Today's Top 20 Stories
  1. Blue Cross Blue Shield Association launching youth mental health program

    The Blue Cross Blue Shield Association is putting $10 million behind a partnership with Boys and Girls Clubs of America to address youth mental health.
  2. CareSource to acquire nonprofit senior care group Radiant Alliance

    CareSource plans to acquire a new affiliate, Radiant Alliance, a nonprofit organization composed of Metta Healthcare, the parent company of Ohio's Hospice and Pure Healthcare, and United Church Homes, pending regulatory approval.
  3. CareFirst BCBS taps senior VP of health services

    CareFirst BlueCross BlueShield has named Brian Wheeler senior vice president of health services.

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  1. Judge strikes down Florida's ban on Medicaid funds for gender-affirming treatment

    A federal judge in Florida struck down the state's attempt to prohibit Medicaid coverage for gender-affirming care, Politico reported June 21.
  2. What to know about NYC's controversial Medicare Advantage plan for retirees

    New York City's $15 billion contract to provide Medicare Advantage to 250,000 retired city employees and their dependents is facing more court challenges.
  3. Long-term impacts of weight loss drugs are unclear, Elevance Health CEO says

    GLP-1 drugs have shown short-term benefits for people with diabetes, but the long-term impact of the drugs is unclear, Elevance Health CEO Gail Boudreaux said in a June 21 Wall Street Journal report.
  4. Lawmakers want CMS' prior authorization proposal to go further

    More than 230 U.S. representatives and 61 senators are asking HHS and CMS leaders to bolster a proposed rule aimed at streamlining the prior authorization process, Politico reported June 21.

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  1. 10 key UnitedHealth Group updates from the 1st half of 2023

    From announcing plans to eliminate 20 percent of its current prior authorizations, to closing its acquisition of LHC Group, here 10 UnitedHealth Group updates to know from the first six months of 2023:
  2. HealthPartners names chief health plan officer

    Bloomington, Minn.-based HealthPartners has named Jennifer Danielson as executive vice president and chief health plan officer, where she will lead the organization's insurance division.
  3. UnitedHealth Group shareholders reject health equity audit, political lobbying proposals

    In a wide margin, UnitedHealth Group shareholders have rejected three proposals that revolved around health equity efforts, political donations and how much severance executives receive when they leave the company, according to regulatory filings published June 9.
  4. 10 Medicare Advantage updates from the first half of 2023

    CMS implemented several policy changes for Medicare Advantage plans in the first half of 2023, including adjusting payment rates and implementing stricter audits.

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  1. Medicare Part D prescription drug caps could slow healthcare costs

    Copay caps on prescription drug costs could slow the growth of retirees' expected healthcare costs, a report from Fidelity found.
  2. Why North Carolina's Medicaid expansion could raise hospital prices

    The way North Carolina's Medicaid expansion is financed could incentivize hospitals to increase prices, experts wrote in an article published June 21 in Health Affairs.
  3. BCBS Minnesota adding mental health peer support coverage for commercial plans

    Blue Cross and Blue Shield of Minnesota said access to peer support specialists will be a covered benefit for fully insured commercial plan members starting in 2024.
  4. 13 recent CMS moves

    从提出了波形的价格透明度的要求r Medicaid to a new No Surprises Act website, these are 13 CMS moves reported by Becker's since April 1:
  5. 8 payer M&A deals in first half of 2023

    From major purchases by CVS Health to UnitedHealth Group's continued growth in the care delivery space, these are eight merger and acquisition deals within the health insurance industry that have closed since Jan. 1:
  6. How Mark Cuban's Cost Plus Drugs has been turned into an insurance benefit

    Mark Cuban Cost Plus Drug Co. is most known for selling cheap prescription drugs directly to consumers through the mail, but those cheap prices have been turned into a benefits solution for health plans.
  7. Administrative costs for BCBS plans on the rise: 5 things to know

    Administrative costs for Blue Cross Blue Shield plans rose in 2022, according to an analysis from Sherlock Company.
  8. Indiana Medicaid director to resign; successor named

    Indiana Medicaid Director Allison Taylor is resigning later this summer after six years in the role, the Indiana Capital Chronicle reported June 20.
  9. Georgia's Medicaid work requirements could be 'great opportunity for other states,' lawmaker says

    Georgia's Medicaid work requirement program is set to take effect July 1, and it could serve as a model for other states, Politico reported June 20.

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