Hospitalization of Unvaccinated COVID-19 Patients Cost $13B
More Medicare Beneficiaries with COPD Enrolled in FFS Than MA
HHS Releases 2023 Payment Notice, Medicaid Waiver Guidance
CMS Blocks Work Requirements, Cost-Sharing in 1115 Medicaid Demo
CMS Updates Affordable Care Act, Public Payer Enrollment Numbers
Children, COVID-19 Are Drivers of Household Healthcare Spending
Medicaid Managed Care Organizations Help Address SDOH, Health Equity
MA Quality Bonus Program Did Not Boost Overall Performance Quality
Medicaid Asset Test Revisions May Increase Dual Eligibility for Seniors
Medicaid Expansion May Be Associated with Lower Mortality Rates
Top 5 Insurers With The Highest Market Shares In The Most States
Payer Funds Tech, Training To Support Rural Maternity Healthcare
Proposed Law May Lower Employer-Sponsored Health Plan Premiums
ACHP Asks CMS To Set At-Home COVID-19 Testing Coverage Standards
How Build Back Better Act Impacts Medicaid Enrollment Churn Rate
Dual Eligible Beneficiaries Prefer Medicare Advantage Over FFS
MA Plan Introduces Benefits to Address Chronic Disease Management
2021 Employer-Sponsored Health Plan Spending Growth Hit 6.3%
ACA Marketplace Open Enrollment Sees 4.6M Enrollees So Far
As High-Dollar Claims Come In, Focus on Payment Integrity Is Key
How Value-Based Care Can Support Efforts to Address Health Equity
The Impact of In-Home Chronic Disease Management on Spending
Most Adults Have Low Health Literacy, Strong Medical Bill Concerns
Few Seniors Have Changed Plans During 2022 Open Enrollment
BMA Asks CMS to Enhance, Solidify Medicare Advantage Benefits
2022 ACA Marketplace Premiums Depend on Enrollee Income, Location
How Payers Can Expand Nutritional Benefits, Measure Impact
UHG Report Finds Encouraging Trends During The Coronavirus Pandemic
MS Medicaid Expansion Could Reduce State Medicaid Spending
How Pre-Payment Review Elevates Payer Payment Integrity
Biden Plan Expands COVID-19 Testing Coverage, Booster Outreach
How Health Plans Provide Effective Mental Health Support to Members
Payer Funds Local Practices to Help Address Racial Care Disparities
Medicaid Will Cover Coronavirus Vaccine Counseling for Kids
CVS Health Contributes $9.2M to Address SDOH, Homelessness in DC
UnitedHealthcare Launches Health Plan to Improve Customer Support
UnitedHealthcare Vision, Dental Plans Lead in Customer Satisfaction
High Deductibles Associated with More Medical Bill Problems
Medicaid Managed Care Models May Improve Outcomes for Elderly, Disabled
Size of Medicaid Expansion Influenced Administrative Spending
Solidifying Coronavirus Policies Might Improve Access to Coverage
Trends in 2021 Affordable Care Act Marketplace Insurers, Locations
$0 Premium Plans Are Pushing Medicare Advantage Premiums Lower
Medicaid Expansion May Be Key To Permanently Closing Coverage Gap
How COVID-19 Impacted The Individual Health Insurance Marketplace
Humana Expands Medicare Advantage Value-Based Contract in MN
Payers, Orgs React to Coverage Implications of Build Back Better
CMS: Virginia Will Expand Access to Postpartum Medicaid Coverage
US Drug Pricing Outstrips International Levels, Drives Spending
An Overview of 2021 Prescription Drug Benefits: Tiers, Cost-Sharing
How Build Back Better Might Impact Medicare Part D Drug Spending
CMS Rule Would Require Payers to Share Data on Drug Spending
Public Payers See Higher Member Satisfaction on Network Size, Cost
Humana Shares 2020 Medicare Advantage Value-Based Care Results
Centene Will Address Serious Mental Healthcare in AZ Medicaid
How A Rare Condition Can Fuel Medicaid Spending, Utilization
ACA 2022 Open Enrollment Starts Off With 133K New Enrollees
What Member Engagement Means to Today’s Healthcare Consumers
The Status of High Deductible Health Plans with Savings Option
Claims Payment Transformation Benefits Payer, Providers, and Members
Americans Ready To Choose Coverage During 2022 Open Enrollment
Teladoc, Trustmark Announce Virtual-First Health Plan
Humana Announces Changes To Veteran Population Health Management
