health insurance
publication date
Payer
How Providers Can Stop Losing Money on Their Medicare Advantage Contracts
Dr. Sachin Jain and Mike Plumb detail what providers are missing and how collaborative health plans can help.
CFO
CFO In the Know: Price Transparency Update
Hospital price transparency compliance enforcement is set to rise.
Payer
Employer Health Plan Performance Gap Expands, Says J.D. Power
The good get better while the bad get worse as overall member satisfaction declines slightly.
Payer
Too Big to Fail, Too Broken to Fix?
UnitedHealth Group?s very bad year, what it means for healthcare reform, and 3 predictors happening right now.
Payer
How Payers Can Realize Hard ROI From Hyperpersonalization
A new report details how AI plus behavioral science bridges payer-member divides and helps capture lost ROI.
Payer
When Hospitals Ditch Medicare Advantage Plans, Thousands of Members Get to Leave, Too
In the past 15 months, CMS has quietly offered roughly three-month special enrollment periods allowing MA members in 13 states...
Payer
The Ranks of Obamacare 'Fixers' Axed in Trump's Reduction of Health Agency Workforce
The cuts have demoralized caseworkers, whose jobs demand a grasp of complex and arcane health insurance rules.
Payer
Will Post-Brian Thompson Reforms Go the Way of DEI?
What happens when violent events amplify calls for reform?
CMO
In Rural Mass., Patients and Physicians Weigh Trade-Offs of Concierge Medicine
Many physicians who've made the change say it resolved some of the pressures they faced in primary care.
Payer
Medicare Advantage: Why Members and Plans Paid More
Cost shares have as much as doubled as plans get a payment rate hike.
CFO
'Understand Market Demand First,' Says This CFO
See how this CFO balances inpatient and outpatient capacities at a Level II Trauma Center.