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Georgia mulls Medicaid expansion
Georgia Republican lawmakers heard testimony on possible Medicaid expansion for the first time in a decade, The Atlanta Journal-Constitution reported Nov. 17. -
Demand for no-premium Medicare Advantage plans hits plateau: Report
Fewer Medicare Advantage beneficiaries are choosing no-premium plans for 2024, according to eHealth's November snapshot report that tracks MA and Part D plans selected by beneficiaries in the first half of the current annual enrollment period, or Oct. 15 to Nov. 8. -
Medicare Advantage in the headlines: 9 recent updates
UnitedHealthcare is facing a lawsuit of alleged wrongful Medicare Advantage care denials, and lawmakers are eyeing new regulations on the program. -
Value-based care members get more preventive screenings: Humana
Patients in value-based care relationships were more likely to receive preventive screenings than those in fee-for-service only, according to Humana's 10th annual value based care report. -
Why Medicare Advantage networks may reduce avoidable hospitalizations
Differences in the clinicians Medicare Advantage and traditional Medicare beneficiaries see have some effect on differences in avoidable hospitalization rates between the two programs, a study published Nov. 10 in JAMA Health Forum found. -
5 payers named among top military-friendly employers
Five payers have been named to the 21st annual list of Military Friendly Employers, which measures an organization's commitment, effort and success in creating sustainable and meaningful benefits for the military community. -
Nearly 3 dozen payers, employers drop senior companionship company
Almost 36 payers and employers are not renewing their contracts next year with senior companionship company Papa, Bloomberg reported Nov. 15. -
6 recent payer lawsuits, settlements
From UnitedHealth Group facing a proposed class-action suit over Medicare Advantage care denials, to Elevance settling with a former executive who left for a similar role at Molina, here are six lawsuits and settlements involving payers that Becker's has reported since Oct. 28: -
UnitedHealth Group in the headlines: 10 updates
From facing a proposed class-action suit over Medicare Advantage care denials to implementing the second wave of its plan to cut 20 percent of its prior authorization requirements, here are 10 updates on UnitedHealth Group Becker's reported since Oct. 31. -
How Connecticut's employee health plan is managing weight loss drug costs
Connecticut's employee health plan is using a lifestyle management program to control the costs of weight loss drugs, Politico reported Nov. 15. -
Humana saved $8B though value-based care in 2022
Humana's value-based care efforts in Medicare Advantage saved around $8 billion in 2022 compared to traditional Medicare, according to the company's annual value-based care report published Nov. 15. -
UnitedHealth faces lawsuit over AI, Medicare Advantage care denials
UnitedHealth Group and its health insurance arm, UnitedHealthcare, are facing a proposed class-action lawsuit alleging an AI algorithm wrongfully denied Medicare Advantage patients care. -
5 states considering adding weight loss drug coverage under Medicaid
At least five states are considering adding coverage of weight loss drugs to their Medicaid program, according to KFF's 2023 survey of state Medicaid directors. -
Humana to open 4 CenterWell clinics in Indianapolis
Humana will open four CenterWell clinics in Indianapolis in 2023 and 2024, the company said in a Nov. 14 news release. -
10 providers seeking payer contracting talent
Ten providers recently posted job listings seeking leaders in payer contracting and relations. -
Justice Department dropping antitrust case against UnitedHealth's SCA Health
The Justice Department is asking a Texas federal court to dismiss its case against SCA Health that alleged the company agreed with competitors not to poach senior-level employees. -
Significant role for AI 'unlikely to emerge immediately' for payers: Moody's
Artificial intelligence offers enormous potential for positive change within the health insurance industry, but like the integration of data analytics, that change will take time and be more pronounced in certain areas over others in the short-term, according to an October report from Moody's. -
AMA calls on insurers to cover weight loss drugs
The American Medical Association is urging insurers to cover the cost of new weight loss medications. -
UnitedHealth provides humanitarian aid to Israel, Gaza
The United Health Foundation is donating $1 million toward humanitarian aid for civilians affected by the ongoing Israel-Hamas war. -
Intermountain's health plan aims to end PBM 'games' through Cuban partnership
Intermountain Health's insurance arm, Select Health, has rolled out a new partnership with Mark Cuban's Cost Plus Drug Co. to its more than 1 million members — a move its chief pharmacy benefits officer said is aimed at eliminating "all the games" in the PBM marketplace.
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