payers
publication date
Payer
CVS Health Forecasting $1B Loss From Medicare Advantage Star Ratings Drop
Only 21% of the payer's Medicare Advantage (MA) members are in plans with star ratings of at least four stars...
Clinical Care
Video: HealthLeaders Weekly Wrap
The Weekly Wrap, HealthLeaders' video series, brings you a quick look at what we're covering around the healthcare industry.
Payer
The Exec: Bolstering Value-Based Primary Care with Blue Cross' Ashley Yeats
The vice president of medical operations speaks on the health plan's addition of three physician groups participating in its value-based...
Revenue Cycle
Are Commercial Payers to Blame for Majority of Rev Cycle Claim Denials, Payment Delays?
One study says yes.
Payer
BCBSMA Adds Tufts Medicine to its Pay-For-Equity Payment Model
The health plan said it is one of the first in the nation to introduce this type of value-based contract.
Payer
The Exec: How Steakhouses and Oil Mining Helped Shape Evernorth's Joan Harvey
The healthcare industry veteran reveals Evernorth's top three priorities and how her unique experiences inform her leadership.
Payer
Insurers to Pay $1.1B in Medical Loss Ratio Rebates in 2023
The pandemic continues to effect rebates, even if this year's figure pales in comparison to 2020 and 2021.
Payer
Financial Burden of Dual-Eligible Beneficiaries Split Evenly on Medicare, Medicaid
Research into utilization and spending for need-based subgroups suggests integration of the two programs could better serve enrollees.
Payer
Oh, the Places They'll Go: Employers Add Hospital Data to Their Cost-Control Tactics
New price transparency data reveals long-standing payer-provider maneuvers?and new ones for employers.
Revenue Cycle
3 Ways One Leader Streamlines Denials Management
Denials aren't going anywhere, but streamlining how you manage them will help improve revenue cycle operations.
Revenue Cycle
Majority of States Have Introduced Prior Authorization Reforms
The bills aim to streamline the administrative process, which can create burden on both patients and providers.
Strategy
Video: HealthLeaders Weekly Wrap
The Weekly Wrap, HealthLeaders' video series, brings you a quick look at what we're covering around the healthcare industry.