health plans
publication date
CFO
4 Tips for Payer Collaboration from HFMA
Here's how CFOs can keep pace with, or even get ahead of, payers.
Payer
The Price of an Obamacare Plan Could Surge Next Year
Without enhanced subsidies, ACA insurance premiums would rise by more than 75% on average.
Payer
'We Can't Afford to Get this Wrong' — The Hidden Costs of 'Fixing' the Marketplace
Proposed ACA reforms could unintentionally erode affordability and access, destabilizing the very marketplaces they aim to strengthen.
CFO
$200B in Uncompensated Care: CFO Outlook on the Reconciliation Bill
The bill could slash Medicaid funding and end enhanced premium subsidies, threatening over $1 trillion in provider revenue.
Payer
How Providers Can Stop Losing Money on Their Medicare Advantage Contracts
Dr. Sachin Jain and Mike Plumb detail what providers are missing and how collaborative health plans can help.
Payer
He Died Without Getting Mental Health Care He Sought. A New Lawsuit Says His Insurer’s Ghost Network Is to Blame.
The mother of Ravi Coutinho, the subject of a recent ProPublica investigation, is suing Centene for publishing "misleading" information that...
Payer
Bill of the Month: A Medicaid Patient Had a Heart Attack While Traveling. He Owed Almost $78K.
A South Dakota hospital refused to bill to a Florida Medicaid plan, instead sending it to the patient with a...
CFO
CFO In the Know: Price Transparency Update
Hospital price transparency compliance enforcement is set to rise.
Payer
Employer Health Plan Performance Gap Expands, Says J.D. Power
The good get better while the bad get worse as overall member satisfaction declines slightly.
Payer
Too Big to Fail, Too Broken to Fix?
UnitedHealth Group?s very bad year, what it means for healthcare reform, and 3 predictors happening right now.
Payer
Trump Won't Force Medicaid to Cover GLP-1s for Obesity. A Few States Are Doing It Anyway.
The pricey medications remain out of reach for millions of patients across the country who could benefit from them.
CFO
Denied and Defiant: CFOs Must Muscle Up as Payers Get Tougher on Claims
Payer challenges are growing. Here's what CFOs are saying, and what they can do.