As healthcare payers work to modernize their healthcare technologies, or even adopt new ones, it will be essential for them to be knowledgeable about the consulting services that may aid those health...
Connecticut State Comptroller Kevin Lembo confirmed midweek that proposed legislation to establish a public option in the state is dead following resistance from major payers.
One payer, in...
Reducing the costs of certain diagnostic tests could result in cost savings totaling at $18 billion annually, according to a report from UnitedHealth Group.
Currently, the healthcare industry is...
Workers enrolled in employer-sponsored health plans are paying an extraordinary amount for their health insurance, specifically through relatively high premiums and out-of-pocket costs, according to a...
While beneficiary satisfaction with commercial health plans continues to climb, there are still key areas for improvement to drive an overall better consumer experience, according to a recent survey...
A new report from the RAND Corporation argues that private payers should rework their contracts with hospitals to align their payment rates with those seen in Medicare plans.
The report, which looked...
States are taking action to protect consumers from low-value health payer plans, including short-term health plans, according to a new issue brief from the Commonwealth Fund.
Short-term health plans...
Sutter Health, a California-based, non-profit benefit organization, has agreed to pay $30 million to settle allegations that its affiliated entities submitted false information about the health status...
Average health insurance premiums and individual deductibles for small business health plans have both increased since 2015, which may contribute to employers and employees’ concerns about...
North Dakota Governor Doug Burgum has signed a bill that will establish a reinsurance pool for the state’s individual health insurance market.
The North Dakota House of Representatives passed...
Large employers across the country are expected to spend an average of $3.6 million on wellness programs in 2019 to support a healthier and more productive workforce, according to a survey from...
Cigna and Express Scripts have launched a program to reduce out-of-pocket insulin costs for patients with diabetes.
The Patient Assurance Program will ensure eligible people with diabetes in...
Utilization management (UM) requirements are likely delaying cancer care and resulting in poorer outcomes for cancer patients, according to a survey conducted by Public Opinion Strategies and Hart...
Certain states and medical specialties account for larger shares of out-of-network claims and balance bills for inpatient hospital admissions, according to a study conducted by the Health Care Cost...
UnitedHealthcare recently announced that it has invested more than $400 million to address the social determinants of health and increase affordable housing access for people in underserved...
The private health insurance market remains concentrated among a small number of payers, with the three largest companies holding 80 percent or more of the market, a recent GAO report found.
Three or...
Several federal judges have decided that a number of signature Trump Administration health insurance policies cannot stand.
Judges have nixed key efforts to expand the sale of association health plans...
Managed care giant Centene Corporation has announced that it will acquire rival payer WellCare Health Plans, Inc. for $17.3 billion in cash and stock.
The latest mega-deal among key players in the...
The Trump Administration is leaving no more ambiguity about its opposition to the entirety of the Affordable Care Act.
In a brief legal memo released this week, three Department of Justice...
Just over 37 percent of the US population is living in an ACA rating region with either one or two insurers, resulting in higher premiums and increased spending, according to a recent study conducted...
