Today's Top 20 Stories
  1. Medical costs are up, UnitedHealthcare exec says

    UnitedHealthcare is seeing rising utilization as more older adults seek out services they delayed during the COVID-19 pandemic, Barron's reported June 14.
  2. Empire BlueCross BlueShield rebranding as Anthem

    Empire BlueCross BlueShield and Empire Blue Cross will rebrand as Anthem Blue Cross Blue Shield and Anthem Blue Cross in 2024.
  3. Centene completes sale of AI platform

    Centene has completed the sale of artificial intelligence platform Apixio to the private equity firm New Mountain Capital.

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  1. AI program helps Molina improve maternal health outcomes

    An AI-powered model improved maternal health outcomes for Molina Healthcare members.
  2. CMS to states: Slow down Medicaid redeterminations

    CMS officials are urging states to double-down on efforts to prevent people from unnecessarily losing Medicaid coverage.
  3. Medicare Advantage overpayments could exceed $75B in 2023, study finds

    Medicare Advantage plan enrollees have lower expenses than those with similar risk scores who remain in traditional Medicare, but payments to the program are based on traditional Medicare, according to a whitepaper from researchers at the University of Southern California in Los Angeles.
  4. How UnitedHealth Group saved 1B pieces of paper in 2022

    Prior authorization changes and paperless policies led UnitedHealth Group to cut its paper usage by 1 billion pieces, according to the company's sustainability report.

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  1. Fraud scheme enrolled homeless individuals in ACA plans they couldn't afford

    Potentially hundreds of homeless individuals in Florida were signed up for ACA exchange plans they could not afford in a fraud scheme, according to a June 13 report from KFF Health News.
  2. South Dakota Medicaid director to take North Dakota role

    South Dakota Medicaid Director Sarah Aker will depart her role in July to serve as director of North Dakota Health and Human Services' medical services division.
  3. Medicaid disenrollments top 1 million

    超过100万人被disenrolled from Medicaid as part of the redeterminations process, according to KFF.
  4. Why Centene's CEO is optimistic about AI's role in healthcare

    Centene CEO Sarah London said technology and artificial intelligence could bring positive changes to the healthcare industry in the coming years, according to a June 9 report from Fortune.

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  1. 10 providers seeking payer contracting talent

    Ten providers recently posted job listings seeking leaders in payer contracting and relations.
  2. Payers crack down on Ozempic prescriptions

    Some health insurers are cracking down on off-label prescriptions of new weight loss drugs such as Ozempic, The Washington Post reported June 12.
  3. CMS Medicaid drug pricing proposal 'positive step' forward, National Association of Medicaid Directors says

    CMS' proposed rules to improve drug price transparency in Medicaid is a "positive step" toward controlling costs, Kate McEvoy, executive director of the National Association of Medicaid Directors, told Becker's.
  4. Centene in the headlines: 11 recent updates

    A top Centene executive plans to retire next year, and the company is divesting its non-core businesses.
  5. HHS secretary 'deeply concerned' about procedural Medicaid losses

    HHS Secretary Xavier Becerra is urging states to do more to prevent people from losing Medicaid coverage for procedural reasons.
  6. North Carolina governor approves Blue Cross Blue Shield reorganization

    North Carolina Gov. Roy Cooper signed a bill allowing Blue Cross Blue Shield of North Carolina to reorganize as a nonprofit holding company.
  7. Providence Health Plan names CFO, chief equity officer

    Providence Health Plan has named Lina Saadzoi as CFO and Timshel Tarbet as the company's first chief equity officer.
  8. HHS nears deal to preserve ACA preventive care mandate

    The Biden administration has reached a tentative deal that would preserve a provision of the ACA requiring insurers to cover preventive services while a Texas judge's ruling against the mandate is appealed in court.
  9. UnitedHealth Group in the headlines: 10 updates

    From rolling back a planned gastroenterology endoscopy prior authorization policy to making an unsolicited cash offer to acquire Amedisys, here are 10 updates on UnitedHealth Group Becker's has reported since May 22.

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