Trends in Medicare Advantage 2022 Open Enrollment Offerings
Payer Third Quarter Earnings Results Spotlight COVID-19 Impact
Humana Type 2 Diabetes Reversal Program Leverages RPM, Nutrition
Centene Highlights Ways to Improve Mental Healthcare for Children
Step Therapy Protocols Vary By Health Plan, 55% Too Strict
United Behavioral Health Sued for Restrictive Bundled Payment Policy
Providers Share Benefits of Medicare Advantage During COVID-19
12% of Payers Implement 10 or More Outcomes-Based Contracts
Coronavirus Pandemic’s Impact on Insurer, Consumer Trends in 2021
COVID-19 May Push Americans To Change Plans For Open Enrollment
Affordable Care Act Marketplace Premium Growth Outpaced Income
Short-Term Insurance Policy To Pay Out $515K to MA Enrollees
Medicaid, ACA Enrollment Growth Attended Level Uninsurance in 2020
Aetna Will Offer Some Gene Therapies As Standard Medical Benefit
Addressing Senior Physical, Mental Health With Group Exercise
Leveraging Patient Access APIs to Optimize Risk Adjustment Efforts
More Employers Turn to Employer-Sponsored Primary Care Clinics
VA Demonstrates How Health Plan Network Size Impacts Utilization
Survey Shows COVID-19 Toll on Senior Mental Health, Social Health
CMS Shares Affordable Care Act Marketplace Open Enrollment Details
KLAS Identifies Top Vendor for Core Administration Platforms
CMMI Aims to Lower Out-of-Pocket Healthcare Spending by 2030
CVS Health to Offer Coverage for Moderna COVID-19 Booster Shot
Members Find Private Payer Mental Healthcare Networks Inadequate
Most Payers Are Unfamiliar with Prescription Digital Therapeutics
Modernizing Claims Payment to Improve Member Experience
Addressing Health Literacy to Improve Member Health, Outcomes
UnitedHealthcare Targets Prenatal Care, Maternal Health Outcomes
BMA: Medicare Advantage Offers Lower Costs, Better Benefits Than FFS
More Medicare Advantage Plans Offer SDOH Benefits With $0 Premium
UnitedHealth Group Kicks Off Integrated Virtual-First Health Plan
COVID-19 Out-of-Pocket Spending Lower with Cost-Sharing Waivers
Financially Burdened Seniors Struggle to Cover Healthcare Costs
Continuous Marketplace Coverage Led to Increased Prenatal Care Use
Walmart Increases Self-Funded Employer Access to Cost-Effective Care
Impact of Fixed American Rescue Plan Act Subsidies on Families
Humana Expands Medicare Advantage Plans, Benefits in Tennessee
Why Payers Must Go Beyond Compliance with the Interoperability Rule
A Phased Approach to Next-Generation Member Engagement
How Medicaid Expansion Impacted Site of Care, Outcomes in MI
UnitedHealthcare Shares Growth, COVID-19 Impacts, 2022 Forecast
How MA Special Needs Plans Compare to Traditional Medicare, MA
Plan Comparison Was Low During Medicare Open Enrollment 2018
CO Will Add LGBTQ+ Care As Marketplace Essential Health Benefit
Employer Health Benefits Spending Will Normalize in 2022
How Payers Leverage Apps to Improve Type 2 Diabetes Management
How Payers Optimize Claims Payment to Reduce Provider Friction
Expanding Social Determinants of Health Benefits Among Public Payers
51% of Employees Satisfied with Employer-Sponsored Health Benefits
87 Contracts Score 5 Stars on 2022 Medicare Advantage Star Ratings
Behavioral Health, Physical Health Worsen Among Women, Children
Medicare Advantage COVID-19 Hospitalizations Were Lower Than FFS
ACHP: 5 Policy Recommendations about COVID-19 Testing Coverage
Medicaid Expansion May Improve Maternal Health Outcomes, Coverage
CMS: KY, ME, NM Will Launch State-Based Marketplaces in 2022
Top Payer Strategies for Overcoming Coronavirus Vaccine Hesitancy
275K Missourians Eligible for Coverage Following Medicaid Expansion
How Payers Use Chronic Disease Management Flexibilities in HSAs
Payers Share Benefits Before Medicare Advantage Open Enrollment
Blue Cross NC Reduces Lab Service Costs, Unnecessary Testing
How Benefit Design Can Steer Employees Toward High-Value Care
2022 Medicare Advantage Premiums Drop, Enrollment May Rise
Top 5 Largest Health Insurers in the US by National Market Share
