Today's Top 20 Stories
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UnitedHealthcare CEO shot and killed in New York City
UnitedHealthcare CEO Brian Thompson was shot and killed Dec. 4 in what appears to be "a brazen and targeted attack," according to the New York Police Department. -
Blue Shield of California taps chief growth officer
Blue Shield of California has named Ellen Sexton executive vice president and chief growth officer. -
Priority Health closes on purchase of Indiana payer
Priority Health has closed on its purchase Physicians Health Plan of Northern Indiana, a Fort Wayne-based payer with more than 50,000 members in Indiana and Ohio.
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CMS ups UnitedHealth, Centene star ratings after court challenges
CMS has updated the star ratings for some UnitedHealthcare and Centene Medicare Advantage contracts following a successful court challenge from UnitedHealthcare. -
Humana names new CFO
Humana CFO Susan Diamond will step down after 18 years with the insurer. -
Oscar backs ICHRA startup in $6M funding round
StretchDollar, a startup platform for administering ICHRAs, has closed on a series of seed rounds for a total of $6 million in funding. -
How one program saved an insurer $20M
A diabetes management program has saved Capital Blue Cross employer group customers $20 million since 2021.
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How much insurers pay for weight loss drugs
The prices for some GLP-1s have dropped significantly in recent years for individuals covered by Medicare and commercial insurance, according to a new report from HHS. -
How do you know if your company’s culture strategy is missing the mark?
When Humana began its diversity, equity and inclusion (DEI) journey, the focus was on caring for a culture of belonging for our employees. -
States ranked by coverage losses if ACA subsidies expire
Enrollment in ACA plans hit a record high of 21.4 million in 2024, driven by premium subsidies. -
The largest commercial insurer in every state | 2024
Blue Cross Blue Shield companies have the largest market share among commercial insurers in the majority of states, according to the American Medical Association's annual "Competition in Health Insurance" report.
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Michigan Medicine to shutter health plan
Michigan Medicine will shutter its health plan, U-M Health Plan, at the end of 2025. -
Aetna employee sentenced to 5 years for claims fraud
A former Aetna employee has been sentenced to five years in prison in Ohio over his involvement in several fraudulent claims schemes. -
Humana spread Medicare Advantage 'misinformation,' Minnesota AG alleges
Humana misrepresented the providers its Medicare Advantage plans will be in-network with in 2025, Minnesota Attorney General Keith Ellison alleged. -
What are the insurance commissioners talking about? 5 healthcare notes
At the National Association of Insurance Commissioners Fall 2024 meeting on Nov. 18, state insurance regulators focused on artificial intelligence, mental health parity and other emerging challenges in the health insurance industry. -
Illinois bill looks to regulate health insurers' AI use
An Illinois lawmaker has introduced legislation that aims to provide greater oversight of how insurers use artificial intelligence in decision-making processes. -
Payer group 'deeply concerned' by Medicare weight loss drug coverage proposal
Some insurers are sounding the alarm that Medicare coverage of weight loss drugs could increase premiums. -
CareSource closes on Radiant Alliance purchase
CareSource has closed on its acquisition of Radiant Alliance, a nonprofit senior care organization composed of Metta Healthcare (parent company of Ohio's Hospice and Pure Healthcare), United Church Homes and Genacross Lutheran Services. -
Aetna to lay off 42
CVS Health will lay off 42 additional employees at Aetna's headquarters in Hartford, Conn, after laying off hundreds of employees earlier this year. -
8 health systems ditching their health plans
At least eight health systems are getting out of the insurance business.
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