Today's Top 20 Stories
  1. Humana growing USAA Medicare Advantage partnership

    Humana is expanding its co-branded Medicare Advantage plans with USAA. 
  2. 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. 
  3. 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. 

The state of AI in healthcare

Sponsored
86% of healthcare leaders say AI will define success over the next 5 years. Insights + strategies for successful adoption here.
  1. 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. 
  2. '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.
  3. 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. 
  4. 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.

How one Midwest hospital is driving financial efficiency with interconnected systems

Sponsored
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. 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. 
  2. 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.
  3. 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. 
  4. 50 Medicare Advantage plans rated below 3 stars

    Fewer than 10% of Medicare Advantage plans received star ratings below three for 2024. 

How one Midwest hospital is driving financial efficiency with interconnected systems

Sponsored
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. 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. 
  2. 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.
  3. 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.
  4. 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. 
  5. 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. 
  6. 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.
  7. 2 C-suite leaders depart Centene after months on the job

    Centene's chief technology and transformation officer, along with its chief customer experience officer, have departed from the company after less than a year in their positions.
  8. Fewer Medicare Advantage plans snag 5-star ratings for 2024

    CMS' overall average star ratings declined slightly for Medicare Advantage plans for plan year 2024. 
  9. UnitedHealth wants to make weight loss drugs cheaper

    UnitedHealth Group wants to lower the price of GLP-1 drugs such as Ozempic and Wegovy, but it needs drug manufacturers to get on board, executives said. 

Top 40 articles from the past 6 months