Today's Top 20 Stories
  1. Inside Select Health's Medicare Advantage partnership with Kroger

    Gone are the days when the grocery store was just for food — now it can provide your health insurance, too.
  2. Centene names chief growth officer

    Centene has named Wade Rakes as chief growth officer. 
  3. The Medicare ACOs that saved the most in 2022

    Participants in the Medicare Global and Professional Direct Contracting model saved the program more than $300 million in net savings in 2022. 

The state of AI in healthcare

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  1. Centene posts $469M profit in Q3

    Centene reported a 36% decline in net income year-over-year, along with major growth in exchange enrollment, according to its third-quarter earnings posted Oct. 24.
  2. Georgia's Medicaid work requirement program slow to gain participants

    The nation's only Medicaid program that requires proof of work to receive benefits is off to a slow start, the Georgia Recorder reported Oct. 21. 
  3. 2.3 million people will gain insurance if 10 states expand Medicaid

    Around 2.3 million people would gain insurance coverage if 10 states expanded Medicaid in 2024, according to an Oct. 23 report from the Robert Wood Johnson Foundation. 
  4. 8 providers being acquired by payers

    Here are eight providers that payers have acquired or announced plans to acquire in 2023: 

How one Midwest hospital is driving financial efficiency with interconnected systems

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  1. Michigan codifies ACA provisions into state law

    Michigan has codified several provisions of the Affordable Care Act into state law, ahead of a Supreme Court case that could strike down the law's preventive care coverage requirements. 
  2. 4 recent Medicare Advantage overpayment cases

    The Cigna Group will pay over $170 million to settle allegations of Medicare Advantage fraud, and government watchdogs are auditing other plans for potential overpayments. 
  3. UnitedHealthcare names CEO for dental, vision

    UnitedHealthcare has promoted Colleen Van Ham to CEO of its dental and vision divisions, according to an October LinkedIn post.
  4. Illinois pauses enrollment in insurance program for older immigrants

    Illinois will pause enrollment in a Medicaid-like program for immigrant older adults beginning in November. 

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. Humana plans 8 new CenterWell clinics in Virginia

    Humana plans to open eight new CenterWell clinics in Virginia in 2023 and 2024. 
  2. Medicare Advantage in the headlines: 15 recent updates

    October is a busy month for Medicare Advantage, with the beginning of open enrollment and CMS announcing plans' star ratings. 
  3. Ohio health system dropping Anthem, Humana Medicare Advantage plans

    Zanesville, Ohio-based Genesis Healthcare System is dropping Anthem and Humana Medicare Advantage plans in 2024.
  4. The best Medicare Advantage insurer in every state, per US News

    U.S. News and World Report published its list of the top Medicare Advantage insurers in every state Oct. 20. 
  5. BCBS North Carolina to purchase more than 50 FastMed urgent care clinics

    Blue Cross and Blue Shield of North Carolina intends to purchase all North Carolina locations of FastMed, a national chain of urgent care clinics.
  6. Humana in the headlines: 10 recent updates

    Humana named a new CEO who will take the helm of the company in 2024 and plans to acquire several new primary care clinics from Cano Health. 
  7. More large employers consider adding Medicare Advantage

    The number of firms offering retiree health benefits through Medicare Advantage has risen 26 percentage points since 2017, according to KFF's 2023 Employer Health Benefits Survey. 
  8. Elevance confident it can close BCBS Louisiana deal

    Elevance Health is still planning to complete its acquisition of Blue Cross and Blue Shield of Louisiana, Elevance Health CEO Gail Boudreaux said. 
  9. CMS terminates Illinois insurer's Part D plan following low star ratings

    CMS is terminating Park Ridge, Ill.-based Clear Spring's Medicare prescription drug plan at the end of 2024 following three consecutive years of star ratings below three stars.

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