Two payers reported losses in the first quarter of 2024. 

The number of people disenrolled from Medicaid through the redeterminations process has surpassed original estimates from the Urban Institute and Robert Wood Johnson Foundation. 

The Cigna Group reported a $277 million net loss in the first quarter of 2024. 

Anthem Blue Cross Blue Shield is out of network with 11 CommonSpirit hospitals in Colorado. 

CVS Health is expecting a tough year for Medicare Advantage. 

Ten providers recently posted job listings seeking leaders in payer contracting and relations.

Clover Health has named Peter Kuipers CFO. 

A federal appeals court has ruled that state health plans must cover gender-affirming surgery for transgender beneficiaries, The Washington Post reported April 30. 

A co-branded Medicare Advantage plan offered by UnitedHealthcare and Walmart will come to an end amid the retailer's decision to close ​​its health centers and end virtual care services, Becker's confirmed April 30.

Payer executive moves reported by Becker's in 2024:

In written testimony provided ahead of two scheduled May 1 congressional hearings, UnitedHealth Group CEO Andrew Witty said it was his decision to pay ransom in an attempt to protect patient data stolen during the February cyberattack against one of its subsidiaries, Change Healthcare.

CMS and the NCQA are extending the quality data submission deadline for health plans by two weeks due to "extraordinary circumstances" caused by the cyberattack on Change Healthcare in late February.

The Texas Department of Health and Human Services provided Aetna with copies of other competitors' bids for Medicaid contracts in error, The Texas Tribune reported April 26. 

UCare posted an operating loss of $82.1 million in 2023, a decrease of more than 75% year over year, the Star Tribune reported April 26.

ConnectiCare is vacating 64,000 square feet of office space at its corporate headquarters in Farmington, Conn. because of the company's shift to a hybrid work style, CT Insider reported April 24.

CVS Health has acquired Medicare Advantage broker platform Hella Health. 

Centene has donated a $25 million claims processing facility to the Urban League of Metropolitan St. Louis, the St. Louis Post-Dispatch reported April 26. 

There are now more than 20 million Americans enrolled through the individual health insurance exchange marketplace (HIX) and growing. A product originally designed to provide coverage for the uninsured and those caught between having too much to qualify for Medicaid, but not quite enough to afford commercial coverage, is now setting its sights on the small group commercial market through ICHRA, or an individual coverage health reimbursement arrangement. This has the potential to be incredibly disruptive to providers given the negative impact this shift could have on overall reimbursement and provider margins.

When it comes to medical benefits management, finding the right partner is crucial. Safeguarding and improving members’ health while effectively supporting providers is paramount to a successful strategy. An exceptional partner should align with your goals and embody five key traits.

California lawmakers have introduced legislation again that would provide "comprehensive universal single-payer" health coverage for all 39 million residents of the state under a program called CalCare.