Prescott, Ariz.-based Dignity Health Yavapai Regional Medical Center is back in network with Blue Cross Blue Shield of Arizona after the sides agreed to a new contract.
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At Becker’s Hospital Review’s 2023 Payer Issues Roundtable, Olive’s UM Business Unit, which is now part of Availity, sponsored an executive roundtable to explore how AI and clinical data can streamline utilization management and create a foundation for broader healthcare…
Elevance Health posted $2 billion in profit in the first quarter of 2023, according to its earnings report published April 19.
Federal contractors are required to prove their efforts to represent women and people of color in recruitment and advancement — but new public data shows many are falling behind, especially among leadership and management positions, USA Today and Reveal reported…
Payers have been upping investments in health equity, adding health equity executives to C-suites and adding equity requirements to contracts with providers.
Bright Health Group is trying to sell its California Medicare Advantage business, a move that would effectively end all of the company's insurance business.
The Congressional Budget Office said a proposal to add work requirements for Medicaid eligibility would have "a negligible effect on employment status or hours worked by people who would be subject to the work requirements."
Medicare could have saved $128 million in duplicate claims payments with a better data-sharing agreement with the Veterans Health Administration, according to an audit from HHS' Office of Inspector General.
Most private payers do not cover new drugs meant to treat obesity, but Medicaid programs in a few states do, Bloomberg reported April 27.
CMS proposed two new rules April 27 that would establish national standards of care provided through fee-for-service Medicaid/CHIP and managed care plans, along with a requirement to publicly disclose provider payment rates online.