Health Insurance Industry Consolidation Grew from 2014 to 2020
How Data Aggregation, Sharing Improves Specialty Patient Outcomes
Uninsured Adults Remain Unaware of ACA Coverage, Subsidy Options
4 Employer Health Benefit Strategies That Lower Healthcare Costs
How Employers Can Control Costs with Episode-Based Benefit Plans
OIG: Medicare Advantage Plans Improperly Used Chart Reviews, HRAs
How Change Management Leads to Successful Member Engagement
UPMC Partners with Meal Delivery Service, Improves Health Outcomes
Medicare Advantage Double Bonus Payments Boost Racial Disparities
5 Steps Employers Can Take To Implement Advanced Primary Care
The State of Payer, CBO Social Determinants of Health Contracting
Expanding Covered Medicare Benefits May Lower Out-of-Pocket Costs
3 Strategies for Sustaining Payer Innovation Momentum Post-COVID
CMS Makes Changes to Open Enrollment Period, Introduces New SEP
CMS Retreats from 2022 Payer-to-Payer Data Exchange Enforcement
How Specialty Pharmacies Connect the Dots for Patient-Centered Care
NCQA Releases Health Plan Performance Ratings with COVID-19 Data
BMA Asks Congress to Secure Medicare Advantage Benefits in Reform Bill
The Changing Landscape of Healthcare B2B Payment Transactions
Affordable Care Act Marketplace Sees Boost in Diversity, Savings
How Payers Can Cultivate Consumer-Centered Digital Innovation
Digital Member Experience Services May Boost Plan Satisfaction
How to Expand Access to Coverage for Former Foster Children
Proposed Policy Would Boost Access to Medicare Dental Benefits
Payer Extends Medicare Advantage Footprint to Reach 5M Seniors
6 Reasons to Invest in Next-Generation Member Engagement
Top 3 Member Engagement Benefits of Using Omnichannel Tools
Anthem Offers Virtual Care Platform To Facilitate Second Opinions
Downstream Impacts of Making American Rescue Plan Act Permanent
How Ambulatory Surgery Centers Lower Payer Outpatient Spending
How COVID-19 Impacted Employer-Sponsored Health Plan Coverage
Centene Will Group Medicare Offerings Under Wellcare Brand
Medicare Mortality Rates Reveal COVID-19 Racial Care Disparities
Medicaid Subscription-Based Payment Models Show Mixed Results
CMS Guidance Promotes COVID-19 Vaccine Coverage, Medicaid Expansion
New BCBSA Plan Product Prioritizes Labor Union Health Insurance
6 Policies To Reduce Prescription Drug Prices, Boost Competition
How States Leveraged COVID-19 Medicaid Emergency Authorizations
Electronic Payment Adoption Key to Healthcare Industry Savings
Highmark Will Distribute $12.3M in Affordable Care Act Rebates
Essential Home Healthcare Quality Measures for Value-Based Care
Medicaid Expansion Tied to Coverage Access, Lower State Spending
CMS Announces Historic Navigator Grant Funding for 2022-2024
Cigna Expands Individual Health Insurance Market Participation
How Personalized Messaging Leads to Effective Member Engagement
DE Cites Delayed Care in 2022 Affordable Care Act Premium Boost
Employers: Mental Health, Chronic Disease Needs Will Rise in 2022
How New Medicare Benefits Would Impact Medicare Advantage Rebates
ACHP: Health Equity Success Requires Holistic, Integrated Approach
Unvaccinated COVID-19 Hospitalizations Drive Up Healthcare Spend
CMS Asks Medicare Advantage Plans to Relax Prior Authorizations
Private Payers Renew Cost-Sharing For COVID-19 Hospitalizations
How Medicaid Expansion Impacted Coronavirus Uninsurance Rates
How Specialty Pharmacies Address Social Determinants of Health
MO Medicaid Home Healthcare Program Received Improper Payments
Payer Virtual Care Management Platform Prioritizes Holistic Care
Top 4 Policy Strategies To Diminish State Healthcare Spending
Medicare Advantage Healthcare Spending Exceeds Original Medicare
Pros, Cons of Small Employers Joining Association Health Plans
2021 Healthcare Spending, Hospital Admissions Lower Than Expected
CO Extends Reinsurance Program After 1.5 Years of Lower Premiums
UHC Will Pay Penalty on Mental, Behavioral Reimbursement Parity
Employers Support Empowering Medicare to Negotiate Drug Prices
Medicare Covers COVID-19 Booster for Immunocompromised Americans
ACHP: Current Medicare Advantage Benchmark Caps Penalize Seniors
Aetna Increases Member Primary Care Access With New Virtual Plan
Medicaid Programs Call for Medicare Coverage of Alzheimer’s Drug
How State Support for Medicaid HCBS Impacts COVID-19 Vaccination
Payer Expands Value-Based Care Footprint for Clinical Procedures
The Fundamentals of Medicare Advantage Star Rating Methodology
Centene Promotes Employee COVID-19 Vaccination, Remote Work
SCAN Health Plan Reports Decline in COVID-19 Vaccine Disparities
Medicaid Expansion Decreased Surgical Catastrophic Spending
American Rescue Plan Act Subsidies Reduce State Premiums by 40%
Tracking Social Determinants of Health Data in Medicare Advantage
Value-Based Care Challenges, Opportunities for Payers in 2021
How ARPA Addressed Employer-Sponsored Health Plan Coverage Losses
Top Trends In Small Business Health Insurance During COVID-19
Payer Financially Supports Diversity in Mental Healthcare Workforce
DOJ Intervenes in Whistleblower Cases Alleging Medicare Fraud
CMS: Medicare Part D Monthly Premium May Be 5% Higher in 2022
5 Ways Payers Have Tackled Mental, Behavioral Healthcare in 2021
2022 Marketplace Rate Filings Show Few Pandemic-Related Increases
What Employees Want in Their Employer-Sponsored Health Benefits
UHC Funds Community-Based Social Determinants of Health Efforts
Cigna + Oscar Extends Virtual Primary Care Plan 2022 Footprint
Medicare Survey Explores COVID-19 Vaccine Uptake Among Seniors
How Health Plans Successfully Implement a Digital Strategy
How Medicare Eligibility Impacts Racial Coverage Disparities
Why Catastrophic Medicare Part D Drug Spending Is On The Rise
HHS, CMS Urge States To Correct Public Charge Rule Misinformation
Public Option Health Plans Continue to Progress at State Levels
Arkansas Blue Cross Grants $5M to Improve Behavioral Healthcare
AHIP, Other Stakeholders Support Medicare Value-Based Care Bill
Uninsurance Rate Drops As Marketplace, Medicaid Enrollment Rises
Employer-Sponsored Health Plans Spent $814B on 2019 Benefits
Out-of-Network Price Gouging Still Plagues Coronavirus Testing
MACPAC Notes Behavioral Healthcare Parity Compliance Challenges
Racial Coverage Disparity Trends Have Persisted Through 2019
CMS Leads Final Outreach Push During Special Enrollment Period
Anthem, Kroger Health Partner To Offer Medicare Advantage Plans
Payer Moves to Increase Member Access to Acute Home Healthcare
Public Option with ACA Subsidies Lowers Gains in Federal Spending
Community First Expands into TX Affordable Care Act Marketplace
How Payers Can Support Population-Based Payment Model Uptake
Medicare Coverage Determination for Alzheimer’s Drug Is Underway
How the American Rescue Plan Act Impact NY ACA Enrollee Costs
How Employer Health Benefits Are Changing Due to Coronavirus
Why States Should Collect Medicaid Retroactive Eligibility Data
How Payers Can Improve Cancer Patient Navigation, Experience
Leveraging Real-Time Healthcare Data to Drive More Efficient Medical Management
How Proficiency in Speaking English Impacts Healthcare Spending
Aetna Prior Authorization Policy Takes Effect, Providers Protest
Immigrant Healthcare Coverage Expansion Lowers Child Uninsurance
Payer COVID-19 Vaccine Outreach Program Vaccinates 2M Seniors
ACHP: Extend Transparency, Interoperability Compliance Deadlines
Missouri Medicaid Expansion Disrupted Due to Legal Roadblock
HHS Addresses Surprise Billing in Commercial Health Plans
AHIP: Set Lasting Affordable Care Act Subsidies for Low Premiums
OK Adds 120K New Medicaid Enrollees Due to Medicaid Expansion
How Employers Can Influence Employee Coronavirus Vaccine Uptake
Medicare Supplemental Coverage Tied to Fewer Cost-Related Hurdles
Behavioral Healthcare Parity Is Low Among Regional, State Plans
Payer Gives Community-Based Social Determinants of Health Support
CMS 2022 Payment Parameters Look to Boost Access to ACA Coverage
