-
5 employer insurance trends to watch in 2024
Employers will be expecting insurers and vendors to deliver more transparency and ways to cut healthcare spending in 2024, according to the Business Group on Health. -
Optum's full-risk Medicare Advantage patients have better health outcomes than Medicare enrollees
Optum patients who are enrolled in fully accountable Medicare Advantage plans — where Optum takes full financial and clinical responsibility — have better health outcomes than patients enrolled in traditional Medicare, according to UnitedHealthcare CEO Brian Thompson. -
Improving the ROI of Payer Care Management
For payers, the ongoing shift to value-based care has placed a significant emphasis on improving quality and outcomes. -
Why BCBS Arizona wants to look more like Kaiser
Blue Cross Blue Shield of Arizona is looking to the payer-provider example set by Kaiser Permanente as the Phoenix-based company expands its primary care subsidiary Prosano Health Solutions, the Phoenix Business Journal reported Nov. 20. -
UnitedHealth's 5 growth priorities
UnitedHealth Group outlined its five strategic growth priorities at its annual investor conference Nov. 29: -
UnitedHealth Group projects $400B in 2024 revenue
UnitedHealth Group expects 2024 revenues to be at least $400 billion. -
20% of ACA marketplace enrollees are new to program: HHS
About 4.6 million people have signed up for health insurance through ACA marketplaces as of Nov. 18. -
Blues plans dive into care delivery
As the nation's largest insurers have evolved to become health services organizations capable of providing healthcare and paying for it too, several Blue Cross Blue Shield companies are following suit and becoming providers as well. -
Moody's: Payers' 2023 outlook is stable
Insurers' outlook is stable for 2023, but high Medicare Advantage utilization rates could present challenges, Moody's said in a Nov. 20 report. -
Medicaid in the headlines: 7 recent updates
New research found the number of self-pay patients increased as enrollees lost Medicaid coverage, and Georgia lawmakers are mulling a full expansion of the state's Medicaid program. -
CMS cut Medicaid improper payments in 2023
The Medicaid improper payment rate significantly decreased from 2022 to 2023, CMS reported Nov. 15. -
Medicare solvency would be extended 17 years under Medicare Advantage utilization rates: Study
The Hospital Insurance Trust Fund would be solvent until 2048 if traditional Medicare utilization levels were similar to those under Medicare Advantage, according to research published in October by AHIP and conducted by Avalere. -
Insurers aren't following CMS' new Medicare Advantage rules, AHA says
Some Medicare Advantage plans are not planning to comply with new CMS guidance requiring plans to follow traditional Medicare's standards for coverage decisions, the American Hospital Association alleges. -
CMS: Medicare Advantage received $16.6B in improper payments in 2023
CMS paid Medicare Advantage organizations an estimated $16.6 billion in overpayments in fiscal year 2023, the agency reported Nov. 15. -
More employers consider narrow networks, low deductibles
Four in 10 employers offer low or no-deductible plans, and 15% of employers will offer their employees coverage with no premium, according to Mercer's "Health and Benefit Strategies for 2024" report. -
6 payers expanding ACA offerings in 2024
From UnitedHealth expanding plans to 26 states total to Centene expanding its footprint within 11 markets, these are six payers expanding their exchange offerings in 2024. -
25 states with 'failing' Medicaid redetermination grades
Half of states are "failing" amid the Medicaid redeterminations process, according to the NAACP. -
3 payer CEOs among healthcare's 'most overpaid'
Three payer CEOs are among As You Sow's list of the most "overpaid" CEOs at S&P 500 companies. -
Excellus BCBS awards $28M to 31 hospitals
Excellus BlueCross BlueShield awarded 31 upstate New York hospitals and health centers a combined $28 million in 2022 for quality care improvements. -
HHS' call to action for payers on health equity
CMS issued its first-ever playbook to address social determinants of health Nov. 16.
Page 19 of 50