What Final Medicaid Value-Based Purchasing Rule Means for Payers
3 Ways That Payers Leveraged Artificial Intelligence in 2020
SDOH Awareness, Care Coordination Key to Payer Leader Development
Drug Wholesale Prices Impact Payer Spending, Out-of-pocket Costs
GAO: CMS Oversight, Data Needed on State Medicaid Payment Arrangements
Payers Expect Biden to Expand Affordable Care Act in 2021
Medicaid Cuts May Affect Children’s Long-term Health Outcomes
How Non-Profit Medicare Advantage Plans Can Improve Growth
How to Rethink Population Health Management for Rare Disease Care
CMS Says 8.2M Americans Enrolled on ACA Federal Exchange for 2021
Ambulatory Surgery Centers Could Save Private Payers $3B
Private Payer Spending Hits $1.2T in 2019 As Spending Growth Slows
Payer Gross Margins, Medical Loss Ratios Point to a Profitable 2020
Payers Will Improve Virtual Care, Forecasting, Growth in 2021
How Payers Can Drive A Quicker Transition to Value-Based Care
CareFirst Announces COVID-19 Vaccine Coverage for All Members
Experts Share 5 Pivotal Payer Industry Trends To Watch in 2021
Humana Announces Value-Based Primary Care Services MA Model
AHIP, BCBSA Call For Federal COVID-19 Relief Funding
How COVID-19 Has Renewed Focus on Health Equity and Social Determinants of Health
Chronic Disease Management, Preventive Care Improved in 2019
Highmark Expands Partnership to Personalize Substance Abuse Care
Medicare Advantage Quality of Care Surpasses Traditional Medicare
Prescription Coverage Draws Beneficiaries to Medicare Advantage
How Payers Use Clinics to Boost Vision Benefits, Access to Care
BCBS Payers Support Preventative Care, Access to Vaccinations
How Medicaid Managed Care Organizations Can Improve Long-Term Care
BCBSIL Grant Promotes Preventative Care, Immunization Access
How Health IT Promotes Medicare Member Caregiver Wellbeing
3 Payers Rank Among the Top 25 Employers for COVID-19 Response
Medicare Value-Based Contracting Model Emphasizes Care Coordination
Medicaid MCO Enrollment Continued Rising Through September 2020
More Employers Offer Employer-Sponsored Same-Sex Spousal Coverage
How COVID-19 May Impact MA Risk Scores, Payments in 2022, 2023
CMS Finalizes ACA Risk Adjustment, Error Rate Calculation Changes
CMS Proposes Reduced Exchange User Fees To Lower ACA Premiums
Payer Minimizes Member Healthcare Spending With Health Rewards
Employer-Sponsored Health Costs Rise, Call For ACA Expansion
How Copayment, Coinsurance Impact Member Healthcare Spending
3 Solutions for High-Cost Payer-Coverage for Low-Income People
What Payers Need to Know About 2020 Medicaid Managed Care Changes
How Employers, Payers Can Pursue Integrated Health Care Benefits
ACA Marketplaces Gain Payers in 2021, Rural Areas Still Struggle
What the New Rebate Rule Means for Medicare Part D Plans, MCOs
ACHP: Solidify Telehealth Flexibilities, COVID-19 Test Funding
UPMC Partnership Expands Chronic Disease Medication Adherence
How CMS Reinterpretations Paved Way for MA Supplemental Benefits
How 6 Patient Populations Receive Coronavirus Vaccine Coverage
Employer-Sponsored Health Plans Call for Regulation, Transparency
Payer to Fork Over $6.3M For Medicare Advantage Fraud Allegations
Medicaid Expansion Improves Access to Care, Population Health
New Aetna Pilot Aims To Improve Medicaid Member Engagement, SDOH
Market Concentration Escalated in Small Group, Individual Markets