Humana Increases Access to NC Medicare Advantage Mental Healthcare Resources
51% Emergency Ground Ambulance Rides Result in Surprise Billing
SCOTUS Denies Petition on Cost-Sharing Reduction Reimbursements
Medicaid, CHIP Saw Enrollment Boost During Coronavirus Pandemic
ACHP Recommends Federal Employee Plan Comparison Tool Updates
87% of Eligible Seniors Do Not Receive Lung Cancer Screenings
Two Critical Impacts of 2021 Special Enrollment Period Gains
Aetna Partnership Aims to Increase, Improve Suicide Prevention
CMS Supports Modernizing Enrollment on State-Based Exchanges
Experts Consider Impacts of SCOTUS Affordable Care Act Decision
Alignment Expands Medicare Advantage for Seniors in 3 States
How Payers Can Use Remote Patient Monitoring to Advance Care
How Medicare Advantage Member Engagement Influences Satisfaction
Racial Care Disparities May Be Lower in Medicare Advantage Plans
Supreme Court Dismisses Case Against Affordable Care Act
Pros, Cons of Non-Emergency Medical Transportation Benefits
Aetna Expands Alignment Program for Dual Eligibles in Illinois
Humana Plans to Acquire Value-Based Home Healthcare Partner
UHG Outlines Strategies to Improve Health System, Access to Care
6 Expectations Employers Have for Provider Care Coordination
Costs Continue to Drop on Federal Health Insurance Marketplace
Florida Blue Partnership Increases Substance Abuse Care Access
Centene Launches PSA Initiative to Boost COVID-19 Vaccine Rates
UHC Temporarily Reverses Emergency Department Coverage Policy
4 Payers That Have Embraced Value-Based Care Models in 2021
Wellness Programs May Not Significantly Impact Healthcare Spending
Care Deferrals, Digital Tools Will Shape 2022 Medical Cost Trend
Long-Term Solutions Can Improve Health of Children in Medicaid
Largest Share of Premium Dollar Goes Toward Prescription Drugs
Payer Announces Partnership to Address Opioid Misuse, Disposal
UHC Changes Emergency Department Claims Evaluation Protocols
BCBSOK, OUHP Settle Dispute, Work Toward Long-Term Contract
Nevada Set to Become Second State with Public Option Health Plan
Humana Expands Value-Based Care Model to Cover More Seniors
Payer Partners with Nonprofit to Improve Prenatal Care Access
CMS Raises Awareness of ACA Marketplace Coverage for Gig Workers
ARP Boosted Funding for Home, Community-Based Services, SDOH
PAHCF Opposes Medicare Expansion, Suggests Extending ACA Policies
Commercial Plan Member Satisfaction Jumps 10 Percentage Points
Health System Joins Blue Cross NC to Expand Value-Based Care
UPMC Health Plan Virtual Assistant Aims to Improve Access to Care
Defunct Public Charge Rule Still Impacts Immigrant Health Choices
How MA Plans Can Build on COVID-19 Home Healthcare Strategies
How to Assess the Future of Emergency, COVID-19 Medicare Policies
Medicare Advantage Dual Eligibles Have Better Access to Care
Trends Emerge Among Payers on Affordable Care Act Marketplace
MA Plan Announces Program to Improve Senior Mental Healthcare
How Healthcare Workflows Can Use Intelligent Automation for Better Care
USPSTF Recommendations Guide Payers on Preventive Care Screenings
JPMorgan Chase Reveals Employer-Sponsored Health Plan Goals
Expanding Medicare Could Increase Coverage but Raise Premiums
Medicare Advantage Plans Draw More Members with Chronic Diseases
UHG Reviews Senior Social Determinants of Health Pre-Pandemic
Cancer Patient Outcomes Significantly Worse for the Uninsured
Bold Goal Saw Better Medicare Advantage Health Outcomes in 2020
Cigna Funds Education, Workforce to Improve Social Determinants
FFS Medicare May Boast Lower Cost Barriers than Private Medicare
Employer-Sponsored Wellness Programs Boost Employee Morale
4 Ways ADT Event Notifications Improve Payer Performance
Endpoint Directory Supports Payer Interoperability Compliance
How the Healthcare Industry Can Close Gaps in Care Caused by COVID-19
ACHP Urges Policymakers to Solidify Affordable Care Act Changes
How Extending ACA Premium Tax Credits May Fix the Family Glitch
