payers

Dr. Sachin Jain and Mike Plumb detail what providers are missing and how collaborative health plans can help.

A recent CMS announcement signals a more aggressive approach to auditing Medicare Advantage plans. Revenue cycle leaders should be prepared...

Hospital price transparency compliance enforcement is set to rise.

The good get better while the bad get worse as overall member satisfaction declines slightly.

UnitedHealth Group?s very bad year, what it means for healthcare reform, and 3 predictors happening right now.

Payer challenges are growing. Here's what CFOs are saying, and what they can do.

A new report details how AI plus behavioral science bridges payer-member divides and helps capture lost ROI.

Technology hurdles, particularly lack of standardization and interoperability, often hinder the prior authorization process. Robust communication strategies can address those...

CFOs are meeting in Florida this week at HealthLeaders? annual event to discuss the top challenges facing health systems.

Erik Wexler, the health system's new leader, told employees that steps are being taken to weather financial turmoil.

Growth in Medicare Advantage enrollment has slowed and plans are performing more poorly in quality ratings than in other recent...

Cost shares have as much as doubled as plans get a payment rate hike.