CVS Health tops the list of largest payers in Medicare Part D membership.
The Latest
As the number of Americans enrolled in high-deductible health plans continues to grow, recent studies conducted by researchers at some of the nation's top hospitals and medical schools have linked HDHPs with worse health outcomes, less spending on preventive care,…
Blue Cross and Blue Shield of Oklahoma and Tulsa, Okla.-based Ascension St. John have reached a new contract agreement to keep BCBS members in-network at seven Oklahoma hospitals and medical centers.
Up to 6.7 million children nationwide are at risk of losing their CHIP coverage when Medicaid redeterminations begin this spring, according to a new analysis from the Georgetown University Center for Children and Families.
The University of Vermont Health Network will be out of network with UnitedHealthcare's commercial plans April 1 without a new contract.
Payers are adapting to the growing popularity of telehealth. Insurers are updating their coverage policies and adding new options for members to seek primary and behavioral care at home.
Payers are adding new solutions for home health, diabetes and specialty drugs.
The ACO Realizing Equity, Access, and Community Health model is the latest shared-savings model designed by CMS to improve care and reduce costs in traditional Medicare.
The following list ranks the states by the percentage of their private-sector employees who were enrolled in high-deductible health insurance plans in 2021. The U.S. national average is 55.7 percent.
CMS issued a proposed rule Dec. 6 that it says will streamline the prior authorization process. Here are four major changes the rule would bring that would affect payers, according to a Feb. 21 report from the Kaiser Family Foundation: