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The veteran prosecutor’s former colleagues tell Health Payer Specialist what payers can expect from the new federal task force set up under her leadership: ow.ly/abKq50RNwYU
Complaints filed with state regulators against UnitedHealth Group jumped 30% last year. Our table shows that about four-fifths of the complaints against UnitedHealth Group are clustered around only three companies within the family. ow.ly/FezF50R5TgM
Molina Healthcare and Commonwealth Care Alliance opted out of Rhode Island's second attempt to bid its Medicaid contract. Continue reading this story on Health Payer Specialist. ow.ly/l6Y150QIM8o
Star performers are the target for the highest raises and a shift to quality of care and customer satisfaction from financial metrics is in store for health insurance executives this year, human resource specialists say. ow.ly/XTQK50QBkNy
Two studies released last week highlight the winners and losers in the 2024 Medicare Advantage program. ow.ly/qAl150QtAbS
CVS Health and Premera Blue Cross are among 28 healthcare providers and payers that have signed the Biden administration’s plan to safely harness the power of #AI. ow.ly/lRQW50Qje0g
Elevance Health has cut more staff, with more than 140 layoffs pending in Minnesota and California. ow.ly/W6re50Qiu7r
Kaiser is ordered to pay $40M in damages to a former nurse that worked at the company. ow.ly/IM2x50QiueZ
Prepaid flex cards offered in the government-funded program are an increasingly popular marketing tool with enrollees, but plans that offer them can keep any unspent money on the cards — a disincentive to getting members to use it all. ow.ly/Tz3T50QfYEp
It’s a whole new ball game in the government-funded program as a three-year process of reform kicks off in 2024. Learn more: ow.ly/xROZ50PTYxo
Humana CEO Bruce Broussard plans to step down after a 10-year reign at the top of the No. 5 national payer. ow.ly/5zvr50PVG6h
More than 75,000 Kaiser Permanente employees are poised to go on a nationwide three-day strike on Wednesday if it cannot reach a new contract with the payer-provider. ow.ly/pnoU50PRVUR
BCBS North Carolina cuts HIV drug prices after being called out by advocates claiming it had intentionally discriminated against infected enrollees. ow.ly/GKkJ50PMLIA
Our latest data visualization summarized the recent payer earnings season by revenue, income, total enrollment and more for the seven major health insurers listed on the stock market. ow.ly/MmFR50PuUy5
Cleveland claims payers, PBMs and drug makers “orchestrated a pricing scheme that resulted in skyrocketing insulin prices and cost the city millions of dollars in prescription benefit payouts.” ow.ly/uMsB50PoXAw
Covered California announced a 9.6% average premium hike for 2024, one of the biggest annual increases ever announced by the health insurance exchange. ow.ly/gQxp50PlN6j
Health plan operational costs rose 7.5% last year, according to a new report. ow.ly/tlvU50Pi7CN
Why did Elevance’s median employee pay decline 24% since 2018? Read more: ow.ly/yCXc50Pgtyw
Elevance executives remain unflappable on rising cost pressure: ow.ly/AYt050Pgten
Use of generative AI is booming in the health payer industry, creating demand for employees with skills in #AI. ow.ly/xLKl50PgtMA
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