health insurance
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Payer
Part 2: How Those Hot New Employer Cost Stats Could Upend Employers' Payer-PBM Relationships
For everything from GLP-1 and cancer costs to provider networks, one employer association has strategies ? and they don't involve...
CFO
No Advantage to Medicare Advantage
Many providers have had it with the government plan, and dozens have already left it this year.
Payer
What Those Hot New Employer Cost Stats Actually Mean — and the Pivots They Could Signal
You've seen the WTW stats: Employer health costs are rising exponentially. But have you seen the surprising solutions? Including how...
Payer
Despite Persistent Warnings, Texas Rushed to Remove Millions from Medicaid. That Move Cost Eligible Residents Care.
Officials acknowledged some errors after they stripped Medicaid coverage from more than 2 million people.
Payer
CA May Regulate and Restrict PBMs
PBMs have been under fire for years for alleged profiteering and anticompetitive conduct, but Congress has yet to act.
Payer
Could Re-Expanded STLDI Be Part of Trump's 'Concepts of a Plan' for Healthcare?
A memorable healthcare debate moment in an election year focused largely on other issues.
Payer
The First Year of GA's Medicaid Work Requirement Is Mired in Red Tape
Georgia is the only state that requires certain Medicaid beneficiaries to work to get coverage.
Payer
ACA Enrollment Platforms Suspended Over Alleged Foreign Access to Consumer Data
CMS told Speridian Global Holdings that they were suspended after the agency identified 'a serious lapse in the security posture.'
Payer
Will 2025 Mark a Turning Point for Medicare Advantage?
When is growth not enough to keep payers happy?
Payer
The Many Faces of UM: The Next Two Decades
Utilization management has the power to perform many jobs. Will it?
Payer
Medicare Advantage in 2024: Enrollment Update and Key Trends
The growth in Medicare Advantage enrollment is due to a number of factors, including the availability of plans that charge...
CEO
CVS Shakes Up Aetna Leadership, Strategy as Insurer's Struggles Continue
The company also announced plans to slash $2 billion in costs to relieve pressure on its bottom line.