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Mississippi governor announces $690M Medicaid reforms for state's hospitals
Hospitals and healthcare systems in Mississippi could benefit by approximately $690 million from a couple of planned proposals announced Sept. 21 by Gov. Tate Reeves. -
Bright Health's COO to leave company
Bright Health's COO Jeff Cook is departing the company, effective Oct. 13. -
Health insurers go all in on Mark Cuban's drug company
It's been a busy year by any measure for Mark Cuban Cost Plus Drug Co., but especially within the world of health insurance. -
UnitedHealthcare cutting some Medicare Advantage plans, expanding overall footprint for 2024
UnitedHealthcare is discontinuing some Medicare Advantage plans and exiting some service areas for 2024. -
Why Medicare Advantage beneficiaries have lower healthcare utilization: 3 things to note
Medicare Advantage beneficiaries have 12 percent lower healthcare expenses than beneficiaries in fee-for-service Medicare, a whitepaper from researchers at Inovalon and Boston-based Harvard Medical School found. -
HHS pauses procedural Medicaid disenrollments in 30 states
HHS has paused procedural Medicaid terminations in 30 states reporting issues with their automatic renewal systems, and coverage for nearly 500,000 people improperly disenrolled through the error will be restored, the agency said Sept. 21. -
These payers air the most Medicare Advantage ads
Humana and UnitedHealthcare account for nearly half of Medicare Advantage enrollment, but just 20 percent of television advertising for MA plans, according to a report from KFF published Sept. 20. -
Judge won't block former Elevance Health exec from joining Molina
Elevance Health cannot prevent a former executive from beginning work at Molina Healthcare, a federal judge ruled. -
EEOC sues UnitedHealthcare over unvaccinated employee's firing
The U.S. Equal Employment Opportunity Commission is suing UnitedHealthcare over allegations the company discriminated against a fully remote employee by refusing to grant her a religious exemption from the company's COVID-19 vaccination requirement. -
Why some payer execs are betting big on individual markets
Some payer CEOs are feeling optimistic about the future of marketplace insurance. -
Virginia reinstates 45,000 Medicaid members disenrolled through glitch
Virginia reinstated around 45,000 people improperly removed from its Medicaid program, the Richmond Times-Dispatch reported Sept. 20. -
Medicaid expansion may be inching closer in Mississippi, but would it come too late?
There have been rumblings in Mississippi recently about putting up the concept of Medicaid expansion for open debate in a state where current Gov. Tate Reeves has repeatedly ruled such a policy out. -
Cigna in the headlines: 8 recent updates
Cigna is negotiating contracts with health systems for 2024 and adding new benefits and international plan options. -
Are payers complying with price transparency rules?
Payers have been subject to price transparency regulations since July 2022, but no comprehensive action or research has taken place since then to assess compliance, according to research published Sept. 19 in Health Affairs. -
CMS audits Texas over Medicaid redeterminations
CMS is auditing Texas HHS to ensure the state is complying with federal requirements amid the Medicaid redeterminations process, the Austin American-Statesman reported Sept. 20. -
UnitedHealth in the headlines: 9 updates
From UnitedHealth's plans to move its corporate offices to Optum's campus, to a judge denying Prisma's Health's temporary restraining order request against UnitedHealthcare, here are nine headlines about UnitedHealth Group Becker's has reported since Sept. 8. -
Mark Cuban's Cost Plus Drug Co. teams up with Intermountain's Select Health
Salt Lake City-based Select Health, the non-profit insurance subsidiary of Intermountain Health, is partnering with Mark Cuban Cost Plus Drug Co. to bring lower cost medication offerings to its members. -
How Medicare Advantage is being advertised on TV
More than 85 percent of the nearly 650,000 Medicare TV ad airings over a nine-week stretch during the 2023 open enrollment period were for Medicare Advantage, according to a Sept. 20 report from KFF. -
5 ways Medicare Advantage and traditional Medicare differ on affordability: Survey
Around 1 in 5 adults with Medicare reported high healthcare costs in the last year, qualifying them as underinsured, according to a survey from the Commonwealth Fund. -
Digital health coverage 'not yet fully realized' across commercial payers: AMA study
There's a lack of commercial coverage for digital healthcare services compared to publicly-funded health plans, which is limiting access to care for more than half of the U.S. population, according to new research published by the AMA on Sept. 19.
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