Payers that offer consistent digital member experience services across multiple channels are more likely to see steady benefits and have high member satisfaction, according to a new study.
A member...
SCAN Health Plan is expanding its Medicare Advantage footprint to Arizona, Nevada, and additional counties in California to reach more than five million senior beneficiaries.
SCAN currently provides...
Anthem has partnered with The Clinic by Cleveland Clinic to improve members’ access to second opinions on their healthcare needs, Anthem revealed in a statement emailed to...
In 2020, the prevalence of employer-sponsored health plan coverage fell during the coronavirus pandemic even as employment rebounded, according to a recent study published in the JAMA Health...
Wellcare has announced that Centene and Wellcare will consolidate their Medicare offerings under the Wellcare brand name.
This strategy will bring Centene Medicare products like Allwell, Health...
CareFirst of Maryland, Inc (CareFirst) and Highmark, Inc (Highmark) have partnered to offer a new product to eligible members that prioritizes affordable, high-quality labor union health...
The Alliance of Community Health Plans (ACHP) is urging the federal government to take action and lower prescription drug prices with a set of recommended actions.
The costs of prescription drugs...
Cigna is expanding its presence in the individual health insurance market, the payer announced ahead of the 2022 open enrollment season.
“Cigna's offerings are designed to support...
In order to achieve health equity, payers must holistically address care disparities and inequities on the individual, community, and systemic levels, according to an Alliance of Community Health Plans...
Now that vaccines are readily available to all American adults, private payers have stopped waiving cost-sharing for COVID-19 hospitalizations, according to a Peterson-Kaiser Family Foundation (KFF)...
Missouri claimed $3.4 million in improper payments for its Medicaid home healthcare program providers and did not comply with federal and state Medicaid requirements, according to a report from the...
Blue Cross Blue Shield of Rhode Island (BCBSRI) has introduced a new virtual care management platform to offer a more convenient way for members to receive care coordination services and to improve...
Escalations in Medicare Advantage healthcare spending—along with higher traditional Medicare spending—could drive scarcity in the Medicare hospital insurance trust fund and could boost...
Association health plans have been presented as an option for small employers that struggle to afford health insurance. But are association health plans the right solution for these...
Hospital admission rates and 2021 healthcare spending overall were below expected levels through early April 2021 and researchers projected that these trends could continue through June 2021, according...
UnitedHealthcare settled a case with the US Department of Labor and the New York State Attorney General regarding the health insurer’s mental and behavioral reimbursement parity, the Department...
CVS Health and Aetna have launched a virtual primary care service to increase member access to preventive care.
Aetna Virtual Primary Care will provide members with telehealth services as well as a...
Regence BlueShield (Regence) is welcoming new providers to its value-based care program and offering coverage for additional services to lower costs and improve patient health outcomes.
The payer...
The way to determine the quality of a Medicare Advantage health plan is simple: look at the five-star rating on the Medicare website. However, the Medicare Advantage Star Rating methodology that...
In light of the Delta variant of COVID-19, Centene Corporation has taken steps to increase Centene employee coronavirus vaccination, boost education, and prepare for an increase in coronavirus...
