Today's Top 20 Stories
  1. Independence Blue Cross names VP of corporate strategy

    Independence Blue Cross has promoted Peishan Ang to vice president of corporate strategy. 
  2. 4 Medicaid expansion updates

    From Georgia suing the Biden administration to extend the state's partially expanded program to a Florida group launching a ballot initiative, here are four state Medicaid expansion updates Becker's has reported since Feb. 2: 
  3. Cambia names vice president of state affairs

    Cambia Health Solutions has promoted Stephen Foxley to vice president of state affairs. 

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  1. Indiana system dropping Aetna, Humana Medicare Advantage plans

    Community Healthcare System is dropping two Medicare Advantage plans, citing unreasonable denials and delayed payments, The Times of Northwest Indiana reported Feb. 20. 
  2. Longtime UnitedHealth exec named CEO of dental benefits administrator

    Dental benefits administrator Liberty Dental Plan has named longtime UnitedHealth Group executive Tom Choate president and CEO. 
  3. OIG: Trinity's Medicare Advantage plan received estimated $3.7M in overpayments

    MediGold, the Medicare Advantage subsidiary of Livonia, Mich.-based Trinity Health, received an estimated $3.7 million in net Medicare Advantage overpayments in 2017 and 2018, according to an audit from HHS' Office of Inspector General published Feb. 16. 
  4. What's behind Aetna's industry-leading Medicare Advantage growth?

    It's no secret that big insurers are facing challenges in the Medicare Advantage space, leaving enrollment growth flat or even on the decline for much of the industry in 2024.

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  1. BCBS Massachusetts names chief people officer

    Blue Cross Blue Shield of Massachusetts has named Simmi Singh as chief people officer and executive vice president.
  2. Friday Health collapse spurs consumer protection bill in Colorado

    Colorado lawmakers are considering a bill that would prevent customers from incurring extra out-of-pocket costs if their insurer goes bankrupt in the middle of the year. 
  3. Medicaid programs embrace doula care

    Thirteen states provide doula coverage through their Medicaid programs, and another 12 are in the process of implementing coverage, according to a report from the Elevance Health Public Policy Institute. 
  4. Mississippi lawmakers push Medicaid expansion bill with work requirements

    Mississippi lawmakers have introduced a bill that would expand Medicaid for an estimated 250,000 residents, ABC affiliate WAPT reported Feb. 19. 

How one Midwest hospital is driving financial efficiency with interconnected systems

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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. Payers urge 'stability' from CMS on Medicare Advantage

    CMS needs to do more to account for rising utilization rates in Medicare Advantage, the Better Medicare Alliance argued. 
  2. 3 Medicaid redetermination updates

    Nearly 17 million people have been disenrolled from Medicaid since April 2023. 
  3. Medicare Advantage enrollees receive less postacute care: Study

    Medicare Advantage enrollees received less intensive postacute care than their counterparts in traditional Medicare, but did not have a significant change in short-term outcomes, a study published Feb. 16 in JAMA Health Forum found. 
  4. Blue Cross Blue Shield in the headlines: 5 updates

    From canceled acquisitions to contract challenges in court, these are five key updates about Blue Cross Blue Shield companies reported by Becker's in 2024:
  5. Top challenges, opportunities facing insurance industry in 2024, per 350 execs

    Technology modernization and the alignment of investments with organizational goals, along with picking the right vendor to partner with, are top of mind for payer executives in 2024, according to a Jan. 30 survey published by digital solutions firm HealthEdge.
  6. As workers stay remote, insurers are leaving headquarters behind

    With fewer employees spending five days a week in-office, two of the nation's largest insurers are consolidating their headquarters. 
  7. Nebraska lawmakers mull Medicaid coverage of weight loss drugs

    Nebraska lawmakers are considering requiring the state's Medicaid program to cover GLP-1 drugs, the Omaha World-Herald reported Feb. 15. 
  8. UnitedHealthcare names chief operating officer

    UnitedHealthcare has named Michael Baker as chief operating officer. 
  9. 'One of the challenges is ubiquity': How CareFirst's CEO is driving local healthcare on the national stage

    Brian Pieninck has led CareFirst BlueCross BlueShield as president and CEO for nearly six years, and he was recently elected as chair of the Blue Cross and Blue Shield Association's board of directors.

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