health plans
publication date
Payer
Benefit Trend: Employers Opt to Give Workers an Allowance for Coverage
The plans allow employers to make tax-preferred contributions to employees to use to buy coverage on the individual market.
Payer
The Medicare Advantage Influence Machine
New court filings and lobbying reports reveal an industry drive to tamp down critics ? and retain billions of dollars...
Payer
Cara McNulty: The Population Health Leader Who's Fierce Behind Her Why
The new CEO of Vibrant Emotional Health and former leader at CVS Health shares a masterclass in executive decision-making.
Payer
Could Re-Expanded STLDI Be Part of Trump's 'Concepts of a Plan' for Healthcare?
A memorable healthcare debate moment in an election year focused largely on other issues.
Payer
Longtime Head of L.A. Care to Retire After Navigating Major Medi-Cal Changes
John Baackes, 78, who will retire after the end of the year, helped transform L.A. Care into a major market...
CFO
Providers Are Fed Up With Medicare Advantage
Sanford Health is the latest system to drop its MA plan with Humana. Why the trend?
Payer
Will 2025 Mark a Turning Point for Medicare Advantage?
When is growth not enough to keep payers happy?
CFO
CFOs Grapple with Physician Shortages and Hardball Payer Tactics
The HealthLeaders CFO Exchange brought on a fiery discussion on payers and physician shortages. How are CFOs coping?
Payer
The Many Faces of UM: The Next Two Decades
Utilization management has the power to perform many jobs. Will it?
Payer
Medicare Advantage in 2024: Enrollment Update and Key Trends
The growth in Medicare Advantage enrollment is due to a number of factors, including the availability of plans that charge...
Payer
The Many Faces of UM: UM's Dark Side
Denials and prior authorizations are on the rise, but will AI help or hurt?
Payer
The Many Faces of UM: A Little History
The definition of UM has changed. Some of the results remain stubbornly the same (and unclear).