Revenue CycleNo Surprises Act QPA Calculation Questioned for Violation in New Study
Insurers may be calculating median in-network rates for specialty services using contracted rates for services that were never negotiated, study...
Revenue CycleHealthcare insurance costs may skyrocket in 2023 - here's why
The data is leaking out on 2023 health care insurance plans and for already shell-shocked Americans, the outlook calls for...
PayerAnthem to Rebrand as Elevance Health
The insurer is opting for a name change to better reflect its purpose in the healthcare business.
PayerMoody's: Insurers' EBITDA Growth for 2021 Falls Short of Expectations
Payers surveyed in Moody's earnings quarterly report managed 2.6% EBITDA growth in 2021, a drop-off from both estimates and figures...
Payer3 Statistics on Consumer Receptivity to Non-Healthcare Tech Providers
'If tech companies can help bring the insurance industry up to speed with the use of data and predictive analytics,...
PayerHHS to Audit PRF-Funded Hospitals for Balanced Billing Compliance
Healthcare providers that received Provider Relief Fund (PRF) monies will be assessed on how they billed for out-of-network patients who...
Human ResourcesCindy Langston Breaks Barriers as First Female CIO at Excellus BCBS
Langston is the first female in the organization's 87-year history to hold the position of chief information officer.
PayerCovered California's Insurance Deals Range From ‘No-Brainer' to Sticker Shock
Families of four with incomes of less than about $40,000 a year can pay no premiums and have low deductibles....
PayerHealthfirst Case Studies Reflect Better Patient Outcomes Via Health Equity as Care Strategy
The plan describes its approach as a glimpse into what the future of U.S. healthcare could look like.
Clinical CareU.S. Racial and Ethnic Health Disparities Widespread, New Report Shows
A report from The Commonwealth Fund finds disparities in health outcomes, healthcare access, and quality and use of healthcare services.
Human ResourcesAs Healthcare Costs Begin to Rise Again, U.S. Employers Zero in on Affordability and Well-Being for Employees
Employers project health benefit costs will jump more than 5% in 2022, new survey finds.
Revenue CycleConsumers Struggle Mightily with Basic Healthcare Tasks
New research shows that 79% of people who received healthcare services in the past two years experienced an average of...