Out-of-Network COVID-19 Tests Are Susceptible to Price Gouging
Individual Insurance Market Premiums Cover Widely-Used Services
How Medicaid Expansion Helps Incarcerated Persons Amid COVID-19
Legal, Payer Experts Unpack SCOTUS Affordable Care Act Hearing
Centene Eyes Value-Based Care with AI Vendor Apixio Acquisition
CMS Announces Medicare Coverage for Short-Term COVID-19 Therapy
48% of Payers Concerned About Coronavirus Vaccine Effectiveness
How an AI App Navigates Narrow Networks, Cuts Healthcare Spending
ProMedica Accused of Anti-Trust Actions, 50% Market Domination
Fewer MA Plans See High Medicare Advantage Star Ratings in 2021
Unemployed Turn to Affordable Care Act Health Plans for Coverage
Medicaid Expansion Improves Key Prenatal, Postpartum Indicators
Anthem Blue Cross Adds Providence to Value-Based Care Health Plan
Supreme Court Hears Case on Affordable Care Act Constitutionality
BCBS of Louisiana Promotes Mental Health Services, Telehealth Appointments
Medicare Advantage Faces Sicker Population, Lower Payments in 2021
UnitedHealthcare Targets Children’s Eye Health, New Vision Benefits
Special Needs Plans Improve ESRD Patient Outcomes, Lower Mortality
BCBSIL Pursues Health Equity With Pilot Program And Diversity Institute
Consumers Use Digital Tech for Price Comparison, Virtual Care
BCBSA Settles Anti-Trust Litigation for $2.7B, Anthem Pays 22%
AHIP Issues Criticism on Final CMS Price Transparency Rule
2 Mistakes Payers Can Avoid in Mental, Behavioral Health Screenings
Multiple Chronic Conditions, Race Impact Diabetes Medicare Spending
Differences in Medicaid Expansion, Nonexpansion Program Policies
Medicare Advantage May See 2.8% Change in 2022 Revenue, 4.5% Growth
Lessons from Medicaid on Social Determinants of Health Innovation
The Role of Whole Person Care in Population Health, Telehealth
How Payers Can Identify Partners for Automated Data Transfer
How the Coronavirus Pandemic Impacted Medicare Home Healthcare
CMS Finalizes Price Transparency Rule with Self-Service Tool
CMS Releases Vaccine Coverage Plan, Medicare Reimbursement Rate
Do State Medicaid Programs Receive As Much As They Give to Feds?
Louisiana’s Population of Uninsured Children Jumped 28.2% in 2019
How a Directory Can Streamline Interoperability Rule Compliance
Health Literacy Improves Medicare Spending, Member Outcomes
Pros, Cons of Individual Coverage Health Reimbursement Arrangements
59% MA Plan Proxies Rate End-of-Life Care Quality “Not Excellent”
Cancer Patients Paid $5.6B Out-of-Pocket Cancer Costs in 2018
Safeguarding Employees Through the Uncertainty of COVID-19
Top 5 Social Determinants of Health Domains for Payers to Address
CommonWell Mobilizes to Support Payer Interoperability Compliance
Navigating Generational Differences in Member Engagement
34% Medicare Advantage Plans Will Offer COVID-19 Benefits in 2021
How Do Medicaid Programs Cover Pediatric Curative, Hospice Care?
Average ACA Exchange Premiums Drop for Third Year Running
Employer Sponsored 2020 Out-of-Pocket Costs Were Stable Pre-COVID
GA Individual Market Reform Approved Over Industry Objections
Surveys, Advanced Analytics Key for Member Experience, Star Ratings
Medicare Advantage Gross Margins Rise 41% Over 2019 Margins
AMA: 56% Increase in Payer Market Consolidation In Past 5 Years
Payer Premiums, Out-of-Pocket Costs Burden Medicare Beneficiaries
What Happens if SCOTUS Overturns ACA, Besides Coverage Loss?
