Today's Top 20 Stories
  1. Optum to acquire Amedisys

    UnitedHealth Group's Optum plans to merge with home and hospice care provider Amedisys in an all-cash deal valued at $101 per share, pending shareholder and regulatory approvals.
  2. Elevance Health names 'food as medicine' director

    Elevance Health has named Kofi Essel, MD, as its new food as medicine program director, a company spokesperson told Becker's June 23.
  3. 'Employees are asking for this:' Will more employers cover weight loss drugs?

    GLP-1 drugs like Ozempic and Wegovy can help people lose weight but come with a steep price tag that makes employers reluctant to cover their cost.

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  1. 5 payer rebrands in the past year to know

    In June 2022, Anthem officially switched its name to Elevance Health, and launched new subsidiaries under the name.
  2. OIG: Medicare overpaid up to $888M for genetic tests

    Medicare could have overpaid hundreds of millions for genetic testing from 2018 to 2021, an audit from HHS' Office of Inspector General found.
  3. BCBS Minnesota names chief legal officer

    Blue Cross Blue Shield of Minnesota has named Miaja Cassidy as its chief legal officer.
  4. Fitch: Payers to weather rising utilization, drug costs

    The nation's largest health insurers have suitable credit ratings to withstand mounting cost pressures driven by growing drug shortages, rising pharmaceutical costs and higher utilization of services post-pandemic, according to Fitch Ratings.

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  1. Michigan taking additional steps to preserve Medicaid eligibility

    The Michigan Department of Health and Human Services is taking advantage of new federal flexibilities to preserve Medicaid eligibility for residents who must complete renewal forms by the end of June.
  2. CMS pitches Medicare coverage pathway for new medical devices

    CMS is proposing a new pathway for Medicare coverage of new treatments designated as breakthrough devices.
  3. Optum adds 2 more Humira biosimilars to formulary

    Optum Rx will add more biosimilar competitors of expensive biologic Humira beginning July 1.
  4. Medicaid disenrollments as a percentage of total completed renewals in 22 states

    The Medicaid disenrollment rate for reporting states as of June 20 ranges from 81 percent in South Carolina to 16 percent in Virginia, according to an analysis from KFF.

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Increased denials are more than a headache — they're a big obstacle to your patients' well-being. These 3 steps can get you over the hurdle. Watch now.
  1. Clover Health reaches agreement to settle 7 lawsuits

    Clover Health has reached settlement agreements in seven derivative lawsuits, resolving all remaining civil litigation that accused the company of misleading investors and committing securities fraud preceding its initial public offering in 2021.
  2. Cigna names new Medicare leader

    Chris DeRosa, president of U.S. government business for the Cigna Group, will take over operations of the company's Medicare and individual and family business lines.
  3. Cambia Health Solutions names CFO

    Cambia Health Solutions has named Mike Rains, former CFO of Elevance Health's government business division, as CFO.
  4. Humana to open 7 CenterWell clinics in Tennessee

    Humana will open seven new CenterWell primary care clinics in Tennessee this year.
  5. 10 Medicaid updates from the first half of 2023

    States have started disenrolling members from Medicaid for the first time since 2020 as pandemic continuous coverage requirements come to an end.
  6. 8 payers cutting jobs

    Payers are trimming their workforces or jobs due to financial or operational challenges, along with restructuring.
  7. 8 key Centene updates from the 1st half of 2023

    From completed divestitures to shareholders shooting down a pair of proposals that took aim at executive pay, here are eight Centene updates to know from the first six months of 2023.
  8. Friday Health Plans laying off all 300+ employees

    Friday Health Plans is laying off all 323 of its employees as the company ends all of its business.
  9. Where Blue Cross Blue Shield companies increased compensation in 2022

    Compensation at Blue Cross Blue Shield plans increased by an average of 5.9 percent in 2022, according to an analysis from Sherlock and Company.

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