDs
Blue Shield of California Promise Health Plan is now offering its Medicaid members in Los Angeles and San Diego counties the opportunity to earn their GED diploma at no cost, a first of its kind program in the state. -
Lawmakers urge more action on Medicare Advantage overpayments
Two lawmakers are asking CMS to do more to curb overpayments to the Medicare Advantage program. -
Has Medicare Advantage lost its luster?
Though Medicare Advantage enrollment keeps climbing, the program may not have the profitability it once did for insurers. -
North Carolina state health plan drops weight loss drug coverage
North Carolina's State Health Plan will not cover existing prescriptions for weight-loss drugs past April 1, WECT reported Jan. 26. -
Unprecedented Medicare Advantage costs drive steep losses for Humana
Humana reported a $541 million loss in the fourth quarter of 2023, facing what executives called an unprecedented increase in Medicare Advantage medical costs. -
Humana posts $541M loss in fourth quarter
Humana lost $541 million in the fourth quarter of 2023, according to the company's year-end earnings report published Jan. 25. -
Elevance projects flat Medicare Advantage membership in 2024
Elevance Health is not expecting its Medicare Advantage membership to grow in 2024. -
Elevance Health posts $856M profit in fourth quarter
Elevance Health posted $856 million in net income during the fourth quarter, according to the company's year-end 2023 earnings report published Jan. 24. -
High-deductible plan enrollment shrinks for 1st time since 2013
Fewer workers were enrolled in high-deductible plans in 2022 than in 2021, the first time enrollment has dipped since 2013, according to an analysis from ValuePenguin published Jan. 22.
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