CA, AZ Payers Boost Care Access for Active-Duty Service Members
Affordable Care Act Marketplace Enrollment Up by 1.8M From Last Year
Court Says BCBSIL Cannot Exclude Coverage of Gender-Affirming Care
Continuous Eligibility Policies Can Reduce Medicaid Churn Among Kids
Harvard Pilgrim, Tufts Health Plan Increase Caregiver Support for Members
Blue Cross MN Value-Based Contract Reduced Cancer Care Costs
Status of Women’s Health Across Insurance Types in 2022
How Coverage and Costs Vary Within Different Types of Health Plans
Public Charge Rule Led to Delayed Healthcare Among CA Immigrants
Payer, Provider Value-Based Care Contract Targets Equity, Population Health
5 Considerations for Payers before Entering Dual Eligible Market
93% of Employees Satisfied with Employer Sponsored Health Insurance
BMA Shares How CMS Can Improve Medicare Advantage Program
Nonprofit Sues GA for Refusing to Cover Transgender-Related Healthcare
SCAN Group, CareOregon Plan to Combine, Form HealthRight Group
ACAP Health Plans Will Identify Birthing-Friendly Hospitals in Directories
7 Key Changes to ACA Enrollment, Plan Selection in 2024 Proposed Rule
Number of Uninsured Children Declined by 210K During Pandemic
Payer Announces Partnership to Offer In-Home Care with Flexible Hours
Aetna Grants $9.3M to Support Behavioral Health for Youth in Foster Care
Heat-Related Illness Diagnoses Among Private Payer Members Are Increasing
3 Payment Integrity Strategies for Payers in 2023
High Deductibles Create Barriers to Screening Mammograms, Follow-Up Tests
7 Challenges, Opportunities for All-Payer Claims Databases
Elevance Health ACO Generated Cost Savings Among Fully Insured Members
Top 3 Major Trends in National Health Outcomes Measures
PHE Expiration Will Lead to Medicaid Coverage Losses for 18M People
Payer, Provider Orgs React to Prior Authorization Proposed Rule
Behavioral Health Treatment was Associated with Lower Healthcare Costs
19 States Must Align Medicaid Vaccine Coverage Policies with IRA
Plan Value, Expected Care Use Drove ACA Consumers into Uninsurance More than Cost
CareFirst Funds Community-Based Orgs to Boost Behavioral Healthcare Access
Payer Sees Significant Mental Healthcare Utilization, Network Size Growth
AMA Defends Affordable Care Act’s Preventive Care Coverage Requirement
Proposed Rule May Prevent Coverage Losses for Dual Eligible Beneficiaries
Health Insurance Price Growth Rises to 20%, Outpacing Other Medical Care
GA Payer Helps Providers Improve Access to Care for Disabled Individuals
Gold Carding Has Mixed Effects on Streamlining Prior Authorization Processes
NCQA Confers Health Equity Accreditation on Elevance Health Medicaid Plans
Health Insurance Coverage Disruptions Tied to Higher Mortality Risks
How Health Insurance Coverage Varies Across, Within Families
SCAN Health Plan Expands Dual Eligible Special Needs Plan in CA
35% More MA Plans Offering Home-Based Supplemental Benefits in 2023
Immigrants’ Premium Contributions Exceed Payer Spending on Care
Health Insurance Is Expensive, But Americans Intend to Keep Their Plans in 2023
Medicare Advantage Premiums Rise, Zero-Dollar Premium Plan Uptake Declines
Early 2023 Affordable Care Act Marketplace Enrollment Exceeds 2022 Trends
No Surprises Act Leads to 9M Averted Surprise Bills, 275K Arbitration Claims
62% of Adults Are Unaware of Medicaid Renewals Resuming Post-PHE
Top 5 States with the Highest Levels of Healthcare Spending
CareSource Addresses LGBTQA+ Housing Social Determinants of Health Barriers
ERIC: Allow Employer Sponsored Health Plans to Electronically Deliver AEOB
2022 RI Life Index Finds Social Determinants of Health Barriers in RI
Major Payers Spent Less Than 1% of 2021 Income on Social Determinants of Health
50% of Coronavirus Hospitalizations Covered by ESI Cost Over $25K
Top 4 Medicare Advantage Penetration, Access Trends in 2023 Open Enrollment
