health insurance
publication date
Payer
Medicare Advantage Is Still Going Strong
A new report shows strong potential for the Medicare Advantage market.
Payer
Feds Pressuring Payers to Increase Assistance Efforts After Change Attack
U.S. officials are putting the pressure on payers to take more targeted action.
Clinical Care
Credentialling Inefficiencies, Backlogs Create 'Revenue Leakage'
Nearly one-third of providers say the turnaround time for primary source verifications takes one month or longer.
Payer
The Change Healthcare Attack: What Payers Need To Know
The attack is rippling through the healthcare industry and affecting everyone, including payers.
Payer
Infographic: 4 Reasons BCBS Was Squeezed In 2023
The insurer saw a minimal net gain after experiencing massive costs.
Payer
From Lawsuit to $190M Payout: Elevance Wins New MA Star Ratings
The new ratings come after the insurer sued the federal government in January.
Payer
Infographic: Two State Medicaid Work Requirement Updates
Will new Medicaid expansions be followed by work requirements?
Payer
Cigna and Trinity Strike Deal: Are Patients the New Bargaining Chip?
Cigna and Trinity Health sign off on multiyear deal after months of negotiations and a disruption of coverage.
Marketing
America Worries About Health Costs — And Voters Want to Hear From Biden and Republicans
In the KFF poll, 80% of adults said they think it's 'very important' to hear presidential candidates address healthcare costs.
Payer
Show Us The Money: Payers Cry Foul Over Possible MA Rate Cuts
The recent proposed MA rate cuts could cut into payers? profits, and payers are fighting back.
Payer
Hand Over The Data! Why Employers Are Fed Up With Payers Hiding Costs
Employers are seeking claims data, but payers are refusing.
Payer
Gold Carding and Payers: What To Know
Gold Carding is expanding across the country with several states already implementing the legislature in some way.