PayerMedicare Advantage's Rapid Growth is Facing Few Obstacles for Stalling Out
The private program has been unencumbered in its take-off and it's unclear how much upcoming CMS regulations will challenge that.
PayerCurbing the Marketing Problem in Medicare Advantage
Misleading marketing has run rampant in the private program for too long, though new CMS regulations will attempt to offer...
PayerMA Star Ratings: A Path to Dominance or Billions in Losses?
The answer is both as payers benefit unevenly from CMS' fine turning.
TelehealthArizona OKs Telemedicine Care for Pets
The state is one of the first to fully sanction veterinary telemedicine, a growing trend since the pandemic that has...
PayerBCBSMA Adds Tufts Medicine to its Pay-For-Equity Payment Model
The health plan said it is one of the first in the nation to introduce this type of value-based contract.
PayerThe Shadowy Financial Empire Built Around Liberty HealthShare Is Showing Signs of Strain
Beers family members built a 'conglomerate' by selling a Christian alternative to traditional health insurance. They're now scrambling for cash,...
PayerMedicare Advantage Riddled With Ghost Networks
Senate Finance Committee finds mental health provider directories are widely inaccurate in the private program.
MarketingSentara Unveils New Branding
The organization will undergo a multi-year process of updating its logo throughout its service areas in Virginia and North Carolina.
PayerMedicare Advantage Premiums Rising as Enrollees Opt for Lower Out-of-Pocket Costs
The popularity of zero-dollar premium plans in Medicare Advantage (MA) is on the decline.
PayerCVS Health Survey Reveals 4x Gap in Physician-Patient Mental Health Perceptions
Addressing data surprises is part of CVS's mental health support strategy for customers, including its Aetna health plan members.
PayerEmployers Aren't Satisfied With Payers' Mental Health Coverage
A survey finds health plans have room for improvement in areas such as having accurate behavioral health directories.
PayerUnitedHealthcare Owes Envision $91.2M in Disputed Payments, Arbitrators Say
The award dates to 2017 and 2018, when Envision and UnitedHealthcare had an in-network agreement.