Medicaid Expansion Reduced Medicare Hospitalizations During Dialysis
How Massachusetts’ Benchmark Impacted Healthcare Cost Growth
ACHP Offers 5 Recommendations For CHIP, Medicaid During PHE Unwinding
Community Health Plans Lowered Consumer Healthcare Spending in 2022
Elevance Health Will Acquire Specialty Pharmacy To Treat Chronic Diseases
OUD Treatment Coverage, Prior Authorizations Common in Medicaid FFS
Banner|Aetna Health Plan Streamlines Bill Format to Improve Medical Billing
37% of People Switched Health Insurance Plans During Perinatal Period
Report Urges CMS to Increase Oversight of Medicare Advantage Marketing
AMA: 79% of Medicare Advantage Markets Have Little Competition
Better Access to Health Insurance Coverage Boosted Healthcare Use
Employers Juggle High Healthcare Spending, Hiring Challenges in 2022
Medicare Advantage Offers Better Access to Behavioral Healthcare Than FFS
2020 Medicare Open Enrollment Saw Low Rates of Plan Comparison
2022 Employee Contributions Trends in Employer Sponsored Health Plans
Dialysis Triples Healthcare Spending for Members with Chronic Diseases
Cigna Expands Value-Based, In-Home Primary Care Services in Medicare Advantage
Understanding the Cost of Ineffective Payment Integrity Operations
HHS: Over Half of States Have Extended Medicaid Postpartum Coverage
2022 Marketplace Enrollment Grew Significantly for Black, Latino Enrollees
CMS Expects More Americans Will Qualify for Affordable Care Act Coverage in 2023
Outreach from State-Based Marketplaces Increased 2022 ACA Enrollment
Medicaid Directors Project 12.5% Total Medicaid Spending Growth in FY 2022
Medicare Advantage Contract Terminations Worsen Racial Health Disparities
AHIP Envisions Race, Ethnicity Data Collection Standardization Improvements
Offering Easy Access to Care Is Key to Positive Member Experience, Retention
Blue Cross NC Scholarship Program Aims to Diversify Health Insurance Industry
Humana Expands 2023 Medicare Advantage Dental Benefits in Florida
Community-Based Orgs Can Help Manage Post-PHE Medicaid Coverage Changes
Personalized Phone Calls, Emails Boosted ACA Enrollment Rate in CA
Brokers, Assisters Share Affordable Care Act Marketplace Consumer Trends
How End of PHE Will Impact Consumer COVID-19 Healthcare Spending By Coverage Type
UHC Supports Health Equity for Disabled Members Through Program Investments
Subsidies Drive Individual Health Insurance Marketplace Enrollment
Older Beneficiaries Choose Medicare Advantage for Enhanced Benefits
SCAN Health Plan Starts a Medicare Advantage Health Plan for LGBTQ+ Seniors
BCBS Health Plan Expands Medicare Advantage Drug, Mental Health Benefits
Healthcare Utilization Lower for MA Beneficiaries with Complex Care Needs
HHS Finalizes Rule That Aims to Fix the Affordable Care Act Family Glitch
Payers Alert Communities About Medicaid Redetermination Renewal
AHA: CBO Report Inaccurately Assessed Commercial Insurance Premium Drivers
MA, Part D Contracts See Lower 2023 Medicare Advantage Star Ratings
SDOH, Nonmedical Supplemental Benefits Lacking for MA Dual Eligibles
Blue Cross Blue Shield Expands Benefits for Federal Employees
Blue Cross NC Partnership Aims to Improve Fall Prevention for Members
Alignment Health Expands Medicare Advantage Offerings for 2023
Employer Sponsored Health Plan Enrollment Dropped 5% During Pandemic
Health Plan Shares Insurance Definitions to Boost Member Health Literacy
Home Health Value Based Purchasing Model Slightly Improved Spending, Care
Inflation Reduction Act Takes Effect: Biosimilar Payment Boost for Medicare
Payer Donates to Expand Mental Health Treatment Training for Providers
4 Payers Share 2023 Medicare Open Enrollment Benefits, Inflation Drives Updates
Report Finds Disparities in Children’s Health Insurance Coverage
Top 10 Highest Performing Medicare, Medicaid Health Plans
Independence Expands Value-Based Care Relationship, Seeks to Boost Primary Care
