Today's Top 20 Stories
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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. -
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. -
8 providers being acquired by payers
Here are eight providers that payers have acquired or announced plans to acquire in 2023:
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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. -
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. -
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. -
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.
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Humana plans 8 new CenterWell clinics in Virginia
Humana plans to open eight new CenterWell clinics in Virginia in 2023 and 2024. -
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. -
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. -
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.
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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. -
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. -
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. -
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. -
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. -
Consumers are happier with health insurers than hospitals
Consumers rate their satisfaction with health insurers higher than with hospitals, according to the American Customer Satisfaction Index. -
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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