health insurance
publication date
Payer
How Billing Turns a Routine Birth Into a High-Cost EmergencyA quick exam to evaluate labor in a small triage room can generate substantial charges.
Clinical Care
Direct Primary Care, With a Touch of Robin HoodSt. Luke's, a clinic with a staff of four in a nondescript shopping center, offers an unorthodox combination of concierge-style...
Payer
2022 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...
Telehealth
United Healthcare, Optum Launch Virtual-first Health PlanNavigateNOW is being touted as "a simpler, more convenient experience at approximately 15% less premium cost than traditional benefit plans."
Payer
2022 Medicare Advantage Plan Overview, Part Two: Portfolio Strategy and Leading CarriersPortfolios 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 InsurersIn many cases, the companies are not actually getting paid to provide insurance.
Telehealth
Schedule Online Visits First? It's the Next Big Thing in Health InsuranceMany insurers offering virtual-first plans hire outside firms to provide medical staff.
Payer
Health Industry Wields Power in California's High-Stakes Battle to Lower Healthcare CostsLobbyist used their political clout and close ties with the governor to devise a friendlier alternative that doctors, hospitals and...
Payer
2022 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...
Payer
Major Insurers Running Billions of Dollars Behind on Payments to Hospitals and DoctorsHospitals are also dealing with a spike in retroactive claims denials by UnitedHealthcare.
Human Resources
Opinion: The Pandemic Forced My Transgender Wife to Fight Our Insurer Over HormonesThe COVID-19 pandemic has caused millions of people to lose their jobs and private health insurance, particularly LGBTQ adults.
Payer
Pre-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...