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The two-midnight rule and Medicare Advantage: 7 updates

WEBSeven key updates: 1. On Feb. 6, CMS issued guidance to insurers regarding implementation of the two-midnight rule. "MA plans are required to follow …

Actived: 4 days ago

URL: https://mail.beckerspayer.com/policy-updates/the-two-midnight-rule-and-medicare-advantage-7-updates.html

HHS' call to action for payers on health equity

WEBHHS issued its first-ever playbook to address social determinants of health & provide a call to action for federal, state & local governments, and health providers.

Category:  Health Go Health

Large health system vs. payer profits in 2022

WEBBecker's has compiled large health system and health insurance net profits and losses in 2022 to examine where the healthcare financial landscape stands among the largest …

Category:  Health Go Health

150 things to know about the 'Big 6' health insurers

WEBThis is everything you need to know about the largest health insurance companies in the United States in 2023: UnitedHealth Group, Elevance Health, Aetna, Centene, Humana, …

Category:  Health Go Health

Centene loses challenge for $65B Tricare contract

WEBThe Government Accountability Office has rejected a challenge from Centene subsidiary Health Net over the Defense Department's decision to award the …

Category:  Health Go Health

Elevance Health launches weight management program Becker's

WEB"Discover CarelonRx's new digital weight management program with access to coaching and wellness tools, and management of Ozempic and Wegovy.

Category:  Health Go Health

Payers ranked by medical cost ratios Q2 2023

WEBMedical cost ratios across six major payers rose an average of 1% year over year, with CVS Health's ratio increasing the most at 3.5%. Elevance Health was the …

Category:  Medical Go Health

Elevance Health sues HHS over Medicare Advantage star ratings …

WEBElevance Health and its insurance subsidiaries are suing HHS for "unlawful, and arbitrary and capricious" methodology changes to how Medicare Advantage and …

Category:  Health Go Health

Why new insurance start-ups are focused on the employer market

WEBHealth insurance is a tough business to break into. Friday Health Plans, founded in 2015, made headlines in June when the company abruptly closed down, after …

Category:  Health Go Health

The career background of Elevance's next CFO

WEBMark Kaye will serve as Elevance Health's new CFO, replacing the retiring John Gallina. His career background includes roles at Credit Sussie First Boston and …

Category:  Health Go Health

'Much more than a payer': What it took to rebrand Anthem to …

WEBBill Beck joined Anthem as Chief Marketing Officer in 2019 and led the transformation of the company to Elevance Health. He and 1,000 associates worked together

Category:  Health Go Health

Elevance Health's 5 highest-earning executives

WEBElevance Health CEO Gail Boudreaux was paid $20.9 million in total compensation in 2022, according to regulatory filings from the health insurer.

Category:  Health Go Health

Why an Oregon health system wants its patients to avoid …

WEBBend, Ore.-based St. Charles Health System is considering dropping all Medicare Advantage plans and is encouraging its senior patients not to enroll in the …

Category:  Health Go Health

Elevance Health strikes primary care deal with private equity firm

WEBElevance Health will enter a partnership with private equity firm Clayton, Dubilier & Rice to develop advanced primary care models.. The joint effort will operate …

Category:  Health Go Health

Former UnitedHealthcare exec named Genuine Health Group CEO

WEBMr. Rodriguez served as CEO of UnitedHealthcare’s Medicare and retirement business for the Southeast before retiring in 2022, according to a Genuine Health Group …

Category:  Health Go Health

Ohio hospital drops Anthem Medicare Advantage, Medicaid plans

WEBAdena Regional Medical Center is terminating its contract with Anthem BCBS' Medicare Advantage and managed Medicaid plans in Ohio, effective Nov. 2.. The …

Category:  Medical Go Health

UnitedHealth seeking to acquire physician-owned Oregon clinic …

WEBUnitedHealth Group's Optum, the largest employer of physicians in the U.S., is seeking to acquire physician-owned Corvallis (Ore.) Clinic. Corvallis Clinic operates …

Category:  Health Go Health

Elevance Health cuts jobs as company confirms 'changes'

WEBFormer employees of Elevance Health, formerly known as Anthem, have taken to social media to discuss job cuts across the company. Elevance confirmed …

Category:  Health Go Health

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