Problems with Medicare Advantage Payment System Contribute to Overpayment
Modernizing Patient Payments to Address Healthcare Consumerism
CMS Approves MA, OR Section 1115 Demonstration Initiatives
UHC Awards $200K in Social Determinants of Health Grants in NM
CMS: Medicare Part B Premiums, Deductibles Will Decrease in 2023
OIG: Medicaid Managed Care Plans Submit Incomplete MLR Reports
HHS Procures Federally-Covered COVID-19 Treatment Doses For Uninsured
Businesses Struggle to Meet Employer Sponsored Health Plan Expectations
How Data, Analytics, and Collaboration Drive Healthcare Innovation
Payers Leverage Technology to Boost Maternal Health Outcomes
Uninsurance, High Deductible Plans Linked to Greater Medical Debt
Aetna Reduces Member Suicide Rate, Adolescents Behavioral Health Lagging
NC Hospitals Propose to Fund Medicaid Expansion, Reform CON Laws
Increasing Medicare Spending Calls For Short, Long Term Financing Solutions
Uninsured, Publicly Insured Report Unfair Treatment in Patient Experience
Out-of-Pocket Healthcare Spending for Generics Rose from 2011-2019
How Do Medicare Advantage Plans Compare to Traditional Medicare?
Employer Sponsored Health Plan Costs Expected to Increase in 2023
NCQA Shares Health Plan Performance Ratings Ahead of Open Enrollment
States Plan Medicaid 1115 Demonstration Waivers for Incarcerated People
Partnership Aims to Improve Health Equity with Clinical Intervention
Alzheimer’s Risk Adjustment Increases Detection, Medicare Spending
40% of Americans Blame Deductibles for High Out-of-Pocket Healthcare Costs
Medicare Advantage Boasts Fewer Low-Value Care Services Than FFS Medicare
OR Introduces Coverage for Mental Health Mobile Crisis Intervention Services
Consumers Seek Transparency Around Treatment Costs, Healthcare Deals
Public Charge Final Rule Published, Pursues Health Equity For Immigrants
Large Employers Aim to Redirect Healthcare Spending, Boost Quality
Anthem Grants $150K to Support Substance Use Disorder Services
Concerns about Cost of Healthcare Supersede COVID-19 Concerns in MA
CVS Health: How Educators, Parents Factor Into Adolescent Mental Health
HCSC Employs Virtual Care To Expand Access to Primary Care Services
Most of Premium Dollar Used for Prescription Drugs, Medical Services
Uninsurance, Medicaid Coverage Could Delay Colon Cancer Diagnosis
Trends in 2021 Employer Sponsored Health Plan Costs, Coverage
Middle-Income Seniors Will Struggle to Afford Paid Caregiving in 2033
Emergency Department Patients Are More Likely to Have Chronic Diseases
Medicare Advantage Plan Quality Varies by Premium Cost
Top 3 Social Determinants of Health Barriers Among Seniors
48% of Medicare Beneficiaries are Enrolled in Medicare Advantage Plans
HHS, CMS Bump Affordable Care Act Marketplace Navigator Funding
15M Beneficiaries Will Lose Medicaid Coverage When PHE Ends
Large Dialysis Facilities Bumped Prices for Major Medicare Advantage Plans
How Plans Simplify Payment Integrity by Choosing the Right Partner
Senator Looks Into Deceptive Marketing by Medicare Advantage Plans
VA Medicaid Expansion Lowered Member Financial Concerns During COVID-19
Employer Sponsored Health Plans Will Prioritize Mental Health in 2023
7 Ways That Payers Help Members Manage Their Mental Health Needs
State Medicaid Programs Boosted HCBS Waiver Adoption for Senior Care
CMS Proposes Reporting Requirement for Medicaid, CHIP Quality Measures
How Medicare Advantage Enrollment Has Grown, Diversified in 10 Years
Medicare Advantage Member Satisfaction Soars, Mental Health Coverage Lags
How Payers Are Increasing Access to Behavioral, Mental Healthcare Services
3 Major Payers Take Action on Social Determinants of Health
Private Sector Outreach Did Not Make Up For Navigator Program Funding Cuts
HHS, CMS Approve Extended Medicaid Postpartum Coverage in 3 States
Judge Finalizes Blue Cross Blue Shield Antitrust Settlement
