Payer executives are focusing their attention on affordability, value-based care and regulatory changes for the coming year.
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Sachin Jain, MD, CEO of SCAN Group, is sounding the alarm about the growing reliance on centralized call centers across healthcare and how they may inadvertently erode the quality of patient care.
Managing provider data is a significant challenge for many payers, due to frequent changes and inaccuracies in directory listings. Recently, generative AI and automation technologies have been identified as promising solutions. Research has shown these tools can meaningfully reduce payers'…
Optum has backed out of a proposed settlement between Aetna and class members in a lawsuit that accused the companies of improperly charging administrative fees as medical expenses.
Payers expanded their reach into the provider space through acquisitions in 2024.
A group of senators is questioning prospective CMS administrator Mehmet Oz, MD, over his stance on Medicare Advantage and his financial ties to MA insurers, NBC News reported Dec. 10.
Payer CEOs are reckoning with the public vitriol directed at the industry in the wake of the killing of UnitedHealthcare CEO Brian Thompson.
A federal judge has halted new regulations allowing individuals who are part of the Deferred Action for Childhood Arrivals program to enroll in ACA marketplace plans.
From Cigna quashing merger speculation to naming a new CFO, here are 10 updates on Humana that Becker's has reported since Oct. 30:
CMS revised the star ratings for some Medicare Advantage plans and introduced major proposed reforms to the program in recent weeks.