Payer2022 Medicare Advantage Plan Overview, Part Two: Portfolio Strategy and Leading Carriers
Portfolios are designed to "make care more affordable, accessible and convenient," in the words of one executive.
TelehealthFor Telehealth, Expansion Comes with Growing Pains
A new J.D. Power survey suggests that service limitations, access hurdles, and quality-of-care issues dampen consumer enthusiasm.
PayerPre-2022 Annual Enrollment, a Look Back at 2021 Medicare Advantage Plan Features
"As Medicare Advantage takes on an even larger presence in the Medicare program ? [it will] be important to monitor...
PayerAnthem, UnitedHealthcare MA Plans Sanctioned for Missing MLR Threshold
When a Medicare Advantage plan fails for three straight years to meet the 85% threshold, CMS must suspend them from...
PayerCDHPs Remain Popular But Waning as Sole Option, Says Large Employer Survey
"The consumer behavior aspect is a bit unrealized," says one group executive.
Revenue Cycle4 Dos and Don'ts for Managing Inpatient-to-Observation Status Downgrades
In the newest episode of the HealthLeaders Revenue Cycle Podcast, Charlie Brown, MBA, a former hospital executive and vice president...
PayerHow Unemployment Insurance Fraud Exploded During the Pandemic
Bots filing bogus applications in bulk, teams of fraudsters in foreign countries making phony claims, online forums peddling how-to advice...
PayerAnthem Closes Purchase of InnovaCare Health's Puerto Rico Affiliates
The deal was first announced in early February.
Human ResourcesHow to Enhance Your Healthcare Offerings in a Tight Labor Market
Health insurance is still at or near the top of virtually every list of candidate must-haves.
PayerOscar VP of Growth Details Cigna Partnership
Louis DeStefano, head of small group business and senior vice president of growth at Oscar, said the partnership provides both...
TechnologyNew CMS Data Interoperability Rule Takes Effect July 1
The rule aims to free data from silos to promote interoperability between payers and providers.
PayerHumana Acquires One Homecare Solutions
The acquisition marks another step in Humana's strategic initiative to further develop the organization's value-based home healthcare offerings.