Cigna + Oscar Extends Small Business Health Plan to Philadelphia
Humana Plans to Acquire Medicaid Managed Care Organization
Payer Fuses Family, Maternal Care Through Virtual Care, Care Management
Healthcare Often Forces Patients to Make Financial Sacrifices
How Payers Overcome Nursing Shortages to Improve Patient Experience
UHC Rebrands Self-Funded Health Plan, Focus on Price Transparency
UnitedHealthcare Grants Address Social Determinants of Health, Care Access
States See Patient Experience Shifts in the First Year After Medicaid Expansion
Employees Lack Health Insurance Enrollment Knowledge, Support
Hepatitis C Treatment Rates Reveal Care Disparities in Public, Private Coverage
Total Medicaid Expansion Could Improve Uninsurance, Heath Equity
Payers Praise Inflation Reduction Act, Warn About Pharmaceutical Loopholes
SCAN Health Plan Announces Medicare Advantage Expansion into TX
How Long COVID Could Impact Health Insurance Coverage, Eligibility
Humana Receives Top Ranking for Health Plan Member Experience
UHG Data Shows Impact of Telehealth on Outpatient Behavioral Health
Aetna CVS Health Intends to Enter CA Individual Health Insurance Marketplace
Uninsurance Rate Drops to Record Low of 8%, Pointing to ACA Enrollment Boom
Cigna Extends Medicare Advantage Transportation Benefit Due to Heat
Medicaid Health Home Benefit Covers Children with Complex Conditions
UHG Initiative for Children with Special Needs Boosts Net Promoter Score
NCQA Adds New HEDIS Quality Measures to Improve Race, Gender Health Equity
Aetna Medicaid Plan Recognized by NCQA for Health Equity Efforts
Growth of ACA Maximum Out-of-Pocket Limits Exceeds Wage Increases
How Family Income Impacts Out-of-Pocket, Catastrophic Spending on Insulin
ACA Preventive Care Coverage Requirement Boosts Access to Care
Cementing ARPA Enhanced Subsidies May Boost Deficit, Lower Uninsurance
Key Factors in 2023 Individual Health Insurance Market Premiums
Data Shows Lack of Health Equity in Employer Sponsored Health Plans
More than Half of Americans Have Low Health Insurance Literacy
Why Payers Need to Modernize the Claims Payment Experience
52% of OR Medicaid Providers Never Saw Medicaid Enrollees in 2018
ACA Marketplace Premiums Projected to Increase by 10% in 2023
Key Opportunities, Action Steps for Race, Ethnicity Data Collection
Medicare Advantage Plans See High Enrollment, Low Spending in 2022
Medicaid Beneficiaries Face Barriers to Cancer Care Access
Value of a Strategic Partnership for Improving the Member Experience
UnitedHealthcare Cuts Out-of-Pocket Healthcare Costs for Insulin
ARPA Subsidy Expiration will Impact Reproductive Healthcare Access
Medicare Advantage Plans Increase Profits by Dodging MLR Limitations
Seniors, People with Disabilities Will Lose Medicaid Coverage After PHE
63% of Medicare Beneficiaries Paid Full Generic Drugs Cost in 2020
NY Anticipates the Impact of Ending the American Rescue Plan Act Flexibilities
Workers in Injury-Prone Industries Lack Employer-Sponsored Health Plans
Seniors Find Medicare Enrollment Confusing, Avoid Changing Plans
Health Net Shares Payer Best Practices for Bolstering Community Support
UHG Makes $25M Social Determinants of Health Donation To Housing Fund
Value-Based Care in Diabetes Care Management Calls for Policy Changes
Consumers Continue to Experience Surprise Billing After No Surprises Act
How Payers Can Deliver Value Through Care Management Models
2% of ACA Marketplace In-Network Claims Denials Are for Medical Necessity
HHS Resources Address Oversight of Medicaid, CHIP Quality of Care
Aetna Takes Action to Enhance Adolescent Suicide Prevention
Reducing Premiums Can Lead to Improved Insurance Coverage
UHC Adds Health System to CO Doctor Plan to Boost Patient Care Access
Payer Recognized for Health Equity, Social Determinants of Health Efforts
New ACAP Center Aims to Support Social Determinants of Health Efforts