How AI Supports Low-Risk Member Identification, Care Management
CVS Health Responds to Caregivers’ Pandemic Mental Health Needs
Blue Shield Aims to Reduce Mental Health Racial Care Disparities
HHS Expands Interpretation of Sex Discrimination in Section 1557
How to Consolidate Member Experience Data to Boost Satisfaction
Payer Launches Discharge Program To Lower MA Hospital Readmissions
HHS: ACA Premiums Drop 25% for New Enrollees on HealthCare.gov
AHIP: Private Payers Boost Insurance Coverage, State Economies
Despite More Symptoms, COVID-Era Mental Healthcare Claims Decrease
How Messaging Steers ACA Enrollees to Enhanced Silver Plans
CVS Tackles Care Disparities, Community-Based Preventive Care
How Payers Can Improve Attachment Processes in Claims Management
Humana Joins Traditional Medicare Value-Based Contracting Model
Gross Margins, MLRs May Confirm Payer Profitability in 2020
High Health Plan Costs Serve as Healthcare Coverage Barrier in TX
Data Science & Healthcare: Why Health Plans Must Do Better with Data
CMS Finalizes Second 2022 Payment Notice with Cost-Sharing Limits
Payers Address COVID-19 Vaccine Uptake With Member Engagement
Employers: Healthcare Spending Is on an Unsustainable Trajectory
Key Considerations For Implementing Diabetes Management Programs
UnitedHealthcare Boosts Integrated Care Benefit Program To Up Value
Humana Continues Home Healthcare Expansion in $8.1B Acquisition
Employer Costs Could Drop 43% with Younger Medicare Eligibility
HHS, 23 Orgs Boost ACA Enrollment Outreach in Black Communities
Cigna Includes Employees in Coronavirus Vaccine Uptake Efforts
How to Overcome Challenges in Gathering Racial, Ethnicity Data
Value-Based Care Best Practices: A Phased Approach
Top 3 Policies to Reduce Uninsurance in the ACA Coverage Gap
Agent Tools Offer Information on 43% of Medicare Advantage Plans
Health Equity Effort Engages Community Partners, Progress Measures
UnitedHealth Q1 Care Activity Under Baseline, Revenue Growth Persists
CVS, Aetna Care Coordination Plan May Cut Out-Of-Pocket Costs
Payer Community Health Partnerships to Address Food Insecurity
Medicare Beneficiaries Strongly Satisfied with Coverage in 2019
AHIP Protests Medicare Coverage of Innovative Technology Rule
Cost-Sharing Burden Limits Access to Care for Medicare Members
Addressing Social Determinants of Health Through Improved Digital Engagement
Health Plan Differentiation: The Big Disruptor in Senior Fitness
Payer Launches Value-Based Kidney Care Agreement for CKD, ESKD
Social Risk Adjustment Promotes Health Equity In Value Based Care
Uninsurance May Drop 14% If ACA Subsidy Increases Are Solidified
Payer, Provider Launch Wellness-Focused Medicare Advantage Plan
CMS Approves IL Waiver to Support Rural, Black Maternal Health
Medicaid, CHIP Enrollment Increased After 2 Years of Decline
Rectifying the ACA Family Glitch Could Drive ACA Premiums Down
Employer Strategies For Responding to the Mental Health Crisis
Identifying New Opportunities for Innovation in Supplemental Benefits
Cigna + Oscar Extend Small Business Health Plan Footprint
3 Types of Funding for Employer-Sponsored Health Plan Claims
Docs Say Payers Restored Prior Authorization in COVID Second Wave
5 States With Highest SEP Enrollment Rejected Medicaid Expansion
New Mothers Experience Uninsurance, Care Disparities Post-ACA
Disparities in Pediatric HMO Enrollment Draws Care Access Concern
Wellness Programs Are A Win-Win For Cost Saving, Member Outcomes
AHIP Releases A Resource for ACA Special Enrollment Awareness
UnitedHealthcare Medicare Advantage Dominates MA Enrollment 2021
How COVID-19 Proved the Value of Supplemental Benefits
Payer Provides Homebound COVID-19 Vaccine Access, Best Practices
Payers Fund Community Health Centers to Aid Population Health
HHS Will Spend $50M on Outreach for Special Enrollment Period
Health Orgs Support MA Risk Adjustment For Audio-Only Telehealth
How Payers Are Involved in Boosting COVID-19 Vaccine Confidence
Payer Seeks to Balance In-Person, Virtual Mental Healthcare
