Friday Health Plans Management Services Co., a Denver-based health insurance holding company, has raised $120 million in funding to primarily offer its health plans in new Affordable Care Act marketplaces.
Author: Jakob Emerson
An employer-built health plan. It may not be a concept you've ever heard of, but those that build and use them will tell you they're the best kept secret in the world of health insurance. Becker's decided to explore more…
Bipartisan legislation was introduced May 24 in the Senate that would allow the Federal Trade Commission to increase drug pricing transparency and suppress pharmacy benefit manager practices such as spread pricing and payment clawbacks.
The American Medical Association criticized the health insurance industry May 24 for what it says are slow or ineffective prior authorization reforms implemented over the last four years, despite payers agreeing to changes aimed at improving care access and efficiency.
Medicare Advantage is likely to be the dominant source of Medicare coverage by 2025. This recent development will force payers and providers to find new ways to set Medicare Advantage reimbursement rates and will reimagine the role that traditional fee-for-service…
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Decisions by payers such as what markets to participate in or how to design coverage plans in Affordable Care Act marketplaces may be contributing to fewer insurance options for racial and ethnic minorities, according to a study published April 27…
GuideWell Mutual Holding Corp. subsidiary PopHealthCare and its value-based medical group Emcara Health named Eric Galvin CEO.
Blue Cross Blue Shield of Wyoming and Eden Prairie, Minn.-based Itiliti Health are partnering to create a cloud-based automatic prior authorization system for providers.
Gainwell Technologies, a Tyson, Va.-based technology solutions company for health and human services, has named Karen Shields chief client engagement officer.
Empire BlueCross Blue Shield executives and New York City leaders cut the ribbon May 24 on the company's new headquarters in midtown Manhattan.