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☕️ Insurers reminisce
To:Brew Readers
Healthcare Brew // Morning Brew // Update
We asked payer execs what industry trends defined their 2024.

The holiday season is upon us! We hope you get some time to rest and relax—and also take a moment to think of all the healthcare workers on long shifts taking care of the larger numbers of patients that come with this time of year. From a rise in heart attacks to car accidents, December can be a very busy time for clinicians. On behalf of Healthcare Brew, we thank you!

In today’s edition:

Payers reflect on 2024

Healthcare Brew’s favorites

—Caroline Catherman, Nicole Ortiz

PAYERS

Up arrows hover over hospital symbols

Francis Scialabba

Payers have had a wild year, to say the least—so wild, it’s hard to choose just one issue that defined the year. But we made them do it anyway!

So much, in fact, that it ranged from dealing with the fallout of Medicaid redeterminations to addressing rising healthcare costs to receiving lower-than-expected Medicare Advantage (MA) star ratings from the Centers for Medicaid and Medicare Services (CMS).

Some of the nation’s leading insurance executives, industry experts, and consultants shared their 2024 highlights below.

These answers have been lightly edited for length and clarity.

Luke Hansen, chief medical officer, Arcadia

[This year] may be remembered as the high-water mark for Medicare Advantage exuberance. While the program continues to expand, the financial and regulatory pressures that emerged this year set the stage for a recalibration of plan strategies in the years ahead, including member acquisition and retention. For example, we witnessed many high-profile contract disputes over reimbursement rates this year that resulted in some healthcare provider organizations choosing not to accept certain plans.

Keep reading here.—CC

From The Crew

FAVES

The Gritty mascot dancing

NHL via Giphy

’Tis the season…for patting ourselves on the back a little bit.

We’re proud of the work we’ve done, and had great conversations with sources, so we’re reflecting on some of what we published in 2024. Here are a few of our favorite stories we wrote this year.

We can’t wait to see what next year holds in store for Healthcare Brew!

What the Chevron ruling means for the healthcare industry

I really enjoyed reporting on and writing this piece because the topic is something that has such wide implications for not just healthcare but every industry in the US. The ripple effects of the Chevron doctrine being overturned will likely be felt for years, and this story that I was able to write with Cassie is a grounding piece on what the decision was and how it could change healthcare in the future.—MA

Keep reading here.—NO

VITAL SIGNS

A laptop tracking vital signs is placed on rolling medical equipment.

Francis Scialabba

Today’s top healthcare reads.

Stat: 20.2%. That’s how much body weight Zepbound patients lost on average in 72 weeks, compared to 13.7% on Wegovy, according to a study from Eli Lilly. (NBC News)

Quote: “There’s now just a huge interest. And so we need, whilst these new drugs…come in, we need to expand the workforce to continue that work.”—Jason Lewis, a radiochemist at Memorial Sloan Kettering in New York, on the low number of healthcare workers familiar with radiopharmaceuticals, a new form of radiation treatment for cancer patients (Stat)

Read: A patient’s behind-the-scenes experience with Function Health, a health platform startup reportedly backed by celebs including Zac Efron and Pedro Pascal (Time)

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