Payers are reporting significant reductions in the volume of claims they receive from providers following the ransomware attack on Optum's Change Healthcare in late February, but the effect on prior authorization processes has been limited.
Author: Jakob Emerson
Five insurance leaders have been named among the world's 200 most influential CEOs in 2024 by CEO World's annual ranking published in January.
CVS Health is providing an additional $35 million for affordable housing developments in Hawaii.
Where an employee lives and the social risk factors they face affects overall health outcomes — employers should be incorporating SDOH data when designing health benefits to improve employee outcomes, productivity and associated costs, according to a white paper published…
MediGold, the Medicare Advantage subsidiary of Livonia, Mich.-based Trinity Health, received an estimated $3.7 million in net Medicare Advantage overpayments in 2017 and 2018, according to an audit from HHS' Office of Inspector General published Feb. 16.
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It's no secret that big insurers are facing challenges in the Medicare Advantage space, leaving enrollment growth flat or even on the decline for much of the industry in 2024.
Blue Cross Blue Shield of Massachusetts has named Simmi Singh as chief people officer and executive vice president.
From canceled acquisitions to contract challenges in court, these are five key updates about Blue Cross Blue Shield companies reported by Becker's in 2024:
Technology modernization and the alignment of investments with organizational goals, along with picking the right vendor to partner with, are top of mind for payer executives in 2024, according to a Jan. 30 survey published by digital solutions firm HealthEdge.
Brian Pieninck has led CareFirst BlueCross BlueShield as president and CEO for nearly six years, and he was recently elected as chair of the Blue Cross and Blue Shield Association's board of directors.