![]() Tom Grote: The smartest thing I've done is set up a partnership with Virta Health, a diabetes reversal program, for our eligible members with Type 2 diabetes. Question: What is the smartest thing you've done in the last year to set your system up for success? In that vein, responses to our Speaker Series are published straight from interviewees. 7-8 in Chicago.īecker's Healthcare aims to foster peer-to-peer conversation between healthcare's brightest leaders and thinkers. As part of an ongoing series, Becker's is talking to healthcare leaders who plan to speak at the conference on Nov. Grote will serve on the panel "The Evolution of New Types of Health Plans" at Becker's Payer Issues Roundtable. Tom Grote is the chief executive officer at Phoenix-based Banner|Aetna. Judge certifies class action in Aetna, Optum 'dummy code' lawsuit.How many people could lose Medicaid coverage, state-by-state.The 2-midnight rule and Medicare Advantage: 6 things to know.Intermountain's 'biggest opportunity for growth' is about to get a lot bigger.UnitedHealthcare ordered to pay Envision $91M in billing dispute.BCBS Minnesota hiring 300 employees to manage Medicaid program, ending contract with Amerigroup.Medicaid redeterminations are going worse than expected, experts say.Majority of states looking to regulate prior authorization this year.In blow to payers, CMS implements tougher Medicare Advantage audit rule.CMS proposes universal quality measures across all programs.Why 2023 could bring Medicare Advantage challenges for payers.Cigna claims exec's departure to CVS violated noncompete agreement.CVS 'disappointed' in Medicare Advantage enrollment, plans to increase star rating.UnitedHealth Group names chief innovation officer.The 10 best health insurance companies of 2023.Why North Carolina unanimously chose Aetna over BCBS.Can the 'Netflix' model of insurance work?.Vanderbilt Health dropping Humana, Wellcare Medicare Advantage plans.The elephant in the room: 'Insurtechs' aren't working.Medicare Advantage plans deny the most inpatient level-of-care claims: report.CVS reports $2.3B Q4 profit, will buy Oak Street Health.HHS extends COVID-19 public health emergency to April.UnitedHealth Group posts $4.9B profit in fourth quarter.UnitedHealthcare, Cigna halt policies after pushback.Federal judge rules against HHS - again - over surprise-billing arbitration rule.Cigna gets order barring ex-executive from taking CVS role.UnitedHealth to integrate behavioral, home health into growing number of value-based care models.Sachin Jain: It's time to end 'magical thinking' in healthcare Insurers that face the largest potential Medicare Advantage payment clawbacks.Optum quietly buys New York physician group.UnitedHealthcare warned of rising healthcare utilization rates.UnitedHealthcare cutting 20% of prior authorizations.50 things to know about Medicare Advantage.Meet America's largest employer of physicians: UnitedHealth Group.Empty CMS parking lot stirs questions about staff productivity.The 20% Medicare cut coming for hospitals.More states could follow Michigan in pausing Medicaid disenrollments. ![]() Molina to acquire Bright Health's Medicare Advantage business in $600M deal.Anthem BCBS, Maine hospitals ink in-network contract.Budget battle could delay North Carolina's Medicaid expansion.10 providers seeking payer contracting talent.How Elevance Health achieved a 20% drop in suicide rates among young people.Idaho drops Optum, awards $1.2 billion behavioral health contract to Centene.Medicare Advantage profits could be under pressure in 2024, analysts say.Kraft Heinz sues Aetna for alleged claims data mismanagement.Digital Innovation + Patient Experience and Marketing Virtual Event.29th Annual Meeting - The Business & Operations of ASCs.
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