Author: Laura Dyrda

Bill Walton was one of the most interesting and dynamic people to influence sports and culture over the last 71 years. A basketball icon with a passion for The Grateful Dead, he engaged sports enthusiasts for nearly three decades with…

The American health system must creatively use limited resources to meet the aging population’s needs. Every day, more than 10,000 seniors age into Medicare, and by 2030, one in five Americans will be 65 years or older. Brick-and-mortar hospitals lack…

Prior authorization is a complex, expensive and burdensome process with clinical and financial impacts across the spectrum of care. Built on processes that are mostly manual, even partial automation of submissions and other routine tasks could ease some of the…

The CPT Editorial Panel approved a new CPT code for coronavirus laboratory testing services, according to the American Medical Association.

Priority Health, a Grand Rapids, Mich.-based insurer, partnered with Amazon to develop a branded storefront that beneficiaries can use to purchase eligible items with their health savings account and flexible spending accounts. 

In the highly-competitive insurance industry, payers are constantly tasked with finding new ways to differentiate themselves from their competition. An often-overlooked opportunity to stand out among the crowd is the provider data management and the credentialing process.

1. For the first time, the costs of employer sponsored family healthcare coverage has reached approximately $20,000 per year. The year-over-year growth in this number exceeds average inflation. This does not match the horrendous increases over inflation of several years…

Star Ratings are critical to Medicare Advantage (MA) health plans. Achieving a 4-star rating or better ensures a five percent bonus payment; and plans with higher Star Ratings often enroll a higher percentage of members. Plus, a higher rating strengthens…

Change Healthcare released a white paper titled "Value-Based Reimbursement: State-by-State," which summarizes the landscape of value-based care in each state and what to expect for the future.

Here are the third quarter revenue and net income statistics from the five of the largest health insurance companies in the United States.