Employer Sponsored Health Plans Generate Significant ROI, Benefits
Payer Uses Value-Based Care to Improve Musculoskeletal Disease Care
AHIP Calls For More Accurate Federal Reporting on Medicare Advantage
States May See Higher Uninsurance Rates Among Children When PHE Ends
GAO: Gaps Remain in Medicaid Managed Care Direct Payments Oversight
ARPA Subsidy Expiration Could Drive 2023 Premium Rate Changes
Health Insurance Is The Third-Highest Living Expense For Americans
Removing Prior Authorizations Had Mixed Effect On OUD Care Uptake
Health Savings Accounts Do Not Control Enrollee Healthcare Spending
How Nurses Enable Health Plans to Support Members Aging in Place
Leveraging a Network of RNs Boosts Member Experience, Spending
Payers Respond to SCOTUS Overturning Abortion Rights Case
Payers Missing the Mark on Digital Member Experience, Satisfaction
Colorado Implements Section 1332 Waiver to Advance Health Equity
HHS: ARPA Premium Subsidy Expiration Will Boost Uninsurance, Costs
ACAP Shares Health Equity Goals for Safety Net Health Plans
CVS Health Expands Free Screening Program To Advance Health Equity
How Data Enables Payers to Improve Member Access, Experience
SCOTUS Sides with Group Health Plan in Dialysis Reimbursement Case
Black Beneficiaries Generated Lower Medicaid Spending, Utilization
Affordable Care Act Impacted Patient Experience, Not Utilization, Cost
Anthem Subsidiary Brands Aim to Boost Member Care, Unify Health Plans
More States Extend Medicaid Postpartum Coverage to a Full Year
A New Mindset: How Payers Ensure a Successful Digital Transformation
Payers Expected to Issue $1B in Medical Loss Ratio Rebates in 2022
OIG: Medicare Race, Ethnicity Data Is Inaccurate, Thwarts Health Equity
Medicare Advantage Represents a Growing Share of Medicare Enrollment
Key Steps to Improve Coverage Integration for Dually Eligible Individuals
How States Can Improve, Increase Race and Ethnicity Data Collection
How States Can Evaluate, Improve Ex Parte Medicaid Renewal Processes
BMA: MA Member Satisfaction Is High, Prior Authorization Denials Low
Humana Expands Home Healthcare Model to Serve Virginia
LGBT Medicaid Beneficiaries Have Higher Rates of Unmet Care Needs
Private Insurance Covers Most Nonelderly Adults with Mental Health Needs
AHIP to Offer Members Access to Analytics Platform, Data Reports
Californians Report Good Quality of Care, Easy Access to Care
How Medicare Out-of-Pocket Healthcare Spending Cap May Impact Beneficiaries
Anthem Announces Partnership to Support Maternal Mental Healthcare
Consumers Say Insurers Are Responsible for Access to Mental Healthcare
Payer Health Equity Elusive for LGBTQ+, But Improvements Are Ahead
How Loneliness Impacts Employees As A Social Determinant of Health
More Consumers Find Transparency Tools Accessible, Useful in 2022
How Data Impacts Medication Access, Adherence, and Utilization
HHS, CMS Extend American Rescue Plan Funding For HCBS Another Year
SCAN Group Acquires Home Healthcare Organization, Forms New Practice
Humana Continues Integrating Home Healthcare Program into Senior Services
CMS May Use 2022 Savings to Lower 2023 Medicare Part B Premiums
Payer Launches At-Home Chronic Disease Management, Education Solution
CVS Health Offers Virtual Primary Care Solution to Aetna Members
Anthem Foundation Funds Substance Use Disorder Programs
How CMMI is Addressing Social Determinants of Health, Health Equity
BMA Supports Bill on Medicare Advantage Prior Authorizations
CMS, HHS Leaders Commend 4 States for Expanding Postpartum Coverage
Pre-Deductible Coverage Expansion in HSAs Might Slightly Boost Premiums
Key Preventive Care Services Recommendations from USPSTF in 2022
CareFirst Partnership Aims to Identify, Address Social Risk Factors
No Surprises Act May Have Blocked 2M Surprise Billing Claims
NQF Opens Comment Period on Federal Program Quality Measures
How ACA Insurer Participation May Perpetuate Care Disparities