Medicare Advantage Cost Burden Is Lower Than in FFS Medicare
Payer Platform for Self-Funded Employers Targets Member Engagement
Payers Partner with Lyft to Expand Coronavirus Vaccine Access
Humana, Epic Tackle Electronic Prior Authorizations, Member Data
Why User-Centered Design Is Crucial to Member Engagement
Anthem Plans to Acquire myNEXUS, Expand Home Healthcare Services
Electronic Prior Authorizations Impact Quality, Provider Burden
How Payers Can Identify, Reduce Low Value Care Spending Patterns
Biden Administration Extends Federal Special Enrollment Period
How Payers Can Prepare for the Payer Price Transparency Rule
Healthcare Literacy May Be Higher For Male Medicare Beneficiaries
Shared Financial Risk of Dialysis May Lead to Medicare Cost Saving
How Coronavirus Influenced Medicare Chronic Disease Management
13 Areas of Low-Value Care Spending in Medicare Advantage Plans
Achieving Holistic Care Through Effective Digital Health
Payer Announces Virtual Care Option for Hearing Care Access
Blue Cross NC Initiates Medicaid Managed Care Enrollment Period
How Medicaid Managed Care Orgs Can Confront Care Disparities
How to Compare Impacts of Capped Provider Payment, Public Option
Employer-Sponsored Health Plans See Strong Member Satisfaction
Humana Will Begin Transitioning Senior Services Into New Brand
6 Key Considerations for an Integrated Dual Eligible Program
New CMS Guidance Could Increase COVID-19 Testing Rates, Spending
Payer Eyes Health Equity With COVID-19 Vaccine Access Network
Payer Boosts MA Chronic Kidney Management Access, Patient Outcomes
How OTC Medicines, Supplemental Benefits Improve Care, Cost
NCQA Calls for Digital Quality Measures in Value-Based Care Plans
BCBSMA Invests in Electronic Registry for End-Of-Life Care Quality
An Overview of Disruptive Payers That Filed for an IPO in 2021
3 Ways to Cut Payer, Employer Gene Therapy Healthcare Spending
How Payers Can Take Action Against Racial Care Disparities
How the $1.9T COVID-19 Relief Package Impacts Medicaid, CHIP
Rural Medicare Advantage Members Hit Care Access Snags, Switch Plans
Special Enrollment Period Boosts ACA Enrollment by 200k Enrollees
Improving Member Experience with a Unified Data Platform
How Medicaid Work Requirements Could Impact Low-Income Women
AHIP, BCBSA Pilot Supports Equitable COVID-19 Vaccine Delivery
OBGYNs Face Challenges When Providing Care To Medicaid Members
Middle-Income Enrollees Still Face High Costs with ACA Subsidies
Medicaid Managed Care Shows Marginal Increase in Preventative Care
Payer Partners with CBOs to Reduce Maternal Care Disparities
Perpetrators of National ACA Enrollment Fraud Case Sentenced
CMS Puts $2.3M Toward Navigator Funding for Special Enrollment
Rare Disease Healthcare Spending Tops Costly Chronic Diseases
Three Common Characteristics Among Virtual-First Health Plans
Lower Spending Drives Senior Satisfaction with Medigap Policies
Aetna Challenges Oklahoma Medicaid Managed Care Contract Picks
Rescinding ACA May Worsen Racial Health Disparities, COVID-19
NC Medicaid Program Audit Reveals Improper Medicaid Payments
Cost Could Still Be A Deterrent In ACA Special Enrollment Period
AHIP: Medicaid Managed Care Orgs Deserve Greater SDOH Flexibility
How Expanding ACA Premium Tax Credits Could Effect ESI Coverage
Payer Orgs Outline Steps Toward Achieving Universal Coverage
Top 5 Common Conditions Driving Employer Healthcare Spending
Adopting a Member-Centered Approach to Digital Health Management
MA Members Could See High Out-of-Pocket Costs For COVID-19
Humana Announces MA Chronic Disease Management, SDOH Model
Payer Seeks to Lower Behavioral Health Hospital Readmissions
COVID-19 Lowered Medicare Care Utilization Across Races, Services
ACA Medicaid Expansion Increases Young Adult Coverage, Health Equity
Healthcare Spending Frequency Impacts Affordability for Members
Aetna to Re-Enter ACA Individual Health Insurance Marketplace
CMS Moves to Rescind Medicaid Work Requirements As Anticipated
Humana, IBM Partner To Streamline Member Engagement With AI