Medicare Advantage HMOs Remain Popular in 2021 Open Enrollment
Payers Integrate Virtual, In-Person Social Determinants Support
Public Charge Announcement May Have Impacted Childhood Insurance
21 Part D Plans Rank Tops in 2021 Medicare Advantage Star Ratings
Integrated Mental Health Strategies: A Right-Sized Approach to 2021
Top Strategies For Driving Down Prescription Drug Spending
5 Challenges, 5 Policy Solutions for the Medicare Enrollment Process
COVID-19 Medicaid Enrollment Is Not Tied to Unemployment Rates
Open Enrollment 2020 Marks Shift Toward Virtual Member Engagement
Humana’s Value-Based Care MA Model Cuts ED Admissions, Costs
How to Improve Children’s Health Insurance Coverage Nationally
Payer-Provider Partners Tap Telehealth for Behavioral Health Access
Benefits of Digital Quality Measures for Payer Quality Reporting
Medicaid Expansion Produces Mixed Results on Health Disparities
3 Common Telehealth Technologies that Payers Cover, Leverage
MA Payers Focus on Cutting Out-of-Pocket Costs, Home Health in 2021
Medicaid Expansion Could Mean $5.4B in Federal Funds for TX
Surprise Billing Policies May Decrease Commercial Payer Premiums
Cost, Health Literacy Cause for Concern Ahead of Open Enrollment
Big Premium Drop, More Medicare Advantage Benefits Slated for 2021
How an Overturned Affordable Care Act Would Impact Payer Industry
Overview of Federal Policy Around Pre-Existing Conditions Coverage
Value-Based Care Stunted by Misaligned Payer-Provider Relationship
Payer Strategies For Home Healthcare, Remote Patient Monitoring
COVID-19 Has Negative Impact on Stalling ACA Marketplaces
Medicare Beneficiaries Require More Financial, Coverage Support
What Happens When Medicaid COVID-19 Flexibilities, Funding Expire?
House Amendment Imperils Payer Anti-Trust Exemption
Key Quality Measures for 2020, How to Select Measures Effectively
Employer-Sponsored Healthcare Coverage Fell by 3.3 M, 2M Uninsured
Private Payers Pay Hospitals 247% of Medicare Reimbursement Rate
Payers Begin To Pay Individual, Small Group Rebates Amid COVID-19
12 Leading Medicare Advantage Payers by 2020 CMS Star Ratings
COVID-19 Amplifies Racial Health Disparities for Coverage
How Medicare Successes Inform Medicaid Value-Based Care Progress
CMS Releases Risk Adjustment Advance Notice Early For MA Plans
MA Plan Uses Home Healthcare to Manage Multiple Chronic Diseases
CMS Rescinds Controversial Medicaid Fiscal Accountability Rule
Two Blues Partner with Providers to Launch New Health Plans
Humana Launches Two More Value-Based Program for Specialty Care
UnitedHealthcare Launches Concierge-Style Plan, Free Primary Care
How an Innovative User Experience Streamlines Care Access, Cost
MA Special Needs Plans May Lower ESRD Spending, Improve Outcomes
How States, Employers Control ESI Healthcare Spending Long-Term
Payer Empowers Grassroots Movement to Tackle Opioids Epidemic
Tobacco Surcharge Hinders Coverage Access for Low-Income Seniors
CA Legislature Expands Behavioral, Mental Healthcare Parity Law
GA’s Affordable Care Act Exchange Model Moves to Public Comment
How COVID-19 Policies May Affect Medicare Advantage Star Ratings
How States Handled Medicaid LTSS Coverage, Benefits for COVID-19
How Payers Can Leverage Centers of Excellence to Boost Quality
Payer Seeks to Democratize Social Determinants of Health Data
Employers Unaware of How to Compare Health Plan Quality Measures
Neither Anthem, Cigna to Receive Damages in Merger Disputes
New Aetna Health Plan Leverages CVS HealthHUBs, Narrow Networks
Payer, Provider Value-Based Contract Targets 10% Lower Cost Trend
How Payers Can Calm Member Fears, Push Virtual Care Adoption
How to Assess Potential COVID-19 Employer-Sponsored Insurance Loss
4 Population Health Strategies Payers Use for Back to School
Verily Launches Tech-Focused Payer for Self-Funded Employers
Aetna Fined $500,000 for Denying Emergency Room Claims in CA
How COVID-19 Affected Member Engagement in Wellness Programs
