Although many studies have touted Medicare Advantage plans’ successes in diminishing low-value care and pursuing high-value care, there are at least 13 areas of low-value care in which Medicare...
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...
Blue Cross and Blue Shield of North Carolina (Blue Cross NC) initiated enrollment in its new Medicaid managed care plan known as Healthy Blue, the payer announced.
The Medicaid managed care plan has a...
Most Americans who have employer-sponsored health plans expressed confidence in their health plans’ support and financial protection, according to a survey conducted on behalf...
Humana has announced that some of its senior services and other payer-agnostic services will begin to transition into CenterWell, the payer’s newest brand.
Transitioning various services into...
In efforts to achieve health equity, Blue Shield of California has enhanced its provider network to expand COVID-19 vaccine access in underserved communities.
California’s enhanced provider...
The National Committee for Quality Assurance (NCQA) released a report with health equity recommendations for HHS and CMS, including enabling a digital quality measure system and strengthening Medicare...
With funding from Blue Cross Blue Shield of Massachusetts (BCBSMA) and the Massachusetts Coalition for Serious Illness Care, Massachusetts is developing an electronic registry of...
Two disruptive payers—Oscar Health and Alignment Healthcare—filed for an initial public offering (IPO) in order to go public in 2021.
There are numerous reasons why a company would choose...
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...
Restricted provider networks under Medicare Advantage plans may pose care access barriers to rural beneficiaries, according to a new study published in Health Affairs.
Researchers used Medicare...
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...
Blue Cross and Blue Shield of Illinois (BCBSIL) is tackling maternal care disparities in its state by financially supporting community-based interventions that focus on increasing education among new...
Prominent payers have sought to create health plans that are anchored in virtual care, known as “virtual-first” health plans.
The virtual-first health plan is not directly the result of...
Seniors who choose Medigap policies have high rates of satisfaction with their choice, particularly due to reduced out-of-pocket healthcare spending, according to a survey that America’s Health...
If five specific health conditions did not exist, large employers' healthcare spending per member per month could be declining instead of growing, according to a Health Action Council and...
Humana has launched a pilot program for Humana Care Support to help seniors with chronic disease management through integrated care management and improved data analytics, the payer...
Blue Cross & Blue Shield of Rhode Island (BCBSRI) is partnering with Butler Hospital to address behavioral health hospital readmissions through methods such as care management and...
Aetna will be returning to the Affordable Care Act's individual health insurance marketplace, CVS Health announced in its 2020 fourth-quarter earnings results.
“As the ACA has evolved...
Humana has announced a partnership with IBM Watson Health that seeks to improve member engagement through artificial intelligence.
The solution will use an artificial intelligence-enabled virtual...
