health plans
publication date
CFO
Denied and Defiant: CFOs Must Muscle Up as Payers Get Tougher on Claims
Payer challenges are growing. Here's what CFOs are saying, and what they can do.
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.
CFO
Seeking Spending Cuts, GOP Lawmakers Target a Tax Hospitals Love to Pay
The CBO estimates eliminating provider taxes would save the federal government more than $600 billion over a decade.
Innovation
Internal VA Emails Reveal How Trump Cuts Jeopardize Veterans' Care, Including to 'Life-Saving Cancer Trials'
Despite a congressional mandate to expand care for veterans, internal Veterans Affairs messages obtained by ProPublica paint a stark portrait...
CFO
A CFO's Guide to Navigating Potential Medicaid Cuts
Medicaid cuts would severely damage access to healthcare, and healthcare leaders are speaking up.
CEO
HL Shorts: Why Providers Need to Educate Patients on Medicare Advantage
Combating deceptive marketing by Medicare Advantage plans can benefit patients and providers, says one hospital CEO.
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.
CFO
The Winning Edge for Cost Containment
"Proactive not reactive" cost containment strategies are vital for finance executives.
CEO
Why Jefferson Health Went Out of Network with Cigna
The health system has taken the contract dispute public while the two sides continue negotiations.
CFO
Here's How CFOs Are Tackling Cost Containment
"Proactive not reactive" cost containment strategies are vital for finance executives.
Pharma
MT's Small Pharmacies Behind Bill to Corral PBMs
The measure includes a half-dozen restrictions on other PBM practices the smaller pharmacies call anticompetitive.