How Medicaid Programs Provide Coverage for Maternal Health Services
Payer Invests in Public Health Program To Advance Health Equity
AHIP Supports Using Texts, Calls for Medicaid Enrollment Processes
CMS Updates Medicare.gov To Simplify, Support Navigation
Health Plans Falter at Providing Medicaid Redetermination Info
Provider Acceptance High for Privately Insured, Medicare Patients
Employer-Sponsored Health Plans Facilitated Mental Health Access
UHG Report Highlights Mental Healthcare Needs Among Seniors
Payer Establishes Culturally Specific Alternative Payment Model
Complaint Filed Against Alabama Medicaid for Hepatitis C Coverage
Consumers Share on Employer-Sponsored Mental, Behavioral Coverage
How Medicaid Can Address Youth Homelessness, Behavioral Health
KLAS: 6 Vendors That Aim to Resolve Payer-Provider Friction
Role of Health Insurance Coverage, Benefits in Great Resignation
Rural Residents See Higher Premiums, More ARPA Premium Subsidies
Anthem Announces Finalization of Integra Managed Care Acquisition
Centene Announces Sale of Pharmacy Benefit Manager, Pharmacy
Payer Targets Health Equity in Colorectal Cancer Prevention
How One Medicaid Program May Prevent Coverage Loss Post-COVID
Contracted Medicaid Managed Care Providers Treated Few Beneficiaries
Telehealth Waiver Boosted Care Access for Medicare Beneficiaries
MN Uninsurance Rate Drops, But Racial Disparities Persist
CVS Health: More Americans Value Mental Health Conversations
Trends in Medicare Savings Programs, Part D Subsidy Enrollment
OIG Suggests Changes to MA Prior Authorizations, Payment Requests
CMS, HHS Finalize 2023 Notice of Benefits, Payment Parameters
CA Medicaid Plan Seeks to Streamline Pay for Performance Model
How Humanizing Healthcare Enables Future Health Plan Success
Employer Sponsored Health Plan Trends in High Enrollment States
BCBSA Outlines Next Steps for Health Equity Data Standardization
Part D Out-of-Pocket Spending Cap Could Promote Health Equity
Low Socioeconomic Status Negatively Impacted Healthcare Delivery
Humana Outlines Social Determinants of Health Industry Progress
BCBSRI Joins Global Capitation Model, Starts 2022 RI Life Index
Top Employer Strategies for Health Equity in Obesity, Diabetes
4 ACA Marketplaces Take Action to Advance Health Equity
CMS Introduces Health Equity Strategy for Public Payer Programs
The Status of Uninsurance Among Immigrants, Barriers to Coverage
Key Advantages of Medicare Advantage Plans Versus FFS Medicare
Part D Out-of-Pocket Costs Pose a Barrier to Treatment Access
5 Major Payers Recognized for Employer Sponsored Wellness Benefits
Medicaid Expansion Boosted Coverage for Adults with Legal Involvement
ARPA Tax Credit Expiration Will Increase Uninsured Population by 3M
How Health Plans Use Communication to Enable Member Empowerment
LA Care Health Plan Tackles Provider Workforce Shortage
Payer, Walgreens Partner to Improve Equity, Care Coordination
UHC Introduces Employer-Sponsored, Virtual Care Physical Therapy
7 Challenges, Costs of Utilization Management for Employers
Payer Precision Medicine Program Covers At-Home Genetic Tests
How Health Plans Build Trust to Become Member Advocates
AHIP Responds to Proposed CDC Opioid Prescribing Guidelines
UnitedHealthcare Expands Maternal Health Equity Program in NC
CMS National Coverage Determination May Worsen Health Inequities
CMS Releases Alzheimer’s Treatment National Coverage Determination
How The No Surprises Act Seeks to Change Surprise Billing
Trends in Medicaid MCO, Marketplace Network Adequacy Standards
OIG: CMS Should Promote Biosimilars To Reduce Part D Spending
ART Impacts Spending, Care for Medicare Beneficiaries with HIV
CAQH Shares Interoperability and Patient Access Rule Compliance
CMS: 2023 Medicare Advantage, Part D Rate Sees 8.5% Revenue Boost
CMS Updates Medicare Part B OTC COVID-19 Testing Coverage
Aetna Prioritized Member Mental Healthcare, Virtual Care in 2021
