The reason for most in-network claim denials in ACA plans is not reported in price data, according to an analysis from Kaiser Family Foundation.
The Latest
The nation's largest payers have filed their fourth quarter earnings reports, revealing which have the most U.S. commercial members.Commercial includes fully- and self-insured members
Prescott, Ariz.-based Dignity Health Yavapai Regional Medical Center is out of network with Blue Cross Blue Shield of Arizona after the sides were unable to reach a new contract, NBC affiliate KPNX reported Feb. 9.
UnitedHealthcare has the most Medicare Advantage members among large payers, while MA makes up a relatively small slice of Cigna's business.
New York state legislators and stakeholders are debating a bill that would overhaul the state's health system and establish a single-payer system, Spectrum News reported Feb. 9.
Oscar Health reported major gains in total membership but posted a net loss of $606 million in 2022, according to the company's fourth quarter earnings published Feb. 9.
From bills introduced in North Carolina and Kansas, to another dying on the Wyoming House floor, here are five recent updates on state Medicaid expansion efforts:
Traditional Medicare and Medicare Advantage beneficiaries could begin seeing lower copays for certain Part B drugs beginning April 1, according to new guidance from HHS.
Kansas Gov. Laura Kelly is making a push for the state to become the 40th to expand Medicaid, The Center Square reported Feb. 8.
Sana, a startup payer focused on small-businesses, is laying off 19 percent of its workforce.