Hits to Employer-Sponsored Insurance May Affect Healthcare Jobs
Top 4 Recent Health Payer Innovative Consolidations, Partnerships
Louisiana Will Issue New Medicaid Managed Care RFP, Ends Protest
ACA Special Enrollment Members Have Higher Healthcare Spending
Dispelling the Most Common Myths About Virtual Care
Payers Redesign Referral Networks for Social Determinants of Health
Payers Have Various Strategies for COVID-19 Treatment Cost-Sharing
What the Interoperability Rule Will Mean for Payers in 2021
Aetna, Cleveland Clinic Form Low Cost, Narrow Network Health Plan
Many Working-Age Americans Face Unstable Coverage, Medical Debt
How Employers Are Accelerating Virtual Care, Telehealth Adoption
Payer Value-Based Care Program Ups Savings, Provider Participation
Court Affirms CSR Reimbursement, But Amount Still Questionable
NY Announces Record Low Individual, Small Group 2021 Premium Rates
How Payers Use Whole Person, Palliative Care to Address Serious Illness
Rewards, Cash-Back Programs Incentivize Lower Healthcare Spending
Sentara Healthcare, Cone Health Announce Value-Based Care Merger
Empowering Member Decision-Making in Chronic Disease Prevention
AHIP Responds to Lawmaker Questions on Payer COVID-19 Profits
Dawn of the Virtual Medicare Advantage Plan from Alignment Health
Cigna Embroiled in Lawsuit Over Wellness Program Risk Adjustment
Consumer Assistance Remains Key to Medicaid, ACA Enrollment Process
Key Payer Strategies to Improve Colorectal Cancer Preventive Care
COVID-19 Waivers Improved Medicare Advantage Telehealth Access
MO Passes Medicaid Expansion, Second State to Expand Amid COVID-19
CMS Temporarily Lowers Individual, Small Group Exchange Premiums
WellCare Offers SDOH Support for Seniors Through End of 2020
Oscar Health Product Gives Members Free Virtual Care, Telehealth
Humana Tackles CKD Through Home Healthcare, Care Coordination
MA Senate Aims To Reduce Drug Spending With Step Therapy Reform
CMS Reveals Low Part D Premium, AHIP Warns of Rebate Rule Impact
Commercial High Deductible Plans May Not Impact Member Outcomes
CMS Transferred $10.8B in Risk Adjustment Payments, Charges in 2019
Payers See Low Employer Satisfaction, Provide Limited Support
High Deductible Health Plan Enrollees Need Better HSA Education
COVID-19 May Impact Employer-Sponsored Plans Less Than Expected
How Employers, Payers Can Partner through the Workplace Transition
Payers Turn to In-Home Screening Kits for Chronic Preventive Care
Payers Split on Factoring COVID-19 into 2021 Premium Rates
Payer Helps Employers Recognize, Address Workforce Mental Health
Molina Healthcare to Acquire Passport Health Plan Medicaid Plans
Lawsuit Against UHC Stresses Overpayment Recovery in Employer Plans
Digital Wellness Program Saw High Member Engagement After COVID-19
Appeals Court OKs 3-Year Short-Term Limited Duration Health Plans
Supporting Safety Net Providers Through Value-Based Payments
How to Manage Chronic Disease Through Technology, Member Trust
UnitedHealth Group’s Q2 Report Reveals Payer Progress, Priorities
Consumers Prioritize Broad Networks, Keeping Current Provider
Payer Fuses Value-Based Care, Support Payments for Small Practices
Payers Can Use Telehealth to Increase Convenience for Members
Walmart Forays Into Medicare with Walmart Insurance Services LLC
Payers Recommend More Federal Funds for MA, Medicaid, Employers
Private Payer COVID-19 Reimbursement Rates Are Twice Medicare Rates
Dual-Eligible ERSD Patients Yield High Costs for Payers
How to Help Debt-Laden Grads Get Affordable Healthcare Coverage
Medicare Advantage Plans Increase, Improve Quality Over FFS Plans
How Payers, Policymakers Can Help Small Business Health Coverage
What Types of Health Plans Enroll More Seriously Ill Members?
Medigap Plans G, N Saw High Enrollment Growth from 2015 to 2018
NC Starts Medicaid Transformation Program, Sidesteps Expansion
What is the Medical Loss Ratio of the Affordable Care Act?