How Coverage Mandates May Impact DBT Breast Cancer Screenings
Job Satisfaction, Equity Characterize 2022 Wellness Program Design
Uninsured Adults Less Likely to Access Mental Healthcare Services
Uninsured May Lose Access to COVID-19 Services Without Federal Funds
Org Streamlines Billing, Authorizations in Public Payer Coverage
National Healthcare Spending May Grow 5% in the 2020s
4 Tools for Managing Risk in Medicaid Managed Care Organizations
CQMC Finds Quality Measurement Gaps, Supports Digital Measures
State-Based Marketplace Premiums to Increase Without ARPA Expansion
Benefits of an Integrated Healthcare Payments Platform to Payers
Securing Temporary Public Payer Policies Following the PHE
Feds Reflect on the Impact of the Affordable Care Act
High Deductible Health Plans Impact Employee Mental Healthcare
MedPAC Releases Medicare Advantage Recommendations, BMA Reacts
Centene Receives Health Equity Innovation Award from NCQA
Value-Based Care Models That Could Lower Maternal Care Costs
Privately Insured Catheter Users Incurred High Out-of-Pocket Costs
The Unintended Consequences of Complex Healthcare Payment Systems
How Patient Management Promotes Medication Adherence, Lowers Costs
UnitedHealthcare Funds Pediatric SCD Behavioral Care, Education
Tobacco Surcharge May Limit Affordable Care Act Enrollment
Trends, Changes in 2020 Medicare Supplement Plan Enrollment
92% of Counties Have Affordable Care Act Plans with 3 to 5 Stars
What Public Payers Can Do To Stop Public Charge Misinformation
Out-of-Pocket Healthcare Spending Higher for Pregnant People
National Coverage Determination May Limit Access to AD Treatment
Understanding the Complexity of Healthcare Claims, Payments
Behaviorally Informed Letters Boost Affordable Care Act Enrollment
Medical Debt Points To Holes in Health Insurance Industry
How Ending the Public Health Emergency Impacts Medicaid Spending
Medicaid Spending on Home, Community-Based Services Up by $116B
Obstacles to Covering Precision Medicine Multicancer Screenings
MACPAC Highlights Dual Eligible Challenges in CMS Proposed Rule
How Eliminating Individual Mandate Impacted the Latino Community
Payer Orgs Respond to CMS Medicare Advantage Advance Notice
Consumers Emphasize Insurer Role in High Healthcare Spending
BCBSA Partnership Aims to Increase Access to Low-Cost Insulin
Top Benefits, Challenges of NC Medicaid Managed Care Model
Payers React to State of the Union 2022 on ARPA, Drug Costs
How Ending the Public Health Emergency Impacts Medicaid Enrollees
Employer Sponsored Health Plan Dialysis Costs More Than Medicare
Medicare Advantage Plans Boost Supplemental Benefits Offerings
Humana Transitions Home Healthcare Products to CenterWell Brand
Commercial Health Plan Trends Reveal High Turnover, Reenrollment Rates
Uninsurance Rate Among Black Americans Dropped 8% Under ACA
How 2020 Healthcare Spending Trend Fits Within Decades of Growth
National Healthcare Spending, Prices Saw Modest Increase in 2021
Employers Identify Key Biosimilar Strategies, Knowledge Gaps
Medicare Premiums, Inflation Create Affordability Challenges
4 Ways That 1115 Medicaid Demonstrations Can Address Health Equity
AHIP: Next Steps Toward Primary, Behavioral Healthcare Integration
Top 10 Most Expensive Chronic Diseases for Healthcare Payers
Smokers in Medicaid Rarely Accessed Cessation Medication, Counseling
30% of Seniors Still Experience Impacts of Foregone, Delayed Care
State, Medicaid Coverage For Obesity Treatments Varies Widely
Humana, UofL Invest in Health Equity, Social Determinants Initiative
BBBA, Medicaid Expansion Could Expand Coverage For HIV Community
9 Employer Best Practices for High Deductible Health Plan Design
CareFirst Distributes $1.76M to Address Diabetes Epidemic, SDOH
7 Steps for Employer Social Determinants of Health Strategies
What Are the Pros and Cons of Consumer Driven Health Plans?
