Today's Top 20 Stories
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3 things to know about UnitedHealthcare's new Medicare president
UnitedHealthcare recently named Robert Hunter president of its Medicare business. -
BCBS Massachusetts boosting reimbursement rates to small primary care practices
Blue Cross Blue Shield of Massachusetts is increasing reimbursement rates to qualifying small, independent primary care practices. -
Aetna, Dignity cut ties across California, Arizona, Nevada
Aetna's commercial and Medicare Advantage plans went out of network with Dignity Health facilities in California, Arizona and Nevada on April 4.
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5 payers among Newsweek's most trustworthy companies in 2024
Aetna and UnitedHealth Group earned spots on Newsweek's list of the most trustworthy companies in 2024. -
Oscar Health's ACA bet starts to pay off
Of the 24 start-up companies selling insurance when the ACA market first opened, Oscar Health is the last one standing. -
CMS finalizes 2025 Medicare Advantage rule: 11 key updates
CMS issued its final 2025 Medicare Advantage and Part D rule April 4, setting new standards around marketing, broker payments, and prior authorization. -
Why one payer CEO feels good about CMS' Medicare Advantage rates
Clover Health CEO Andrew Toy feels good about CMS' 2025 Medicare Advantage rates.
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CareFirst BCBS offers support in wake of Baltimore bridge collapse
CareFirst BlueCross BlueShield is offering space in its Baltimore headquarters for Small Business Administration employees assisting business owners in the wake of the Francis Scott Key Bridge collapse. -
7 recent UnitedHealth leadership moves
From CEO to COO, these are seven moves from top executives that have taken place this year across UnitedHealth Group's core lines of business: -
Healthcare services ranked by Medicare Advantage utilization increases
Medicare Advantage plans saw utilization rates rise 8.1% in the fourth quarter of 2023, primarily driven by outpatient and emergency room services, according to an AHIP survey. -
UnitedHealthcare names Medicare president
UnitedHealthcare has named Robert (Bobby) Hunter as president of its Medicare business.
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Aetna, Horizon BCBS snag New Jersey state employee benefits contracts
Nearly 600,000 New Jersey state and public school employees, along with their dependents, now have the choice to enroll in health plans offered by Aetna and Horizon Blue Cross Blue Shield of New Jersey. -
3 Optum M&A updates
Optum could soon purchase Steward's physician group, a clinic chain in Oregon and home health provider Amedisys. -
Point32Health to make prior authorization cuts
The parent company of Harvard Pilgrim Health Care and Tufts Health Plan is updating prior authorization for home health services as it conducts a larger review of its requirements. -
Centene in the headlines: 8 updates
From Vanguard Group acquiring the sale of its scrapped East Coast campus, to completing the sale of its U.K. companies, here are eight updates on Centene that Becker's has reported since Feb. 6: -
CMS finalizes marketplace network rules: 5 things to know
CMS finalized several proposed changes to regulations for the ACA marketplace in 2025. -
Why higher Medicare Advantage utilization wasn't reflected in 2025 rates
CMS has finalized a slight decrease in Medicare Advantage benchmark payments for 2025, despite large insurers reporting rising costs and utilization among MA members. -
Aetna names Medicare chief medical officer
Aetna has named Ali Khan, MD, as chief medical officer for Medicare and dual-eligible beneficiaries. -
Rising medical costs offset revenue gains for Independence Blue Cross
Investment income drove a $377 million net income for Independence Blue Cross in 2023. -
Cigna, ProMedica split
Cigna and Toledo, Ohio-based ProMedica are out of network as of April 1.
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