Private payers deliver health insurance coverage to hundreds of millions of Americans while providing millions of employment opportunities, according to AHIP’s Health Coverage:...
UnitedHealthcare announced various enhancements to its integrated care benefit and specialty benefit approach for employer-sponsored health plans that are expected to simplify the member experience and...
As new cases of COVID-19 peaked in late 2020, most physicians reported that payers had either reinstated prior authorization policies or never relaxed policies to begin with, based on an American...
Bottom of FormUnitedHealthcare Hearing has announced a virtual care option that will expand hearing care access for employer-sponsored and Medicare Advantage beneficiaries across the country.
The new...
For the nearly 1.4 million Americans who identify as transgender, transgender healthcare coverage is lined with hurdles.
One in five transgender individuals reported being uninsured at some point during 2017 to 2018, according to the...
Update 3/10/2021: This article has been updated to accurately reflect Mark Friedberg's argument that care disparities in the payer industry were the result of a lack of equity measures...
America’s Health Insurance Plans (AHIP) and Blue Cross Blue Shield Association (BCBSA) have promised to use their data analytics, partnerships, and member engagement platforms and strategies to...
High out-of-pocket costs may dissuade some Medicare Advantage beneficiaries from seeking COVID-19 care as payers eliminate cost-sharing waivers, according to a new American Journal of Preventive...
To ensure care access as the pandemic continues, Blue Cross and Blue Shield of Minnesota has extended eligibility for telehealth benefits and COVID-19 treatment waivers through the end of this...
In the year before the pandemic, the US spent a whopping $3.6 trillion on healthcare, with payer spending comprising a third, or $1,195 billion, of that, according to a report from the Congressional...
Today, the Centers for Medicare & Medicaid Services (CMS) passed a final rule that promotes data sharing, patient access to health information, coordinated care, and interoperability to streamline...
In its first decade, the Center for Medicare and Medicaid Innovation (CMMI) introduced and honed models to support value-based care, exploring multiple avenues for lowering costs and refining risk...
Highmark’s value-based care agreement with drug manufacturer Boehringer Ingelheim reduced the overall cost of care for adults with type 2 diabetes, providing more affordable chronic disease...
UnitedHealth Group has announced that its diversified health services company, Optum, and Change Healthcare will combine.
The deal will be worth approximately $8 billion, YahooFinance...
Haven, the joint venture healthcare company between three of America’s most powerful firms is disbanding after three years, according to CNBC. The partnership between Amazon, JPMorgan Chase, and...
Increases in drug wholesale list prices have a trickle-down effect that negatively impacts patient financial responsibility, such as out-of-pocket costs, and payer spending, according to a study...
The American Benefits Council (ABC) issued a release outlining what payers should expect legislatively post-election including COVID-19 relief and stimulus legislation, Affordable Care Act expansion,...
Overall healthcare spending in the US rose 4.6 percent in 2019 to hit $3.8 trillion, with private payers contributing a little more than three out of every ten healthcare dollars (31 percent), a recent...
Despite the many unknowns, a diverse group of experts and leaders in the industry have identified five payer industry trends for 2021 that range from strengthening value-based care partnerships to...
Aetna leveraged the clinic model and manufacturing abilities of OneSight, an international vision care nonprofit, in a three-day clinic that improved vision benefits and access to care for 275 Atlanta...
