Anthem Blue Cross announced on Monday that Providence Southern California joined its Vivity Health Plan as a joint-venture partner, making this the first joint-venture between health systems and a...
At 10am EST on November 10, the Supreme Court heard the oral arguments in the California v Texas regarding the Affordable Care Act’s constitutionality.
The case is pivotal as the outcomes could...
Blue Cross and Blue Shield of Louisiana is promoting mental healthcare and improving access to care as one of the most turbulent years in recent American history winds down.
The statement, which does...
Medicare Advantage plans may face a sicker population and lower payments in 2021, a recent Avalere report warned.
Avalere used Medicare Advantage claims from 2020 through June 2020 to assess the...
UnitedHealthcare has introduced added benefits to their Children’s Eye Care Program that will help young people reduce their exposure to blue light and support their overall eye health after...
Chronic condition special needs plans were created to serve the complex needs of patients with conditions such as end-stage renal disease (ESRD), and a new study published in JAMA Network Open...
Blue Cross and Blue Shield of Illinois (BCBSIL) has partnered with hospitals across the state in a new program that seeks to pursue health equity by focusing on mitigating health disparities for racial...
As the country experiences an enrollment season in the middle of a global pandemic, Americans are gravitating toward digital technology for a wide variety of purposes including price comparison and...
Blue Cross Blue Shield Association (BCBSA) has nearly concluded an eight-year-long anti-trust litigation with a $2.67 billion settlement, according to court documents which the Office of the Insurance...
America’s Health Insurance Plans (AHIP) has come forth with critique of the price transparency final rule, saying that it will drive healthcare prices up and decrease industry competition.
The...
Payers have been tapping self-service screenings to address behavioral and mental healthcare, but that process has been anything but perfect.
This is evidenced by the fact that the mental and...
Medicare spending on diabetes is in part a result of whether or not the beneficiary has multiple chronic conditions, but there are other factors that strongly influence costs as well, researchers found...
Differences between Medicaid expansion and nonexpansion states go beyond whether states opted into the Affordable Care Act allowance, a Health Affairs study found. Researchers have discovered Medicaid...
Medicare Advantage proposed policy changes may result in a 2.82 percent average change in revenue and 4.55 percent change in growth, projected the CMS calendar year (CY) 2022 Medicare Advantage and...
The coronavirus pandemic has forced social determinants of health even further into the spotlight and Medicaid programs have responded to the increasing demands with innovative solutions, a Manatt...
As the healthcare environment faces major changes, payers may face challenges in maintaining their focus on whole person care across all strategies.
Given the influence of the pandemic, payers may...
Automated data transfer is a key part of diminishing administrative burden and reducing health costs, but payers have not yet fully committed to the process.
The progression toward greater automation...
While the coronavirus pandemic has forced positive change elsewhere in the healthcare industry, Medicare home healthcare policies still have room to improve, a Commonwealth Fund study discovered.
As...
CMS has released the final rule for price transparency in healthcare coverage, which aims to allow the public to have greater insight into healthcare costs in order to increase value.
“This...
CMS has released its Medicare reimbursement rate and official coverage strategy for the coronavirus vaccine when one is approved.
For more coronavirus updates, visit our resource page, updated...
