Today's Top 20 Stories
  1. Centene, UnitedHealthcare, BCBS plans pick up Kansas Medicaid contracts

    Kansas awarded Medicaid contracts managing care for 458,000 individuals to Centene, UnitedHealthcare and Healthy Blue. 
  2. Many people with Medicaid believe they are uninsured: Study

    Many people disenrolled from Medicaid during the redeterminations process were likely unaware they had coverage to begin with, a study published in the May issue of Health Affairs found. 
  3. CVS could lose 10% of its Medicare Advantage members in 2025

    CVS Health executives are bracing to lose up to 10% of Aetna's Medicare Advantage members next year, Bloomberg reported May 14. 

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  1. 13 payers cutting jobs | 2024

    Payers are trimming their workforces and cutting jobs due to financial or operational challenges, along with restructuring strategies. 
  2. Texas Children's Health Plan laying off 'a few hundred' following Medicaid redeterminations 

    Texas Children's Health Plan is laying off "a few hundred" employees after the health plan lost 30% of its membership during Medicaid redeterminations, the Houston Chronicle reported May 14.
  3. Five women leaders on the shifting landscape of women's health, per UnitedHealthcare

    Health care is shifting its approach to women’s health. Who better to explain what’s driving that change than women executives at UnitedHealthcare and the Advisory Board.
  4. Elevance exec named chief medical officer at Priority Health

    Priority Health has named Elif Oker, MD, as senior vice president and chief medical officer, effective May 20.

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  1. Humana's new CEO to assume top role in July

    Jim Rechtin will assume the role of president and CEO of Humana on July 1, the company said May 13. 
  2. 10 states where commercial insurers pay hospitals the highest rates

    Hospitals in Georgia and Florida charge employers and commercial insurers rates 345% higher than Medicare, according to a Rand Corp. report published May 13. 
  3. CMS extends Medicaid waivers to 2025

    CMS will extend flexibilities designed to help states keep more eligible individuals enrolled in Medicaid through June 2025. 
  4. Centene, Wellvana ink multi-year primary care deal for Medicare Advantage members 

    Centene's Wellcare and value-based physician enablement company Wellvana have inked a multi-year primary care partnership for Wellcare Medicare Advantage members in Georgia, Tennessee and Texas. 

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. Inside a fast-growing Medicare Advantage startup's grassroots approach

    The average Medicare Advantage beneficiary can choose between dozens of plans. With so many options, one of the fastest-growing Medicare Advantage startups is trying to set itself apart with a grassroots approach. 
  2. 1 in 4 people taking weight loss drugs say insurance covered the full cost

    Most adults who have taken GLP-1 drugs say their insurance has covered at least part of the cost, according to a survey from KFF published May 10. 
  3. UnitedHealth in the headlines: 10 updates

    From its CEO testifying before Congress to the closing of a co-branded Medicare Advantage plan with Walmart, here are 10 updates on UnitedHealth Group Becker's has reported since April 24: 
  4. IRS posts HSA, HDHP limits for 2025

    The annual limit on HSA contributions for individuals with self-only coverage is rising to $4,300 in 2025 from $4,150 in 2024, the IRS said May 9.
  5. Lawmakers pitch expanded doula coverage in Medicaid

    Federal lawmakers are proposing allowing Medicaid reimbursement of doulas and midwives in every state. 
  6. UnitedHealth offers to divest 100 locations in Amedisys deal: Report

    UnitedHealth Group and Amedisys plan to divest more than 100 clinic locations to make its proposed acquisition more palatable to regulators, Capitol Forum reported. 
  7. Utah fines UnitedHealthcare for selling unapproved health plans

    Utah has fined UnitedHealthcare $546,500 for selling unapproved health plans to state residents.
  8. Illinois expands weight loss drug coverage to state employees

    Illinois is expanding coverage of weight-loss drugs to state employees, a move Gov. JB Pritzker's office estimates could cost up to $210 million annually, WBEZ reported April 30.
  9. Limiting Medicare Advantage patient surveys could save billions: Study

    Limiting the use of health risk assessments in Medicare Advantage could save the federal government billions each year, a study published May 6 in Health Affairs found. 

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