Although the No Surprises Act went into effect at the beginning of 2022 to protect consumers from receiving unexpected healthcare bills, consumers have reported that they continue to be affected by...
Given the 18 percent denial rate for in-network claims in 2020, payers on the Affordable Care Act marketplace should offer more robust transparency around data reporting for in-network claims denials,...
CVS Health and its payer arm, Aetna, will expand its existing program with Psych Hub, advancing its efforts around adolescent suicide prevention.
Over the last several years, the number of teens...
HealthONE, the most extensive Denver-based healthcare system, announced it would be joining the UnitedHealthcare Doctors Plan of Colorado, expanding its network size to enhance patient care access.
By...
Health Net has been recognized in an Institute for Medicaid Innovation (IMI) report for the payer’s work in health equity, along with various other stakeholders that have made progress on...
Employer-sponsored health plans will generate a 47 percent return on investment (ROI) for employers in 2022, mainly driven by reduced direct medical costs, higher productivity, and tax benefits,...
Health savings accounts were designed to create a more healthcare cost-conscious populace, but research indicates that these plans may fail to support that goal, according to an analysis published in...
Community health plans and safety net health plans have a crucial role to play in advancing health equity, according to a report from the Association for Community Affiliated Plans...
CVS Health will cover community-based screening programs in two cities in an effort to prevent and detect chronic diseases and advance health equity.
The company calls its effort to improve access to...
The Supreme Court has sided with Marietta Memorial Hospital Employee Health Benefit Plan and rejected a claim that the payer’s low dialysis reimbursement rates federal law.
In 2018, DaVita, one...
Ahead of its rebranding to Elevance Health, Anthem has announced two subsidiary brands that aim to improve member care through technology services and unite its public and private health...
Payers will issue about $1 billion in medical loss ratio rebates across the individual market, small group market, and large group market in 2022, according to research from the Kaiser Family...
Medicare Advantage beneficiaries express high levels of member satisfaction, an eHealth survey found.
eHealth surveyed nearly 2,850 individuals online toward the end of May 2022.
Nearly two-thirds of...
Private insurance supports a large portion of nonelderly adults with mental health conditions and substance use disorders, according to a study by Kaiser Family Foundation (KFF).
Mental health...
AHIP has subscribed to the Institute for Clinical and Economic Review’s (ICER) cloud-based analytics platform, providing health plan members with access to benchmark reports, cost-effectiveness...
Many Californians expressed that their quality of care and care access overall was good, but accessing a diverse healthcare workforce remains a challenge, according to a survey conducted on behalf of...
Anthem has announced that it will offer a digital solution to mothers in order to support maternal mental healthcare needs.
The payer partnered with a vendor, Happify Health, to offer a tool that...
Most insured Americans stated that their health plans covered their mental healthcare needs completely or partially, with only three percent saying that they had no mental healthcare coverage,...
SCAN Group has acquired an organization that delivers home healthcare services to seniors in the group’s first acquisition in company history.
The Residentialist Group (TRG) is an...
Humana has announced that it is adding 14 states to its CenterWell Home Health model by continuing to integrate its home healthcare program, Kindred at Home.
The payer has been transitioning its...
