Healthcare payers will be paying back $1.3 billion in rebates to consumers, and the individual health insurance market played a significant role, a study by the Kaiser Family Foundation (KFF)...
Among publicly insured patients with the potentially chronic condition hepatocellular carcinoma (HCC), 35 percent had a longer wait time for a liver transplant, possibly indicating poor care...
Private payers and public payers alike have been working to assist states thrashed by Hurricane Dorian by driving care coordination and patient care access.
After HHS Secretary Alex Azar declared a...
Randy Hyun, the chief executive officer from Aetna Better Health, apologized at a public hearing in front of the KanCare oversight committee for Aetna Better Health’s mismanagement of the...
Louisiana Healthcare Connections (LHCC), whose parent firm is Centene, and Aetna have filed protests against Louisiana’s Medicaid managed care contract awards, The Advocate reported.
“Our...
Bright Health will be expanding its Medicare Advantage plan into 13 new markets across seven states, nearly doubling its footprint. The health plan will be expanding its product offerings by about 300...
Federal Judge Richard J. Leon recently ruled in favor of an HHS final rule issued in August 2018 that made short-term health plans renewable for up to 36 months.
Short-term, limited-duration health...
UnitedHealthcare and Boca Raton Regional Hospital missed their contract renewal deadline and are communicating to UHC members how to avoid surprise bills as the negotiations continue, the Sun Sentinel...
Blue Shield California (BSC) recently announced its new platform Wellvolution and in doing so it emphasized payers’ movement away from solely brick-and-mortar wellness programs to...
As 25 percent of rural Americans continue to struggle with access to care and about an equal amount turn to telehealth for solutions, experts push payers for better telehealth coverage to improve rural...
UnitedHealthcare (UHC) is launching a hearing healthcare program to combat hearing loss and improve access to quality, affordable hearing aids.
The program, titled UnitedHealthcare Hearing, is...
eHealth Initiative (eHI) recently released its “Guiding Principles for Ethical Use of Social Determinants of Health Data” to ensure that ethics and security remain a priority for social...
President Trump’s regulation requires healthcare price transparency on treatment costs and price negotiations, the White House announced in a press release on Monday
“To make fully...
Aetna recently announced a new partnership with CareLinx that will provide eligible Medicare members access to at-home caregiver services as part of their benefits.
“Finding a qualified...
America’s Health Insurance Plans (AHIP) is launching a new initiative to overcome social determinants called Project Link, the organization announced at their 2019 AHIP Institute and...
Enrollment of dual eligible individuals in Medicare Advantage (MA) has been “lagging” even with MA numbers projected to hit 70 percent between 2030 and 2040, according to a recent analysis...
Since the Health and Human Services announced a national state of emergency regarding the opioid epidemic in 2017, the need to improve both initial responses and follow up substance abuse care...
Anthem Inc. will be acquiring Beacon Health Options, a behavioral health management company serving beneficiaries in all 50 states.
The acquisition marks Anthem’s commitment to addressing...
The healthcare payer and insurance industry are key drivers of state economies across the country, not only by expanding access to care and payer coverage, but by creating jobs for millions of...
Blue Cross Blue Shield Association president and CEO Scott Serota will be retiring at the end of 2020, the major healthcare payer has announced.
Serota leaves behind a 23-year history at BCBSA,...
