Health care is America\'s number-one priority, based on recent polls, so it’s no wonder it’s been a hot topic in the Democratic primary.
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Weekly Top Stories Tue, 08 Oct 2019
1.  Humana Expands Honolulu Presence for Annual Medicare Enrollment
2.  Anthem Blue Cross and Blue Shield and OhioHealth Continue Relationship to Improve Older Adults’ Health
3.  How the U.S. could Afford “Medicare for All”
4.  BCBS of Texas and Sanitas Medical Center Unveil New Medical Center to Advance Primary and Value-Based Care
5.  New Executive Order Pledges Increased Support for Medicare Advantage
6.  Employing Social Workers to Address Social Determinants of Health
7.  Cigna Offers 2020 Medicare Plans with Supplemental Benefits
8.  ACA Marketplace Rates to Decrease 19% for Plan Year 2020
9.  Minnesota Paid $3.7M for Dead Medicaid Recipients, OIG Finds
10.  Health-Contingent Wellness Programs Enter Individual Marketplace
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Editor: Susheel Ladwa
Susheel is passionate about health care, he has over two decades of experience working with Payers, Providers and PBMs. He chairs AHIP's IT Workgroup and is a featured speaker at multiple conferences. Connect with susheel on Linkedin.
Company extending its pop-up location at the Pearlridge Center Mauka and adding information kiosks at two local malls In time for the 2020 Medicare Advantage and Prescription Drug Plan Annual Election Period, or AEP, which runs Oct. 15-Dec....
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Anthem Blue Cross and Blue Shield (Anthem) and OhioHealth announced today that the two organizations have come to an agreement that allows consumers in Anthem’s Medicare Advantage health plans to see OhioHealth’s care providers on an in...
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Health care is Americans’ number-one priority, based on recent polls, so it’s no wonder it’s been a hot topic in the Democratic primary. Every candidate is offering a plan, ranging from Joe Biden’s Affordable Care Act upgrade to Ber...
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Sanitas Medical Center (Sanitas) and Blue Cross and Blue Shield of Texas (BCBSTX) today unveiled the first of 10 new medical centers that will be opened over the next several months in the Dallas and Houston regions. The medical centers fea...
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A new executive order signals the Trump Administration’s support for Medicare Advantage and plans to further the industry’s transition to value-based care. On Thursday, President Trump issued the Executive Order on Protecting and Improv...
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Florida Blue is using social workers to help community members in their retail centers address social determinants of health. Payers are trying to understand their role in addressing the social determinants of health. These non-clinical fac...
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Cigna Corp. CI is expanding its Medicare Advantage (MA) plans across 17 states and 80 counties in the Medicare Annual Election Period (AEP), which will begin on Oct 15 and continue through Dec 7. Health benefit plans purchased during AEP a...
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Delaware Insurance Commissioner Trinidad Navarro officially announced Oct. 4 the final approval of the 2019 Affordable Care Act rates. Highmark Blue Cross Blue Shield of Delaware, the only insurer currently on the Marketplace, originally pr...
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Minnesota paid managed care organizations $3.7 million in unallowable capitation payments for dead beneficiaries from 2014-16, according to an audit from the HHS Office of Inspector General. OIG’s audit examined 6,318 capitation payme...
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For the first time, CMS will permit state-run and health payer-designed health-contingent wellness programs to enter the individual marketplace. CMS will allow states to expand their wellness programs for the individual marketplace either t...
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