Today's Top 20 Stories
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BCBS Illinois to face LGBTQ fertility coverage discrimination claims, judge rules
Health Care Service Corp., the parent company of Blue Cross Blue Shield of Illinois, is facing a potential class action complaint alleging the payer intentionally discriminates against LGBTQ members by imposing out-of-pocket costs in order to qualify for fertility benefits, a federal judge has ruled. -
CVS backs Medicaid startup in $42M funding round
CVS Health is one company backing Medicaid startup Waymark through its participation in a $42 million financing round. -
Elevance expects $500M hit to Medicare Advantage bonus revenue
Elevance Health is expecting to lose around $500 million in revenue in 2025 as a result of declining Medicare Advantage star ratings, CEO Gail Boudreaux said.
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Humana growing USAA Medicare Advantage partnership
Humana is expanding its co-branded Medicare Advantage plans with USAA. -
LTC ACO to sponsor long-term care research and training nonprofit
LTC ACO, an accountable care organization for long-term care residents, will be a strategic sponsor of the Foundation for Post-Acute and Long-Term Care. -
Why Medicare Advantage is an unlevel playing field, according to 1 payer CEO
Marketing and broker incentives are putting smaller insurers at a disadvantage when it comes to competing with big Medicare Advantage payers, Security Health Plan CEO Krista Hoglund told lawmakers. -
Marketers finding ways around new Medicare Advantage standards, lawmakers say
CMS rules cracking down on Medicare Advantage advertising are a start, but there's more to be done to stop misleading marketing and aggressive sales tactics in the program, lawmakers and advocates said.
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'Much more than a payer': What it took to rebrand Anthem to Elevance Health
Bill Beck joined the insurer once known as Anthem as chief marketing officer in 2019. Since that time, the company has completely transformed into a health services organization called Elevance Health. -
Employer health insurance premiums surge: 5 new findings
Nearly 153 million Americans rely on employer-sponsored health coverage, and costs are on the rise for both workers and employers. -
Elevance Health posts $1.3B profit in Q3
Elevance Health posted $1.3 billion in net income during the third quarter, a nearly 20% decrease compared to the same period last year, according to the company's earnings report published Oct. 18. -
Top-ranked insurers for customer satisfaction
Consumers' overall satisfaction with health insurers is up 4% over 2023, according to a report from the American Customer Satisfaction Index published Oct. 17.
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Trinity, BCBS North Dakota to launch shared health plan
Blue Cross Blue Shield of North Dakota and Livonia, Mich.-based Trinity Health are launching a new tiered health plan for individuals, families and employers in 11 North Dakota counties for 2024. -
Alignment Health, Walgreens launch co-branded Medicare Advantage plans
Alignment Healthcare will offer co-branded Medicare Advantage plans with Walgreens in four states for 2024. -
50 Medicare Advantage plans rated below 3 stars
Fewer than 10% of Medicare Advantage plans received star ratings below three for 2024. -
CVS improves Medicare Advantage star ratings, Elevance sees drop
CVS Health delivered on its claims that its Medicare Advantage star ratings would improve for 2024. -
Former BCBS CEO: Health plans should consider medical marijuana coverage
Payers could soon face pressure to reconsider medical marijuana coverage policies following HHS' recommendation in August that the Drug Enforcement Administration reschedule the drug to a substance accessible through a prescription under federal law. -
Physician indicted for alleged fraud against Aetna, Premera
An Alaska grand jury has indicted a physician and three clinic managers on felony charges over alleged billing fraud against the state's Medicaid program, Aetna and Premera BCBS of Alaska, Alaska Public Media reported Oct. 13. -
UnitedHealth projects 1 million new Medicare Advantage, commercial members for 2024
UnitedHealth Group expects to add around 1 million Medicare Advantage and commercial members by the end of 2023. -
31 5-star Medicare Advantage plans | 2024
CMS gave 31 Medicare Advantage five-star ratings for 2024, the highest rating for quality and member satisfaction awarded by the agency. -
Blue Shield of California taps chief medical officer for Medicaid plan
Blue Shield of California has named Jennifer Nuovo, MD, as chief medical officer for its Promise Health Plan, which provides health coverage to Medi-Cal beneficiaries in Los Angeles and San Diego counties.
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