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3 Medicaid work requirement program updates
Here are three updates on state efforts to expand Medicaid with work requirements: -
Medicare spending on weight loss drugs through the roof
Medicare total spending hit $5.7 billion in 2022 for GLP-1 drugs such as Ozempic, Wegovy and Mounjaro, up from $57 million in 2018, according to a March 22 KFF analysis. -
Humana wants Medicare Advantage AI lawsuit thrown out
Humana is seeking to dismiss a class action lawsuit alleging the insurer used an AI algorithm to wrongfully deny Medicare Advantage beneficiaries care. -
Blue Cross Blue Shield in the headlines: 5 updates
From new university partnerships to the launch of reproductive care teams, these are five key updates about Blue Cross Blue Shield companies recently reported by Becker's: -
Lawyers made millions from Centene settlements: Report
Private lawyers made at least $108 million in fees from payments Centene made to states to settle overcharging allegations, The New York Times reported March 21. -
10 providers seeking payer contracting talent
Ten providers recently posted job listings seeking leaders in payer contracting and relations. -
Medicare Advantage rates 'baffling,' lawmakers say
A group of Republican lawmakers are asking CMS to reconsider its proposed 2025 rates for Medicare Advantage. -
3 ways Medicare Advantage affects primary care physicians
There are few statistically significant differences between the way primary care physicians treat patients in Medicare Advantage and fee-for-service Medicare, according to the Commonwealth Fund. -
10 recent payer partnerships
From chronic disease management to mental health investments, these are 10 partnerships announced by health insurers within the last year: -
Georgia Medicaid work requirement program spending more on consultants than care: Report
Georgia's alternative to expanding Medicaid under the ACA has cost $26.6 million through Dec. 31, with 90% of that money going toward administrative and consulting costs, KFF Health News reported March 20. -
States lacking in Medicaid denial oversight, government watchdog says
States and CMS can increase their oversight of denials by Medicaid managed care organizations, according to a report from the Government Accountability Office. -
Centene subsidiary to reimburse hospitals' health equity accreditation costs
Meridian Health Plan of Illinois will reimburse a portion of the certification fees for hospitals that participate in The Joint Commission's Health Care Equity Certification. -
Mount Sinai, UnitedHealthcare reach multiyear agreement
UnitedHealthcare and New York City-based Mount Sinai reached a multiyear contract agreement March 19, effective immediately, after a monthslong contract dispute. -
The 10 best health insurance companies of 2024
Kaiser Permanente is the best U.S. health insurance company in 2024, according to Insure.com's annual ranking. -
Highmark Health Plans posts $400M margin for 2023
Highmark Health posted an operating income of $533 million on revenues of $27.1 billion in 2023, bolstered by membership growth in its health plans, the company said. -
CMS adds new ACO model: 5 things to know
CMS will introduce a new payment model designed to spur innovation in primary care for Medicare beneficiaries. -
Change attack update: What 15 payers discussed with the Biden administration
Fifteen insurers and trade groups met with Biden administration officials March 18 to discuss the industry's ongoing response to the cyberattack on Change Healthcare last month. -
Cigna's 5 highest-earning executives in 2023
Cigna Group CEO David Cordani was paid $21 million in total compensation in 2023, up slightly from 2022. -
Payers to meet with federal officials over Change attack
Federal health officials and payers are expected to meet March 18 to discuss how to support providers still struggling financially following the February cyberattack on UnitedHealth's Change Healthcare, according to a Bloomberg report. -
5 trends shaping the future of Medicare Advantage
Higher medical spending could be the new normal in Medicare Advantage — and insurers will have to find a way to respond, McKinsey analysts wrote.
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