Payer Extends COVID-19 Treatment, Telehealth Benefits Through 2021
Humana Launches MA Value-Based Care Model, Hospice Care Coordination
DOJ Supports the Affordable Care Act in Supreme Court Case
Payer Aids Federally Qualified Health Centers in COVID-19 Efforts
Payers Expect Enrollment to Offset Normalized Healthcare Spending
Humana, Roche Settle False Claims Act Lawsuit, Agree to Pay $12.5M
COVID-19 Delays Value-Based Care Contract Negotiations
Payers Prepare For Costs in 2021 After COVID-19 Deferred Care
More MA Plans Offering Benefits for Members with Chronic Diseases
How Payers Can Improve Care Management To Enhance Quality, ROI
Downstream Impacts of Recent Surprise Billing Law Remain Uncertain
BCBS Introduces Value-Based, Patient-Centered Kidney Care Model
AHIP, ACAP Call for Reversals on Prior Administration’s Policies
Medicare Increases Access to Care, Affordability for Seniors
How Biden’s Executive Order May Impact Medicaid, ACA Marketplaces
Oklahoma Announces Contracts for Medicaid Managed Care Program
Consolidated Medicare Advantage Plans See Quality Improvement
Aetna Updates Policies to Cover Transgender Feminizing Surgeries
47% of Uninsured Americans Did Not Explore ACA, Medicaid Options
Experts Call For Updated Medicare Advantage Star Ratings Survey
White House Sets Up Federal Marketplace Special Enrollment Period
Anthem Earnings Call Projects COVID-19 Vaccine Impact, ACA Growth
Patient Navigators Call For Funding To Promote Marketplace Care Access
Medicaid Expansion Helped Detect Undiagnosed HIV Infections
Medicaid Expansion Could Have Reduced COVID-19 Uninsurance
How Payers Can Make Medical Billing More Streamlined, Transparent
4 Medicaid Eligibility, Enrollment Processes States Must Address
Nevada Explores Potential State Public Option Models, Impacts
How Top Payers Are Providing COVID-19 Vaccine Coverage, Support
Health Payer Unveils Virtual Care Plan, Telehealth Care Access
2021 Payer Strategies Build on Telehealth, Gene Therapy Lessons
MA Plans See 99% Member Satisfaction Among Non-White Members
Biden Selects CMS Official as Temporary, Acting CMS Administrator
WI Submits Medicaid Demonstration Waiver, Health Savings Account Program
Payers Denied 17% of 2019 In-Network Claims on ACA Marketplace
UnitedHealthcare Q4 Earnings Report Shows Leveling Care Activity
Biden Administration Plans to Expand COBRA, ACA Premium Subsidies
Payer Diversity Program Contributes $375M to Economy, Creates Jobs
4 Positive Trends That Continue to Define Medicare Advantage Plans
CMS Rule Targets Prior Authorization with Interoperability
CMS 2022 Final Rule Requires Part D Real-Time Drug Benefits Tool
UnitedHealthcare Expands Virtual Care Policy to Boost Primary Care
ACA, Medicaid Expansion Reduced Income Inequality, SDOH By 10%
ACA Federal Marketplace Sees 7% Enrollment Increase in 2021
AHIP Blasts Pharmaceutical Industry as Drug Prices Increase
CMS Rule Aims to Accelerate Medicare Coverage of Breakthrough Tech
CMMI Shares Lessons on Value-Based Care from Its First Decade
6 Strategies to Evolve the Affordable Care Act Marketplaces
Payers Kick Off 2021 Investments in Social Determinants of Health
CMS Approves Nation’s First Block Grant To Cut Medicaid Spending
Payer Expands Member Engagement Program, Digital Outreach to ACA Members
CMS Outlines Medicaid Social Determinants of Health Flexibilities
ACHP: Access to CDC COVID-19 Vaccine Data Key to Member Engagement
Medicaid Expansion May Boost Homeless Individuals’ Access to Care
Surprise Billing Law Covers Contract Disputes, Price Transparency
Payers, Patients Save With Value-Based Chronic Disease Management
UnitedHealth Group Plans to Acquire Change Healthcare in 2021
CARES Act Funding Not Enough for Orgs in Medically Underserved Areas
How 3 Major Payers Extended Temporary COVID-19 Benefits into 2021
Joint Venture To Lower Employee Healthcare Costs, Haven, Disbands
Centene Plans to Acquire Major Behavioral Healthcare Platform
Congress Repeals Anti-Trust Exemptions Over AHIP Objections