Payer

Medicare Advantage Member Satisfaction Lacking in Mental Health, Substance Abuse Services
J.D. Power gauged overall member satisfaction with Medicare Advantage (MA) plans based on six factors.
Hospitals Struggle to Collect Beyond Threshold for Out-Of-Pocket Costs
Once self-pay balances reach over $7,500, providers are far less likely to collect as more patients have bad debt.

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Walmart Joins New Radiology Data Quality Program
The national retailer is the first large employer to join the Quality Care Collaborative, which supports quality improvement in radiology...
Why Digital Quality Measurement Will 'Materially Change' How Payers Operate
Don Rucker and Joe Gagnon detail the power of computational quality for the NCQA's new pilot and far beyond.
ChristianaCare, Crozer Health End Acquisition Talks
Crozer will revert to a nonprofit, the status it held before 2016 when it was acquired by Los Angeles-based, for-profit...
Managing Costs, Operational Efficiencies are Biggest Challenges Facing Payers
A survey of over 300 payer executives reveals what is keeping the industry leaders up at night.
The 3 CDC SDOH Workgroup Use Cases and Why They Matter
CDC to stakeholders: It's time for us to take our place at the data table.
Michigan health insurance companies ordered to lower costs
LANSING, Mich. (WILX) - Thursday, Governor Gretchen Whitmer sent a letter directing the Michigan Department of Insurance and Financial Services...
New York regulators release health insurance rates
New York regulators on Wednesday approved a slate of health insurance rate increases for next year, covering individual market and...
John Hancock in $26.3 million settlement with New York over canceled insurance policies
NEW YORK, Aug 18 (Reuters) - John Hancock Life & Health Insurance Co will pay $26.3 million to settle a...
CNY residents criticize Upstate, Crouse for evading federal scrutiny before hospital merger
Syracuse, N.Y. ? Upstate University and Crouse hospitals were criticized at a public forum Thursday night for trying to evade...
Americans may soon have to pay for COVID vaccines themselves rather than getting them for free
The U.S. government is planning to stop paying for COVID-19 vaccines and treatments, and shift the bill onto the healthcare...
Health care providers say Medicaid audits have become too onerous
Dozens of health care groups and advocacy groups this week are calling for a measure that is meant to create...
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