Low Value Care Spending on Low Back Pain Is Decreasing
CMS Updates Medicare Coverage for Certain Lung Cancer Screenings
AHIP Comments on Alzheimer’s Drug National Coverage Determination
CMS Home Healthcare Policy Reduced Hospital Readmissions
AHIP Shares Privacy, Cybersecurity Goals To Protect Consumer Data
High Health Insurance Literacy Tied to Medicare Advantage Enrollment
MACPAC Shares Spending Trends Among Dual Eligible Beneficiaries
How States Are Addressing The Youth Mental Health Crisis With ARPA
CMS Issues Over-the-Counter Coronavirus Testing Guidance
BCBSTX Launches SDOH Grant Cycle for Community-Based Organizations
3 Major Payer Q4 2021 Earnings Reports Show COVID-19 Impacts
AHIP Calls On Congress to Address Price Gouging of COVID-19 Tests
Medicare Will Cover OTC Coronavirus Tests At The Counter
CMS Seeks Input on Medicare Advantage, Part D Health Equity Index
Walmart Launches Provider Recommendation Tool for Health Plan Members
Industry Reacts to Report on Payer Mental Health Parity Compliance
US Reps Urge CMS to Maintain Medicare Advantage Benefits in 2023
How OR Plans to Use a Public Option to Advance Health Equity
Adolescents with SUDs in Medicaid Rarely Get Substance Abuse Care
Key Payer Concerns in Proposed 2023 Benefit, Payment Parameters
Uninsurance Rate Drops to 8.9% in Q3 2021, Nears Record Low
Record-Breaking ACA Open Enrollment Gains 5.8M New Enrollees
3 Ways to Assess ROI on Social Determinants of Health Programs
Top Reasons Why Health Plans Fail Mental Health Parity Compliance
Change Healthcare May Sell Assets to Prepare for UHG Merger
Consumers Face Struggles with COVID-19 Testing Access, Coverage
Key Factors Behind How Much Commercial Insurers Pay Providers
Oscar Health Cost Estimator Tool Aims to Increase Price Transparency
Payer Affordable Care Act Marketplace Participation Grew in 2022
AHIP, BCBSA Back HHS, Interim Final Rule in Surprise Billing Lawsuit
5 Reasons Why Payers Should Bolster Payment Integrity
How Private Payers, Medicaid Cover At-Home COVID-19 Testing
The Role of Medicaid Plans in Assuring LGBTQI+ Access to Care
Payer, Provider Collaboration May Improve Provider Directories
How Employers Can Address Employee Needs, Social Determinants
How The Affordable Care Act Impacted Small Group Coverage Trends
CHIP Coverage Option May Help Improve Prenatal Care for Immigrants
How Home Health Will Evolve in the Year Ahead
COVID-19 Federal Spending Drove National 2020 Healthcare Spending
At-Home COVID-19 Tests in Low Supply Before New CMS Requirements
Payers Lag On Acupuncture Coverage Despite Rising Utilization
UnitedHealthcare Offers Initiatives to Improve Vision, Eye Health
Industry Reacts to CMS Medicare Coverage Determination Proposal
HRSA Expands Preventive Care Coverage Under ACA for Women, Children
CMS Releases Medicare Coverage Proposal for Alzheimer’s Treatment
Medicaid Expansion Shrinks Distance to Care, Improves Equity
CMS Requires Payers to Cover At-Home Coronavirus Testing
How Medicaid Enrollment Assistance Supports Incarcerated Persons
CMS Releases 2023 Medicare Advantage, Part D Proposed Rule
Closing Gaps in Care with Advanced Interoperability Capabilities
Centene Finalizes Acquisition of Behavioral Healthcare Platform
Priority Health, Epic Partner to Improve Patient Data Exchange
Medicare Coverage Policies Can Result in Millions of Denied Claims
Low Value Care in Pediatric, Inpatient Care Cost $17M in 2019
How Phone Calls Impact Affordable Care Act Marketplace Enrollment
UHC Will Not Implement Emergency Care Coverage Changes
Humana Expands Value-Based Care to Medicare Advantage Members in OR
Cancer Patients in High Deductible Health Plans Face Steep Costs