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publication date

Revenue Cycle
UnitedHealth Sued Over Low Reimbursement Rate for Physicians
Jay Asser | May 11, 2022
The payer giant is accused of forcing physician groups out of network to lure them to its subsidiary, Optum.
Clinical Care
Moody's: Healthcare Payers Need to Tackle Behavioral Health
Christopher Cheney | May 06, 2022
The incidence of behavioral health conditions is increasing and patients with behavioral health conditions have relatively high medical costs.
Payer
Aetna Medicare Executive on Healthcare Inequity: 'I Feel More Hopeful'
Laura Beerman | April 28, 2022
Aetna's Medicare Multicultural Initiative seeks to improve equity for members who are Black and Hispanic.
Payer
Digital Health Investment Slows in Q1 2022
Laura Beerman | April 27, 2022
Payer corporate venture capital investment remains strong as the government looks to the private sector for more solutions.
Payer
CMS Action Plan Calls for Health Equity Alignment
Laura Beerman | April 25, 2022
Common threads are emerging across CMS, its programs, and the private sector.
Payer
5 Highlights From Anthem's Q1 Earnings Call
Laura Beerman | April 21, 2022
The insurer had its strongest selling season to date with organic growth across all business lines.
Payer
An Interview With New Allina Health-Aetna CEO Dr. Robert Wieland
Laura Beerman | April 21, 2022
Dr. Wieland continues his long history of leadership and shares what's next for the payvider joint venture.
Payer
5 Findings From the 2022 eHealth Medicare Index Report
Laura Beerman | April 14, 2022
Higher premiums and deductibles but lower out-of-pocket maximums were revealed in the exchange giant?s application analysis.
Payer
Do Commercial Value-Based Models Work?
Laura Beerman | April 14, 2022
Two decades of innovation reveal mixed findings for quality, cost, and utilization?and unclear ways to resolve.
Payer
Aetna Partnership Decreases Member Social Determinant: Loneliness
Laura Beerman | April 07, 2022
Medicare Advantage plans collaborate with companionship companies to meet non-medical needs and collect data that grows member trust and revenue.
Payer
If Premium Tax Credits Expire, Millions Will Lose Health Insurance
John Commins | April 07, 2022
Those lucky enough to continue to afford health insurance likely will see "significant" premium hikes.
Payer
Access to Care Is Significant Threat for ACA Marketplaces, Medicaid Enrollees
Laura Beerman | April 04, 2022
A Georgetown University study finds that policies limit already narrow networks.
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