Author: Jakob Emerson

New England residents have the best access to high-quality prenatal and maternal care, according to a recent study from ValuePenguin.

Blue Cross Blue Shield of Massachusetts named Jake Biscoglio as senior vice president of commercial products and customer solutions. 

BlueCross BlueShield of Tennessee named Rose Lee as vice president and chief information security officer.

GuideWell and Highmark Ventures led a $35 million funding round for kidney population health management company Healthmap Solutions.

Global investment in insurtech companies broke records in nearly every category in 2021, including total funds invested, deals made, international participation, "unicorn" (companies valued at $1 billion or more) creation, number of companies that went public and the largest single…

CMS issued its final 2023 Medicare Advantage and Part D rule that aims to expand access to care and improve health equity through lower out-of-pocket prescription drug costs and improved consumer protections, according to an April 29 press release.

Medicare reimbursement rates should not be the standard to which commercial insurance rates are created, according to the American Hospital Association.

From several state audits revealing Medicaid billing errors to an attorney general accusing UnitedHealth of inflating drug costs, here are eight recent stories involving improper Medicaid reimbursements:

Tenet Healthcare and 19 of its hospitals are accusing Cigna of reimbursing claims at low rates and wrongfully denying claims for emergency care in a lawsuit.

The American Medical Association penned a letter to the Justice Department and Federal Trade Commission April 21, urging the federal agencies to modernize the enforcement of antitrust laws regarding mergers in the health insurance market.