5 Ways Payers Can Improve Quality Measures for Chronic Members
Collaboration, Patient Education Key to Increasing Medicaid Coverage
Humana Ups COVID-19 Testing With At-Home, Drive-Thru Testing
Vision Care Plans Generate High Member Satisfaction, Low Costs
6 COVID-19 Social Determinants of Health Payers Pivoted to Meet
Most Furloughed Workers Still Covered by Employer-Sponsored Plan
OK Becomes First State to Adopt Medicaid Expansion During COVID-19
Congress Considers Expanding ACA As Feds Move to Dismantle It
Payers Continue to Expand Value-Based Contracting Despite COVID-19
Tufts Health Plan Expands Substance Abuse Care Coverage
Anthem Skill Uses AI, Alexa For Medication Adherence, Engagement
Top Chronic Diseases Behind Payer Spending And How to Prevent Them
4 Health Benefits That Are Valuable to Small Businesses
Medicare Advantage, Part D ERSD Rules Could Boost Costs
CVS Health Gives Employers Access to COVID-19 Testing Solutions
Telehealth May Help Payers Control Uncertain Healthcare Spending
AMA: Payers Did Not Fix Prior Authorization, Cut Provider Burden
How Payers Can Improve Member Engagement by Partnering with Members
Cigna, Priority Health Form Strategic Alliance For Employer Plans
How Payers Scale Social Determinants of Health Goals
Blues Plans Highmark, HealthNow New York Announce New Affiliation
4 Ways Payers Can Invest In Mental and Behavioral Healthcare
Private Payers Face More Medicaid Competition on ACA Marketplaces
CMS Proposed Rule Redefines Payer Value-Based Payment Negotiations
How To Scale A Telehealth Strategy: Pilots, Providers, and Payment
COVID-19 Spotlights 3 Payer Telehealth Expansion Challenges
High Deductible Health Plans Create Cost-Related Barriers to Care
Payers Support Dental Partners With Stipends, Boost Teledental Care
Major Payers Find HHS Finalized Nondiscrimination Rule Too Narrow
Zero-Dollar Drug Copays Lowered Total Chronic Disease Spending
BCBS Deal Collaborates to Gather Population Health Data
Medicaid Expansion Impacts Contraception Access, Women’s Health
4 Payer Data Points That Demonstrate Behavioral, Mental Care Parity
Pros and Cons of Prior Authorization for Value-Based Contracting
Payer COVID-19 Healthcare Spending for 2020, 2021 May Hit $546.6B
6 Fixes to Improve Medicaid Coverage Access Amid COVID-19
Total Medicaid Expansion May Cut Uninsurance, Uncompensated Care
Out-of-Network Healthcare Spending Spikes for Lab Tests, Pathology
Addressing Social Determinants of Health Requires Population-Based Data
Inaccurate Provider Directories May Spark Surprise Medical Bills
Prior Authorizations Discriminate Against HIV Patients in the South
MA Risk Adjustment Should Include Audio-Only Telehealth Diagnoses
Out-of-Pocket Insulin Costs Stagnant for Commercial Members
BCBS Companies Hold Almost 50% of Market Share on ACA Marketplaces
COVID-19 Healthcare Spending Hinges On Hospitalization Rates
Subsidizing COBRA Could Boost Enrollment, Cut Uninsurance
COVID-19 Impacts on Risk Pool, Costs Stir Rate Setting Uncertainty
Cigna Care Card Lets Employers Support Members During COVID-19
Unemployment Impacts Eligibility in Medicaid Expansion States
15 Payers File on WA Individual Health Insurance Marketplace
Longer Postpartum Medicaid Coverage Prevents Maternal Uninsurance
Claims May Rise in 2 to 3 Months As Patients Seek Deferred Care
Medicare Advantage, Part D Plans Join CMS to Cut Insulin Costs
Payers Assist States in Contact Tracing, Despite Consumer Distrust
Audio-only Telehealth Coverage Essential During COVID-19 Outbreak
CMS Expands Telehealth, Rural Plan Options for Medicare Advantage
Mental Health Visits Take Majority of 1M Payer Telehealth Claims
Rate Setting During COVID-19: Risk Corridors and Reinsurance
Centene Emphasizes MA Wellness Care, Waives Healthcare Costs
Special Enrollment Period Trends on State ACA Marketplaces
8 Ways Payers Can Support Provider Partners During Coronavirus
How Payers Make Wellness Programming Available Despite COVID-19
UnitedHealth Group Offers Remote, Low Cost Access to Eyewear
Medicaid Spending, Enrollment Exceed Projections Due To COVID-19
