health plans
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.
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...
Payer
Bill of the Month: A Medicaid Patient Had a Heart Attack While Traveling. He Owed Almost $78K.
A South Dakota hospital refused to bill to a Florida Medicaid plan, instead sending it to the patient with a...
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
Trump Won't Force Medicaid to Cover GLP-1s for Obesity. A Few States Are Doing It Anyway.
The pricey medications remain out of reach for millions of patients across the country who could benefit from them.
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.