Though providers have been largely critical of payers for what they say are slow or ineffective prior authorization reforms, these are five innovative systems introduced by payers this year:
Author: Jakob Emerson
When President Joe Biden declared the COVID-19 pandemic "over" Sept. 18, his message divided the medical community and sent a clear message: the nation is moving on from COVID-19.
CareFirst BlueCross BlueShield has named Charlene MacDonald as chief government affairs officer.
From co-owned health plans between insurers and providers to major investments in telehealth, these are 12 payer partnerships reported by Becker's since Sept. 27:
Children's Wisconsin in Milwaukee has promoted Mark Rakowski to president of its insurance division, Chorus Community Health Plans.
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Optum Labs, the R&D arm of UnitedHealth Group, is partnering with researchers in UCLA's computational medicine department to study how artificial intelligence and machine learning can be used to personalize treatments and improve care costs and quality.
Regence and MultiCare Connected Care said Oct. 11 they have launched the nation's first HL7 FHIR-based prior authorization system.
With the Medicare annual enrollment period quickly approaching, payers nationwide are greatly expanding Medicare Advantage plans and benefits. These are 14 recent payer moves to exit or enter new markets reported by Becker's since Oct. 1:
Morgan Health, the healthcare division of JPMorgan Chase, is seeking a vice president and research lead to support the company's research, investments and health equity work.
Centene's Health Net has the best customer service among payers, according to Newsweek's "2023 America's Best Customer Service" ranking.