Today's Top 20 Stories
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1 in 4 of those disenrolled from Medicaid are uninsured: 5 things to know
Around 1 in 4 Medicaid beneficiaries disenrolled during the redeterminations process are now uninsured, according to a survey from KFF. -
Feds investigating if Sentara's payer arm unfairly increased premiums
The Justice Department is investigating whether Norfolk, Va.-based Sentara Health's insurance arm unfairly increased premiums in 2018 and 2019 as it received more than $655 million in federal subsidies, The Virginian-Pilot reported April 9. -
Florida Blue names west market president
Florida Blue has named Phillip Lee as market president for West Florida.
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Insurers fall short on digital experience: 3 things to know
Health insurance lags behind other industries when it comes to customers' experiences with digital platforms, according to a report from J.D. Power. -
BCBS Louisiana tells employees to come back to the office
Blue Cross Blue Shield of Louisiana is asking its employees to return to the office after four years of remote work, Nola.com reported April 11. -
Elevance Health to acquire New York Medicaid plan
Elevance Health plans to acquire Centers Plan for Healthy Living, a New York-based Medicaid long-term care plan. -
BCBS of Rhode Island reports $26M operating loss in 2023
Blue Cross & Blue Shield of Rhode Island reported a $26 million operating loss in 2023, which it said reflected a "substantial surge in medical and pharmacy claims."
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UnitedHealth chairman, executives sold stock before probe became public: Bloomberg
Bloomberg reported April 11 that UnitedHealth Group's chairman and three of the company's executives made a combined $101.5 million from stock sales made over a four-month period leading up to the public becoming aware of a Justice Department antitrust investigation. -
Michigan awards Medicaid contracts to 9 payers
Michigan has awarded contracts to 9 payers to administer its managed Medicaid program, which serves nearly 2 million people across 10 regions. -
Groups unveil value-based care playbook
AHIP, the American Medical Association and the National Association of ACOs have released a playbook of voluntary best practices for value-based care payment arrangements. -
10 providers seeking payer contracting talent
Ten providers recently posted job listings seeking leaders in payer contracting and relations.
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Meet UnitedHealth's executive team
UnitedHealth Group has made several executive leadership moves in 2024, including adding president to CFO John Rex's title and naming Heather Cianfrocco Optum's CEO. -
Investigation reveals UnitedHealth, Cigna, Aetna made millions in fees from out-of-network claims
Major insurers made millions in fees by using MultiPlan, a data analytics firm, to determine how much to pay providers for out-of-network claims, according to an investigation from The New York Times. -
7 prior authorization updates
From Point32Health announcing home health prior authorization cuts to a state's proposed gold carding program legislation failing, here are seven updates on prior authorization that Becker's has reported since March 21. -
Clover Health faces delisting threat for 2nd time
For the second time in just shy of a year, Clover Health is facing a possible Nasdaq delisting. -
CVS Health's 5 highest-paid executives in 2023
CVS CEO Karen Lynch was paid $21.6 million in total compensation in 2023, according to a regulatory filing published April 5. -
Payer outlook clouded by rising Medicare utilization: Fitch
A Medicare utilization surge in the fourth quarter of 2024 is clouding the health insurance industry's outlook in 2024, according to an April 8 report from Fitch Ratings shared with Becker's. -
3 things to know about UnitedHealthcare's new Medicare president
UnitedHealthcare recently named Robert Hunter president of its Medicare business. -
BCBS Massachusetts boosting reimbursement rates to small primary care practices
Blue Cross Blue Shield of Massachusetts is increasing reimbursement rates to qualifying small, independent primary care practices. -
Aetna, Dignity cut ties across California, Arizona, Nevada
Aetna's commercial and Medicare Advantage plans went out of network with Dignity Health facilities in California, Arizona and Nevada on April 4.
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