FinancePublic Option Could Lower Premiums But Not Raise Insured Rate
The RAND study estimated that premiums for public plans could be 10% to 27% lower than those for private plans...
Covid-193 Ways COVID-19 Has Changed the Insurance Landscape
Skyrocketing coverage losses, unemployment fears, and payers reimbursing a bigger chunk of COVID-19 claims are just three ways that the...
FinanceTop-earning Nonprofit Hospitals Shortchange Charity Care
Study finds nonprofit hospitals with thicker bottom lines gave disproportionately lower levels of charity care.
FinancePriority Health's New Mobile App Includes Cost Estimator
The insurer says 85% of its members prefer to self-serve online.
FinanceNavigating the Payer-Provider Relationship: 4 Lessons
Kettering Health Network's vice president of managed care, who switched jobs from a payer to a provider organization, shares his...
FinanceWhy Patient Billing Woes are Clinicians' Problem, Too
Clinicians and patients say medicals bills are a 'distraction' from patient care.
How Using AI Automation for Outstanding Claims Accelerated Cash Flow by $20.6M
Using AI-powered automation to follow up on the status of outstanding claims resulted in increased revenues and cost savings for...
StrategyCentene-WellCare Merger Hits DOJ Speed Bump
A request from federal antitrust regulators effectively delays the Centene-WellCare deal from being finalized for at least a month.
StrategyAs Sanders Officially Revives Medicare-for-All, Plan B For Democrats Gains Traction
Many presidential hopefuls, even official co-sponsors of Sanders' Medicare-for-All proposal, are at the same time edging toward a more incremental...
Finance3 Dos and Don'ts of Medicaid Work Requirements
Hospitals should take action in the face of shrinking Medicaid rolls and revenue loss.
FinanceHow Automating Patient Insurance Verification Reduced Denials
Eliminating the manual backend task of checking patients' insurance eligibility reduced denials and AR days at an orthopedic surgery practice...
Nationwide Injunction: Judge Blocks Broader Exceptions to ACA Birth Control Mandate
The new rules give even nonreligious employers the ability to claim a moral objection to offering coverage for contraceptives.