In less than a month's time, a federal lawmaker warned weight loss drugs have the potential to bankrupt the healthcare system, and new research from Blue Cross Blue Shield found nearly six in 10 patients taking the drugs don't reach…
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Claims adjudication is a complex process with rising costs. Solutions involve a combination of automation, selective outsourcing and process optimization to lower costs and improve efficiency.
Sean Robbins, an executive vice president for the Blue Cross Blue Shield Association, has been named CEO of Cushman & Wakefield/Boerke, a commercial real estate company.
Payer executives are expecting AI, integrated care and an aging population to transform the healthcare landscape in the next decade.
Iowa and Nebraska have the highest percentage of original Medicare enrollees with supplemental benefits, while Hawaii has the lowest, according to an AHIP report published in May.
UnitedHealth Group is running around 500 use-case applications for AI across the organization, CEO Andrew Witty told investors.
Redeterminations could be shaking up margins in the Medicaid business, payer executives warn.
Members' satisfaction with their commercial health plans has improved since last year, but the divide between the highest and lowest performing plans is getting bigger, according to J.D. Power's annual Commercial Member Health Plan Study published May 29.
Seven states have awarded new managed Medicaid contracts in 2024. Not every award process has been finalized and several organizations are suing over denied contracts.
Florida Blue is leasing nearly 59,000-square-feet of office space to the Jacksonville Sheriff’s Office in the city's downtown, the Jacksonville Daily Record reported May 26.