Revenue CycleHow Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them
Internal documents and former company executives reveal how Cigna doctors reject patients' claims without opening their files. "We literally click...
PayerAHA: Site-neutral Payments Ignore Hospitals' Adverse Patient Mix
Payers counter that removing exemptions for all site-neutral payments could save taxpayers $471 billion over 10 years.
PayerMedicare Advantage Enrollees Vulnerable to Financial Challenges
Research reveals the financial discrepancies between Medicare Advantage (MA) and Medicare Supplement beneficiaries.
PayerPatients Likely to Skip Preventive Care if ACA Ruling Holds
A survey finds many will not pay for preventive services if they are no longer covered by health insurers.
PayerFeds Move to Rein In Prior Authorization, a System that Harms, Frustrates Patients
Few things about the American healthcare system infuriate patients and doctors more than prior authorization.
PayerThe Top-Ranked Health Insurers of 2023
Insure.com compared payers in various categories to review and rank the best companies currently.
PayerMost Medicare Members Feel Policymakers Aren't Listening to Their Needs
A new survey finds high satisfaction with Medicare plans, but plenty of concern over costs and future access to benefits.
PayerNearly 90% of Employers to Make Changes to Health Benefits Vendors
Organizations will add, enhance, or end services to address employee experiences and benefits.
PayerAs Pandemic-Era Medicaid Provisions Lapse, Millions Approach a Coverage Cliff
States face steep challenges: making sure they don't disenroll people who are still entitled to Medicaid and connecting the rest...
Payer'We're Still Gonna Say No': Inside UnitedHealthcare's Effort to Deny Coverage to Chronically Ill Patient
After a college student finally found a treatment that worked, the insurance giant decided it wouldn't pay for the costly...
PayerElevance to Buy BCBS Louisiana
The merger comes amid growing concern that healthcare consolidations among payers and providers are driving up costs.
PayerNumbers Don't Lie. Biden Kept His Promise on Improving Obamacare.
Observers offer 'an unequivocal yes,' to the question of whether Biden has met his campaign promise.