Initial clinical denial rates rose in 2022 with the highest denial rates coming from Medicare Advantage plans, according to a Feb. 15 report from Crowe Revenue Cycle Analytics.
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Blue Shield of California Promise Health Plan has promoted Jennifer Schirmer to vice president of growth for Medi-Cal.
At least two payers and providers have split in recent weeks. Others are trying to agree to contracts ahead of looming deadlines or working to negotiate expired contracts.
Provider groups praised proposed CMS regulations to overhaul prior authorization in Medicare Advantage, one of many proposed and final changes from the agency. Payer groups are concerned about potential star ratings changes, tougher auditing standards and potential changes to reimbursement…
Elevance Health has closed its acquisition of specialty pharmacy BioPlus.
These are six recent updates around payer mergers and acquisitions reported by Becker's since Jan. 12:
Cigna on Feb. 13 rebranded to The Cigna Group and launched two brands under the new corporate umbrella: Cigna Healthcare and Evernorth Health Services.
These are 10 payer executive moves reported by Becker's since Feb. 1:
BlueCross BlueShield of Tennessee is digging into the data behind health equity, publishing its first ever health equity report to bring together public data and data from BCBS Tennessee members.
President Joe Biden has vowed to strike down any law that cuts Medicare spending — but cutting spending can come in many forms.