Payer

ACA Enrollment Up 17% Compared to Last Year
New customers are flocking to Affordable Care Act (ACA) Marketplace health plans in the early stages of the open enrollment...
House Committee Calls for 'Swift Action' on No Surprises Act Final Rule
Lawmakers take issue with the importance of the qualifying payment amount (QPA) in the independent dispute resolution (IDR) process.

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Improve or Transform? A New Resource for Executives
The Christensen Institute's new guide aims to help leaders make difficult business model transformation decisions.
2023 Marketplace Coverage: Part 2 — The Transition Arc
As the public health emergency extends (PHE) into 2023, payers dominating both Medicaid and the Exchanges will continue to win...
No Surprises Act Prevented 9M Surprise Bills
Research by America's Health Insurance Plans (AHIP) and the Blue Cross Blue Shield Association (BCBSA) looks at the effects of...
Congress Pressed to Extend Pre-Deductible Telehealth Waiver
The waiver was included in the 2020 CARES Act but will expire on December 31 if lawmakers don't act.
California Advocates Push Expanded Role for NPs
The California Health Care Foundation examines new law in 2023 that creates a route for NPs to practice independently.
Update: United Healthcare spokesperson says agreement reached with Providence
Before Tuesday, it was unclear if people insured through UnitedHealthcare would still be able to receive health care from Providence...
Atrium merger with Advocate Aurora could be complete within weeks, CEO says
The top executive of Atrium Health says that the healthcare system expects to complete within weeks its the mega-merger with...
One missed payment led to their long-term care insurance being canceled
In recent years, billions of dollars in losses have plunged the long-term care insurance industry into financial crisis, prompting some...
TikTok helps expose flaws of health-care system
Oak Park resident Aaron McManus recently exposed the inadequacies of the American health-care system to task, racking up almost a...
Florida health care chief Simone Marstiller stepping down
As Gov. Ron DeSantis moves into a second term, Agency for Health Care Administration Secretary Simone Marstiller is stepping down...
Ascension Health to close St. Vincent Dunn Hospital (IN)
Ascension Health announced it would close St. Vincent Dunn Hospital in Bedford, IN, only days after posting a fiscal year,...
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