Most Payers Cover Member Costs for COVID-19 Testing, Treatment
IRS Creates Cafeteria Plan, HDHP Flexibilities Due to COVID-19
Healthcare Spending Boost to Come for Private Insurance Members
Payers Offer Premium Credits for Cash-Strapped Members, Employers
27M Americans Could Lose Their Employer-Sponsored Health Plans
Over 6M Seniors May Face COVID-19 Treatment Out-Of-Pocket Costs
How Payer SDOH Investments Balance COVID-19 Relief Versus Recovery
How Medicaid Managed Care Plans Address SDOH, Expand Care Access
BCBSM, Humana Waive Medicare Advantage Costs as States Reopen
CMS Releases Final 2021 Payment Notice, Extends QHP Timeline
ACA Battle Continues, States and Feds File Supreme Court Briefs
Providers Report Low Levels of Trust in Healthcare Payers
CO Public Option Bill Paused, Unemployment Rises Due To COVID-19
Medicaid Expansion States May See Lower Uninsurance Amid COVID-19
$820M Payer Acquisition Boosts Medicaid Portfolios Amid COVID-19
14M Workers In Vulnerable Industries Are Medicaid, ACA Eligible
AHIP Releases COVID-19 Priorities as States Consider Re-Opening
BMA: CMS Should Lessen Medicare Advantage 2021 Bid Uncertainty
BCBS MA Deploys Employees for Contact Tracing, Staffing Support
Medicaid, CHIP Amendments Help States Fight COVID-19 Outbreak
Payers Slated to Pay $2.7B in Medical Loss Ratio Rebates in 2020
Supreme Court Rules Federal Government Must Pay $12B to ACA Insurers
How Population Health Tactics Fortify COVID-19 Member Engagement
Key Fixes to NY Commercial Payer Exchange to Ease New Enrollment
Medicare Advantage Enrollment, Quality Continue Upward Trend
Humana Calls for Social Determinants of Health in Risk Adjustment
CMS Delays Interoperability Final Rule Roll Out Due to COVID-19
CMS Suspends Quality Reporting Measures Amid Pandemic
OK Submits Healthy Adult Opportunity Waiver to Expand Medicaid
UnitedHealth Gives $5M to Support Healthcare Workers During COVID-19
Health Plan Costs Keeping Unemployed from Coverage in COVID-19
Individual Market COVID-19 Treatments May Cost Less Than Expected
$5.1M Grant Addresses Social Determinants of Health in Seniors
Role of Market Share In Payer-Provider Reimbursement Negotiations
3 Economic Uncertainties That Payers Face Amid Coronavirus Crisis
ACHP Suggests Regulatory Steps To Extend Coronavirus Coverage
COVID-19 Healthcare Spending Forces Difficult Choices for Payers
Payers Expect Claims Spike After COVID-19, No 2021 Premium Hike
Medicare Advantage Plans Target Social Isolation In New Programs
Payers Recommend Actions To Promote Biosimilars, Drug Competition
An Overview of the FFCRA, CARES Act Coronavirus Testing Rules
How to Improve Medicaid Member Engagement, Care Coordination
Centene Program Helps Providers with Grant Writing, Business Loans
Public, Private Payers Offer Upfront Reimbursement Amid COVID-19
Building Payer-Provider Partnerships for Bundled Payment Models
CA Boosts Worker’s Comp, Insurance Benefits for COVID-19 Diagnosis
UT Suspends Work Requirements Due To COVID-19 Unemployment Rates
CMS Finalizes MA and Part D Rates, Leaves ESRD Rule Unchanged
3 Ways COVID-19 Is Changing Payer Utilization of Technology
Payers, Providers Under Fiscal Strain Rally To Combat COVID-19
Top 10 Payers’ Strategies for Broadening Access to COVID-19 Care
How Payers Use Special Enrollment Periods To Boost Coverage
COVID-19 to Impact Employer-Sponsored Health Plans for 3.5M
COVID-19 Recession to Increase Uninsurance Rates, Test Medicaid
Member Engagement Requires Advanced Analytics, Specialized Team
COVID-19 Projected to Drive Increased Costs for Consumers, Employers
Cigna, Humana Eliminate Coronavirus Treatment Out-Of-Pocket Costs
UnitedHealth Group Unveils Self-Administered COVID-19 Test
DOJ Launches Lawsuit Against Anthem for Risk Adjustment Fraud
Payers Eliminate Coronavirus Treatment Cost-Sharing Before Feds
Value-Based Care Assessment Calls for Payer-Provider Collaboration
Payers Seek National Recognition as Essential Businesses
Block Grants Are Not The Solution to High Medicaid Spending
Payers Relax Hospital Transfer Policies, Match Medicare Waivers
