Today's Top 20 Stories
  1. 13 payers entering, exiting markets

    From new ACA plans from Cigna to several states awarding Medicaid contracts, these are 13 recent payer moves to exit or enter markets since Aug. 10:
  2. Payers' prices for services are emerging. How useful is that data?

    It's been two months since payers were required to begin publicly sharing their negotiated rates with providers. Becker's spoke with two healthcare technology companies to better understand how the data is being used and how useful it is within the context of finding the best care.
  3. Cigna, Optum among backers of mental health platform Alma in $130M investment round

    Alma, a company that helps independent mental healthcare providers build their practices, has raised $130 million in series D funding, which includes investment from Cigna Ventures and Optum Ventures. 

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  1. Viewpoint: When it comes to sustainable healthcare in the United States, we’re on a collision course

    We’re headed toward a dangerous tipping point as the supply of health care professionals severely lags behind the demand of our aging population. We have the largest population over the age of 65 in our nation’s history, and by 2030, it will reach 73 million¹. For a multitude of reasons, we will be facing an escalating shortage of nurses and doctors.  
  2. The moment is now: How payers can help lay the groundwork for effective demographic data collection

    As payers look to address health disparities post-pandemic and CMS shifts toward measuring health equity compliance, the insurance industry is laying the groundwork to improve demographic data collection from its members.
  3. California Medicaid is going value-based. Meet the woman leading the charge in Orange County

    It's been just under a month since Kelly Bruno-Nelson was named executive director of Medi-Cal and CalAIM at CalOptima, a public health insurance agency in Orange County, Calif. that serves low-income children, adults, seniors and people with disabilities. 
  4. Are employer-built health plans one of the best kept secrets in insurance? 

    An employer-built health plan. It may not be a concept you've ever heard of, but those that build and use them will tell you they're the best kept secret in the world of health insurance. Becker's decided to explore more about these custom plans that promise to cut out commercial payers altogether and greatly reduce employers' annual expenses on employee health benefits.

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  1. 9 recent legal actions involving payers

    From a proposed class action lawsuit alleging Oscar Health misled investors, to 40 Florida medical practices suing UnitedHealth over the pricing and payment of medical bills, here are nine recent legal actions involving payers:
  2. Payers' 10-step plan to better healthcare access, affordability

    Health insurer lobby and trade group America's Health Insurance Plans May 17 outlined 10 steps state and federal lawmakers can take improve healthcare competition and increase access and affordability. 
  3. 3 states seek reversal of UnitedHealth court win over mental health coverage 

    The attorneys general of Connecticut, Rhode Island and Illinois are asking a federal appellate court to overturn UnitedHealth's win in a mental health coverage case. 
  4. States that have proposed public option health plans

    Since 2010, 23 states have introduced a total of 49 bills to create a public health plan option within their respective marketplaces, according to a report from the Harvard Journal on Legislation.

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  1. Payers are all in on the health equity executive

    As payers look to improve care outcomes across racial and ethnic lines within the communities they serve, many have recently added a new role to their C-suite lineup: the health equity executive.
  2. Supreme Court throws out dispute over Medicaid work requirements

    U.S. Supreme Court justices agreed that cases disputing the Trump administration’s approval of Medicaid work rules in Arkansas and New Hampshire are now moot, Bloomberg reported April 18. 
  3. Longtime Centene CEO Michael Neidorff dies

    Michael Neidorff, the longtime CEO of Centene, has died at the age of 79. 
  4. 100 days of the No Surprises Act: the impact and what's still needed, according to AHIP 

    It's been 100 days since the No Surprises Act went into effect, but America's Health Insurance Plans says additional regulations are still needed.
  5. UC Health Cincinnati payer lead: Vertical integration pushes, pulls on coordinated care

    Payer are setting a double standard for patient care that both pushes for centralized, coordinated care and pulls patients away from receiving care in one place, according to Tim Maloney, vice president of payer relations at UC Health in Cincinnati (Ohio). 
  6. Centene CEO to take medical leave of absence

    Centene Chairman and CEO Michael Neidorff will be taking a medical leave of absence, effective Feb. 24. 
  7. Horizon BCBS exec: Focused efforts, bucking 'shared failure' builds value-based partnerships that last

    For providers and payers to maintain the momentum in forming value-based agreements, insurers need to have their "feet planted squarely in two areas, according to Lisa White, Director of value-based partner transformation at Horizon Blue Cross Blue Shield of New Jersey. 
  8. Centene CEO Michael Neidorff: A biographical timeline

    Michael Neidorff, Centene's CEO and chairman, doesn't just have his fingerprints all over Centene's history — his influence expands well across the payer landscape. 
  9. Humana to add two directors as part of board 'refresh'

    Humana is adding two independent directors to its board as it braces for a leadership refresh through 2022. 

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