ACA exchange enrollment reached a record high in early 2023, and the individual market reached an almost record size, according to an analysis from KFF published Sept. 7.
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Most growth in Medicare Advantage enrollment since 2006 was driven by people switching from fee-for-service Medicare to the program, a study by HHS researchers published in the September issue of Health Affairs found.
Blue Cross Blue Shield of Michigan is the latest payer to announce it is scaling back its prior authorization requirements.
From Humana suing HHS over a new Medicare Advantage clawback rule, to Prisma Health accusing UnitedHealthcare of breaching a confidentiality agreement, here are five lawsuits and settlements involving payers Becker's has reported since Aug. 16.
Alignment Healthcare has named Hyong (Ken) Kim, MD, as its chief medical officer, effective Sept. 25.
The number of large employers choosing self-pay over fully-insured benefits has declined since 2010, according to a brief from the Employee Benefits Research Institute published Aug. 24.
Medicare Advantage plans generally spend less per enrollee than traditional Medicare plans, but these differences vary widely by condition, a study published in the September issue of Health Affairs found.
Medicare spending per beneficiary has remained stagnant over the past decade, but the reasons why are unclear, The New York Times reported Sept. 4.
Blue Cross and Blue Shield of North Carolina has named Angela Boykin as CEO of Healthy Blue, the company's Medicaid plan, effective Sept. 1.
Ten providers recently posted job listings seeking leaders in payer contracting and relations.