CMS Enacts 6.2% FMAP Boost For Coronavirus Medicaid Spending
CMS Approves 11 New 1135 Medicaid Demos, 25% Of States Approved
Payer Claims, Economics, Operations Will Suffer Due to COVID-19
CMS Releases Four Medicaid Waiver Templates To Fight Coronavirus
Coronavirus Out-of-Pocket Healthcare Spending May Exceed $1,300
How Payers Invest in Coronavirus Social Determinants of Health
What The Families First Coronavirus Response Act Means for Payers
52% of Members Surveyed Saw No Member Engagement on Coronavirus
Fiscal, Health Challenges That Coronavirus Poses To The Uninsured
Telehealth Key to Payer COVID-19 Prevention, Diagnosis, Testing
States Seek CMS Approval For Medicaid, ACA Exchange Flexibility
3 Forms of Medicaid Expansion that Can Increase COVID-19 Coverage
CMS Urges Medicaid Expansion Amid Coronavirus Emergency
Latest Coronavirus Updates for the Healthcare Community
Aligned Enrollment Improves Dual Eligible Care Coordination
How MA Special Needs Plans Could Reinvent Homeless Healthcare
Will MA Beneficiaries See Lower Healthcare Spending for COVID-19?
AHIP: 3 Factors to Consider for CMS Data Interoperability Rule
CMS Targets Medicare Advantage Beneficiaries In COVID-19 Efforts
Using Member Engagement to Create Personalized Payer Experience
Volatility Drives Payer Technological Innovation, Partnerships
How Will Health Literacy Affect Interoperability Rule Benefits?
How Are Payers Covering COVID-19 Testing for High-Risk Patients?
How the Affordable Care Act Impacted the Individual Market
CMS Releases Finalized Rule on Interoperability
Challenges in Adopting a State-Based Health Insurance Marketplace
Analysis of Claims Data Shows 200% Spike in Alzheimer’s, Dementia
Cigna and Houston Methodist Announce Contract After UHC’s Ended
Do Short-Term Limited Duration Plans Deserve Industry Skepticism?
National Hepatitis C Screening Rate Low Despite Widespread Need
How CMS Can Standardize Prior Authorization Using MA Star Ratings
Block Grant Complexity, Vagueness May Limit Medicaid Uptake
SCOTUS Will Review ACA Constitutionality, Decision Expected 2021
Reinventing Formularies, Drug Pricing to Up Medication Adherence
GAO: New DOD Health Plan Fails to Improve Patient Satisfaction
Implementing Value-Based Reimbursement in Behavioral Healthcare
Health Payer Segments to Stay Profitable, Face Tighter Margins
Payer Extends Value-Based Contracting to Dental Provider Group
Aetna Offers Atlanta Employers Fully-Insured, Self-Insured Plans
Managed Care Organizations Lead to 27% Lower Prescription Costs
Using Value-Based Care to Tackle Maternal Health Disparities
Outpatient Costs Push Spending in Employer-Sponsored Health Plans
Out-of-Pocket Costs, Surprise Billing Loom as UHC, MEDNAX Split
How Peer Recovery Increases Medication Adherence, Lowers Spending
CA Sees 41% New Enrollment Spike in State Health Insurance Market
Challenges and Solutions of Medicaid Beneficiary Communication
Appeals Court Strikes Down AR Medicaid Work Requirements
Experts Lambast CMS MFAR as Detrimental to Employers, Patients
GAO Reveals Medicaid Eligibility Inaccuracies, Recoup Strategies
Integrated Care Reduces Hospital Stays for Medicaid Children
VA Medicaid Program Reduces ED Admissions for Opioid Use Disorder
Out-of-Pocket Costs for Supplemental Coverage a Problem for MA
4 SDOH Barriers Payers Can Address to Drive Access to Care
Bill on Surprise Medical Billing Moves Forward to Full House Vote
How to Implement AI Platform to Fight Commercial Insurance Fraud
Humana Primary Care Clinics Boost Senior Patient Care Access
How Provider Relationships Shape VBC Pediatric Quality Measures
Cigna Starts 3 Strategic Partnerships While Closing 2019 M&A Deals
Payer Consumerism Strategies Rely On Data, SDOH, Simpler Language
3 Ways Payers Drive Population Health Management in Cancer Care
ESRD Proposal May Inadequately Reimburse Medicare Advantage Plans
Post-ACA Access to Care, Coverage Disparities Shifted in 2017
Proposed Medicare Advantage Changes Address Drug Pricing, ESRD
HIV Patients Could Lose Coverage Under Medicaid Work Requirements
What are Impacts of the Medicaid Fiscal Accountability Regulation?
