Today's Top 20 Stories

  1. BCBS Louisiana names new CEO in wake of failed Elevance deal

    Rylee Wilson -
    Blue Cross Blue Shield of Louisiana has named Bryan Camerlinck as its next CEO. 

  2. Lawmakers want probe into UnitedHealth insider trading concerns

    Andrew Cass -
    A group of federal lawmakers, including Massachusetts Sen. Elizabeth Warren, sent a letter to Securities & Exchange Commission Chair Gary Gensler asking him to open an investigation into potential insider trading by UnitedHealth Group executives. 

  3. Oscar Health reports 1st profit

    Rylee Wilson -
    Oscar Health reported $177.4 million in net income in the first quarter of 2024, its first profitable quarter. 

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  1. Molina outsourcing 52 jobs at headquarters

    Jakob Emerson -
    Molina Healthcare is outsourcing 52 positions to a contractor at its headquarters in Long Beach, Calif., according to regulatory documents filed with the state in April.

  2. Medicare Advantage in the headlines: 5 recent updates

    Rylee Wilson -
    From Medicare Advantage insurers are eyeing cutbacks in 2025, to CVS Health picking up a digital MA broker, here are five key Medicare Advantage updates Becker's has reported since April 22. 

  3. Aetna settles LGBTQ+ fertility coverage lawsuit

    Rylee Wilson -
    Aetna has reached a settlement in a case alleging its fertility coverage policies discriminated against LGBTQ+ couples. 

  4. Payers ranked by medical loss ratios in Q1

    Rylee Wilson -
    Four of the country's six major payers reported year-over-year increases in medical cost ratios. 

How one Midwest hospital is driving financial efficiency with interconnected systems

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  1. Medicare Advantage extras on the chopping block in 2025

    Rylee Wilson -
    Medicare Advantage insurers are planning to pare down their plan offerings in 2025. 

  2. Medicare Advantage disparities in 2024: 10 numbers to know

    Rylee Wilson -
    Across racial and ethnic groups, MA enrollees report broadly similar experiences but wide disparities in outcomes. 

  3. Mississippi Medicaid expansion push fizzles

    Andrew Cass -
    A Medicaid expansion effort in Mississippi died after state lawmakers were unable to agree on compromise legislation, the Mississippi Clarion Ledger reported May 2. 

  4. Biden administration: DACA recipients eligible for ACA coverage

    Rylee Wilson -
    Individuals who are part of the Deferred Action for Childhood Arrivals program will be able to enroll in ACA marketplace plans beginning in November.  

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. Cigna: More employers covering weight loss drugs

    Rylee Wilson -
    The number of employers covering GLP-1 drugs for weight loss is beginning to trend upward, Cigna Group executives told investors. 

  2. 9 payer M&A updates

    Andrew Cass -
    From CVS Health acquiring a Medicare Advantage broker platform to Elevance buying Kroger's speciality pharmacy business, here are nine payer merger and acquisition updates that Becker's reported since March 15: 

  3. Premera Blue Cross taps chief medical officer from SCAN

    Andrew Cass -
    Premera Blue Cross has named Romilla Batra, MD, senior vice president and chief medical officer. 

  4. Payers' Q1 revenues, profits

    Rylee Wilson -
    Two payers reported losses in the first quarter of 2024. 

  5. Medicaid disenrollments higher than expected: Report

    Rylee Wilson -
    The number of people disenrolled from Medicaid through the redeterminations process has surpassed original estimates from the Urban Institute and Robert Wood Johnson Foundation. 

  6. Cigna posts $277M Q1 loss, raises 2024 outlook

    Rylee Wilson -
    The Cigna Group reported a $277 million net loss in the first quarter of 2024. 

  7. CommonSpirit, Anthem BCBS Colorado split

    Rylee Wilson -
    Anthem Blue Cross Blue Shield is out of network with 11 CommonSpirit hospitals in Colorado. 

  8. CVS plans 'margins over membership' Medicare Advantage strategy

    Rylee Wilson -
    CVS Health is expecting a tough year for Medicare Advantage. 

  9. 10 providers seeking payer contracting talent

    Andrew Cass -
    Ten providers recently posted job listings seeking leaders in payer contracting and relations.

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