PayerHow Billing Turns a Routine Birth Into a High-Cost Emergency
A quick exam to evaluate labor in a small triage room can generate substantial charges.
Clinical CareDirect Primary Care, With a Touch of Robin Hood
St. Luke's, a clinic with a staff of four in a nondescript shopping center, offers an unorthodox combination of concierge-style...
Payer2022 Medicare Advantage Plan Overview, Part Three: Social Determinants
"Medicare Advantage plans have a unique and growing opportunity to address the needs of socioeconomically vulnerable populations and improve their...
TelehealthUnited Healthcare, Optum Launch Virtual-first Health Plan
NavigateNOW is being touted as "a simpler, more convenient experience at approximately 15% less premium cost than traditional benefit plans."
Payer2022 Medicare Advantage Plan Overview, Part Two: Portfolio Strategy and Leading Carriers
Portfolios are designed to "make care more affordable, accessible and convenient," in the words of one executive.
Payer'An Arm and a Leg': Hello? We Spend 12M Hours a Week on the Phone With Insurers
In many cases, the companies are not actually getting paid to provide insurance.
TelehealthSchedule Online Visits First? It's the Next Big Thing in Health Insurance
Many insurers offering virtual-first plans hire outside firms to provide medical staff.
PayerHealth Industry Wields Power in California's High-Stakes Battle to Lower Healthcare Costs
Lobbyist used their political clout and close ties with the governor to devise a friendlier alternative that doctors, hospitals and...
Payer2022 Medicare Advantage Plan Overview, Part One: Costs and Leading Carriers
"Medicare consumers overall ... crave stability of benefits and a hassle-free experience that gets them the care and coverage they...
PayerMajor Insurers Running Billions of Dollars Behind on Payments to Hospitals and Doctors
Hospitals are also dealing with a spike in retroactive claims denials by UnitedHealthcare.
Human ResourcesOpinion: The Pandemic Forced My Transgender Wife to Fight Our Insurer Over Hormones
The COVID-19 pandemic has caused millions of people to lose their jobs and private health insurance, particularly LGBTQ adults.
PayerPre-2022 Annual Enrollment, a Look Back at 2021 Medicare Advantage Plan Features
"As Medicare Advantage takes on an even larger presence in the Medicare program ? [it will] be important to monitor...