health plans
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Payer
The Winning Edge for Employer GLP-1 Cost Containment
Hospitals and health systems must strategically manage rising GLP-1 costs while balancing workforce health and long-term financial sustainability.
CFO
Infographic: 5 Notes for CFOs On Direct Primary Care Models
Could health systems ditch traditional high-deductible health plans for direct primary care models?
CFO
Direct Primary Care: A Predictable Path Forward for CFOs? (Part 2)
As financial pressures grow, CFOs are eyeing Direct Primary Care as a more stable, patient-focused alternative?though not without risks and...
Payer
Insurers and Customers Brace for Double Whammy to Obamacare Premiums
Premiums will vary based on where consumers live, the type of plan they choose, and their insurer.
CFO
Direct Primary Care: A Predictable Path Forward for CFOs?
Could health systems ditch traditional high-deductible health plans for direct primary care models?
CFO
How to Collaborate With Payers in 2025: Advice from HFMA
CFOs can get ahead with payers by using tech, leveraging data, and planning early.
CFO
4 Tips for Payer Collaboration from HFMA
Here's how CFOs can keep pace with, or even get ahead of, payers.
Payer
The Price of an Obamacare Plan Could Surge Next Year
Without enhanced subsidies, ACA insurance premiums would rise by more than 75% on average.
Payer
'We Can't Afford to Get this Wrong' — The Hidden Costs of 'Fixing' the Marketplace
Proposed ACA reforms could unintentionally erode affordability and access, destabilizing the very marketplaces they aim to strengthen.
CFO
$200B in Uncompensated Care: CFO Outlook on the Reconciliation Bill
The bill could slash Medicaid funding and end enhanced premium subsidies, threatening over $1 trillion in provider revenue.
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.
Payer
He Died Without Getting Mental Health Care He Sought. A New Lawsuit Says His Insurer’s Ghost Network Is to Blame.
The mother of Ravi Coutinho, the subject of a recent ProPublica investigation, is suing Centene for publishing "misleading" information that...