Today's Top 20 Stories
  1. Georgia seeks bidders for $6B Medicaid contracts

    Georgia is seeking bids from payers to manage the state's Medicaid program. 
  2. Former Medicare Advantage organization executive charged in multimillion dollar fraud scheme

    A former executive of Elevance-owned HealthSun Health Plans has been charged for allegedly orchestrating a multimillion-dollar Medicare fraud scheme.
  3. BCBS companies ranked by medical loss ratios in first half of 2023

    BCBS companies collectively reported an average medical loss ratio of 90.2% in the first half of 2023, according to an Oct. 24 report from Fitch Ratings shared with Becker's.

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  1. BCBS Massachusetts exec appointed as New York's first customer experience officer 

    New York Gov. Kathy Hochul has appointed Tonya Webster to serve as the state's first chief customer experience officer. 
  2. Why Humana is training every employee on health literacy

    Kate Goodrich, MD, chief medical officer of Humana, is leading a companywide initiative to improve members' health literacy. 
  3. Cigna sets quarterly dividend

    The Cigna Group's board authorized the company to pay a cash dividend of $1.23 per share on Dec. 21 to all shareholders of record as of the close of business Dec. 6, according to an Oct. 25 Cigna news release. 
  4. Judge upholds BCBS companies' antitrust settlement

    A federal judge upheld a $2.7 billion settlement agreement resolving allegations Blue Cross Blue Shield Association members engaged in anti-competitive actions to drive up costs. 

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  1. Most profitable BCBS companies in first half of 2023

    BCBS companies collectively reported $7.5 billion in net income in the first half of 2023, according to an Oct. 24 report from Fitch Ratings shared with Becker's.
  2. High-deductible health plan growth stalls

    The proportion of people with employer-sponsored insurance enrolled in high-deductible health plans is similar to five years ago, according to KFF's employer health benefits survey published Oct. 18. 
  3. Centene in the headlines: 8 recent updates

    Centene reported $469 million in profit in the third quarter of 2023 and is adding new executives. 
  4. The Better Medicare Alliance's vision for MA: 10 things to know

    The Better Medicare Alliance is recommending a set of policies to Congress and CMS to improve prior authorization, behavioral health access, equity and more in the program. 

How one Midwest hospital is driving financial efficiency with interconnected systems

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Major time savers can stem from single logins. That's how 1 hospital achieved a 50% reduction in month-end close time — read the short case study, here.
  1. Aetna, OHSU at odds over new contract

    About 30,000 Aetna beneficiaries are at a risk of losing coverage at Portland-based Oregon Health & Science University if the sides are unable to agree on a new contract by Dec. 31, the Lund Report reported Oct. 24. 
  2. How payers' ACOs fared in 2022

    Humana's ACO saved over $25 million for the Medicare program in 2022. 
  3. Centene CEO: Bipartisan support for Medicaid expansion growing

    Centene CEO Sarah London is expecting more states to expand Medicaid. 
  4. BCBS companies ranked by total revenue in first half of 2023

    BCBS companies collectively reported $214.8 billion in revenue in the first half of 2023, according to an Oct. 24 report from Fitch Ratings shared with Becker's.
  5. UnitedHealth in the headlines: 10 updates

    From posting a $5.8 billion profit in the third quarter of 2023 to enhancing the benefits of its UCard, here are 10 updates on UnitedHealth Group Becker's has reported since Sept. 29:
  6. Empire BCBS names president

    Empire BlueCross BlueShield and Empire BlueCross have named Victor DeStefano as its next president.  
  7. Cigna reduces workforce

    Former employees with the Cigna Group and its subsidiaries have taken to social media in October regarding layoffs they say are occurring across the company.
  8. Centene sees 75% marketplace enrollment growth

    Centene's individual marketplace business has grown 75% year over year, adding 1.6 million members since the third quarter of 2022, according to the company's third quarter earnings report published Oct. 24. 
  9. ACO REACH predecessor saved $371M in 2022

    The Medicare Global and Professional Direct Contracting model saved the program more than $300 million in net savings in 2022, according to CMS data published Oct. 24. 

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