Lists

Top 5 Largest Health Insurance Payers in the United States

August 28, 2023 - The Affordable Care Act (ACA) and Medicare Advantage plans continue to bolster enrollment for major payers. Enhanced premium subsidies on the ACA market along with greater federal investments in outreach programs led to a surge of signups in 2022. Marketplace enrollment jumped 21 percent with 14.5 million new members. The pace continued into 2023...


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ACA, Member Engagement Challenges Led Top 10 Stories of 2018

by Jennifer Bresnick

It’s fair to say that the health payer community had a lot to process in 2018.  Mergers, partnerships, and new entries into the field rocked the traditional industry setup, while federal...

Top 3 Reasons to Partner with Accountable Care Organizations

by Vera Gruessner

With value-based care reimbursement becoming the standard across health insurance companies and medical facilities around the country, stakeholders are investing more time and resources in accountable...

Top 3 Difficulties Facing State Health Insurance Exchanges

by Vera Gruessner

Once the Patient Protection and Affordable Care Act was passed into law, a tide of legal challenges came crashing against the legislation. In particular, the state and federal health insurance...

3 Policy Challenges Health Insurance Exchanges Face

by Vera Gruessner

Health insurance exchanges have faced a number of legal challenges in recent months, as some key provisions of the Patient Protection and Affordable Care Act have found opposition. Last June, the...

Top 3 Recent Outcomes of the Affordable Care Act in 2015

by Vera Gruessner

The Obama administration’s Patient Protection and Affordable Care Act has dealt with a multitude of opposition since its passage and this past year has been no different. There are still partisan...

Top 3 Ways to Meet HEDIS Quality Measures, Improve Performance

by Vera Gruessner

The entire healthcare industry benefits greatly from the quality measurement programs including the Healthcare Effectiveness Data and Information Set (HEDIS) tools developed by the National Committee...

Top 3 Ways to Reduce Healthcare Spending Across Industry

by Vera Gruessner

What new innovations and healthcare reforms are making a real benefit to cutting unnecessary healthcare spending associated with duplicative tests, hospital-acquired infections, and medical...