Medicaid Expansion May Improve Minority and Low-Income Employment
AHIP: HHS Proposed Price Transparency Rule Not Actionable, Secure
ACA Leads to Insurance Gains, Affordable Access to Care Wanes
Members Won’t Back Healthcare Price Transparency If Costs Go Up
Humana Foundation Allots $7.6M to Social Determinants of Health
BCBS NC, Quartet Partner to Implement Value-Based Payment Model
CMS Releases Medicaid Block Grant With Drug, Benefit Flexibilities
How State Budgets Impact Medicaid Funding, Reveal Priorities
How UPMC Coordinates Compounding Social Determinants of Health
How Payer-Provider Relationship Enables Value-Based Care Success
Medicaid Expansion May Impact Patient Outcomes in Southern States
Centene-WellCare Merger Alters GA Medicaid Managed Care Landscape
BCBS Tackles Outpatient Generic Medication Spending, Access
CMS: Medicare Will Cover Genetic Diagnostics For Certain Cancers
Supreme Court OKs Public Charge, Immigrants On Medicaid May Be Denied Entry
Virtual Behavioral Health Visits Improve Care Access
Finalized CMS Rule Supports Medicare Coverage for Acupuncture
Centene, WellCare Finalize Major Health Payer Merger Deal
Tufts Health Expands Telehealth Solution, Boosts Access to Care
Louisiana’s Medicaid Managed Care Contracts in Disarray
Blue Shield of CA Pledges $20M to Support Behavioral Health Services
Supreme Court Will Not Expedite ACA Constitutionality Review
Medicare Advantage Costs 40% Less than Fee-For-Service Medicare
Medicaid Expansion Means Better Postpartum Coverage, Utilization
AL Providers, Payer Form Value-Based Medicare Advantage Plan
How Payers Can Help Reform Behavioral, Mental Health Parity
2017 State Medicaid Spending Rose as Feds Withdrew Funding
Cigna, Oscar Health Form New Brand for Small Business Plans
Cost of Cancer Care Reaches Nearly $150B Nationally
Opioid Overdose Mortality Decreased 6% in Medicaid Expansion States
AHIP Signs onto Support for Social Determinants Accelerator Act
How Payer Value-Based Contracts Seek to Cut Gene Therapy Costs
Community Data Informs Payer Philanthropy for Housing Stability
How Medical Rideshare Deals in Medicare Drive Quality Outcomes
CMS Addresses Duplicate Discounts, State Medicaid Rebate Requests
VHA Sees Better Medication Adherence Despite High Drug Costs
High-Deductible Health Plans Spur Maternity Out-of-Pocket Spending
Medicare Advantage Risk Adjustment Model Continues to Phase In
ME Payers Cover Hearing Aids, Self-Insured Companies Exempt
Tenth Circuit Court Upholds HHS Risk Adjustment Calculations
Using Individualism and Company Culture to Boost Employee Health
Opposite Opinions on Cost of Care End Payer-Provider Contracts
Despite Early Low Enrollment, Federal Exchange Enrollment Steady
Data Sharing, Teamwork Essential to Pediatric Value-Based Care
CA Judge: No Proof Dialysis Providers Steer Patients to Payers