Today's Top 20 Stories
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Lawmakers are scrutinizing managed care
Federal lawmakers have been probing payers on a variety of issues in recent months, raising concerns on prior authorizations, Medicare Advantage costs, artificial intelligence and more. -
Push for Florida Medicaid disenrollment pause continues
Advocates are calling for Florida to pause Medicaid enrollments and reinstate coverage for eligible children, as the state defends itself against a potential class action lawsuit. -
Arkansas completes Medicaid redetermination speed run, disenrolls 370,000
Arkansas has completed its Medicaid unwinding process, one of the first states to do so.
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6 health systems launching Medicare Advantage plans
Some health systems may be dropping patients with Medicare Advantage plans, but others are continuing to expand into the MA market or are entering it for the first time in 2024. -
Cigna's Evernorth buys telehealth platform Bright.md
The Cigna Group's Evernorth Health Services is purchasing telehealth platform Bright.md for an undisclosed amount to enhance its existing virtual services through MDLive. -
9 Medicare Advantage plans with NCQA's Health Equity accreditation
Just nine Medicare Advantage plans have obtained the National Committee for Quality Assurance's health equity accreditation. -
California again weighs single-payer system
The appetite for a single-payer health system in California is growing, with plans to introduce a bill in early 2024, according to a Bloomberg report.
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The 'wild west' of Medicare Advantage, and how to fix it
The average older adult has dozens of Medicare Advantage plans to choose from, and many turn to brokers to help them make a decision about the best option for them. -
University Hospitals launches Medicare Advantage plan with PrimeTime Health Plan
Cleveland-based University Hospitals is launching a co-branded Medicare Advantage plan with PrimeTime Health Plan. -
HealthPartners to launch hybrid, prevention-focused care plans
HealthPartners, an integrated payer-provider organization, is launching a new hybrid preventive care offering designed around health screenings, immunizations and other routine care. -
29 ways payers can improve equity
Health plans are working to improve health equity, appointing chief health equity officers, improving data collection and implementing initiatives to reduce disparities in health outcomes.
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Phoenix Children's, Aetna strike deal
Phoenix Children's and Aetna have reached a new contract agreement. -
Oregon health system drops Humana, Centene Medicare Advantage plans
St. Charles Health System in Bend, Ore., will no longer be in-network with Humana and Centene subsidiaries HealthNet and WellCare Medicare Advantage plans in 2024. -
Medicare Advantage in the headlines: 10 recent updates
As open enrollment for Medicare approaches, payers are striking partnerships with Instacart and Meijer and expanding to new markets. -
The healthiest states for women and children in 2023, per UnitedHealth
For women and children, Minnesota is the healthiest state in the nation while Mississippi is the least healthy, according to the "2023 Health of Women and Children Report" from the United Health Foundation. -
UnitedHealthcare names CEO for exchange plans
UnitedHealthcare has promoted Marcus Robinson to CEO of its individual and family plans business. -
How UnitedHealthcare cut employers' healthcare costs by 15%
UnitedHealthcare's deductible-free health plan saved money for employers and employees, according to an Oct. 5 news release from the insurer. -
OIG: Aetna received estimated $25.5M in Medicare Advantage overpayments
Aetna received $632,070 in overpayments for Medicare Advantage claims from 2015 to 2016, an audit from HHS' Office of Inspector General found. -
What claims data reveals about long COVID-19
One in 4 people with an acute COVID-19 infection experienced at least one symptom of long COVID-19, a review of claims data from AHIP and the Healthcare Cost Institute. -
3 payer CEOs among Fortune's most powerful women in business
CVS Health CEO Karen Lynch topped Fortune's ranking of the 100 most powerful women in business for the third year in a row.
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