Algorithms and artificial intelligence-powered software tools can be used to support Medicare Advantage plans in making coverage decisions for members, but payers are still bound by CMS' internal benefits requirements and nondiscrimination rules under the ACA, the agency said in…
Author: Jakob Emerson
Medicare Advantage is now the dominant form of Medicare in the U.S., with a projected 54% share by the end of 2024, or more than 33 million enrollees.
CVS Health is looking for an executive director of payer contracting to provide strategy and oversight of the company's primary care contracts.
Wellmark Blue Cross and Blue Shield has partnered with the University of Iowa on a risk management and insurance degree program.
Centene has promoted its chief diversity, equity and inclusion officer, Erika McConduit, to chief impact officer.
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It's going to be a difficult task for Health Care Service Corp. to turn Cigna's Medicare business into a financially successful endeavor, according to a Moody's analysis shared with Becker's.
The nation's largest payers have filed their fourth-quarter earnings reports, revealing how medical loss ratios changed year over year.
The nation's largest payers have filed their fourth-quarter earnings reports, revealing which recorded the largest revenues in 2023.
The nation's largest payers have filed their fourth-quarter earnings reports, revealing which recorded the largest profits in 2023.
These are seven health insurance industry rebrands that have taken place since Jan. 1: