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10 digital health startups tapped for UnitedHealthcare Accelerator
UnitedHealthcare has named the 2023 class for its four-month accelerator program. -
Why new insurance start-ups are focused on the employer market
Health insurance is a tough business to break into. -
4 states where ACA premiums will decrease in 2024
ACA premiums are likely to rise in 2024, with most insurers proposing rate increases of between 2 and 10 percent, according to data from the KFF-Petersen Health System tracker. -
Oscar Health's Florida enrollment freeze lifted
Oscar Health is accepting new members in Florida after an eight-month pause on new sign-ups in the state. -
Medicare Advantage quality bonus payments on track to grow 30% in 2023
CMS will pay Medicare Advantage plans $12.8 billion in bonus payments in 2023, according to a KFF analysis published Aug. 9. -
Will new trial results change insurers' minds about weight loss drugs?
A new trial that showed weight-loss drug Wegovy has benefits for cardiovascular health could make it more difficult for insurers to justify not covering the drugs, columnist Lisa Jarvis wrote in Bloomberg Aug. 8. -
Oscar Health posts $15M loss in Q2
Oscar Health posted a $15.4 million loss in the second quarter of 2022, down from a $112.1 million loss in the same period last year, according to the company's earnings report published Aug. 8. -
Healthcare Data Interoperability: More Valuable Than You May Realize
You would be hard-pressed to find a payer or provider that doesn’t believe healthcare data interoperability is essential; surveys of healthcare leaders have shown that interoperability is a top priority for a majority of organizations across the healthcare industry. Healthcare organizations largely agree about the importance of investing in interoperability—so why has the industry made only marginal progress towards a truly patient/member-centric health system? -
OSF HealthCare welcomes BCBS Medicaid members
Patients enrolled in BlueCross BlueShield of Illinois Medicaid can access all OSF HealthCare hospitals and physicians as part of their insurance plan, effective Aug. 8. -
The 2 payers that account for nearly half of Medicare Advantage enrollees
Medicare Advantage enrollment is highly concentrated among a small number of payers, with just two payers accounting for 47 percent of all enrollees in 2023, according to an Aug. 9 analysis from KFF. -
What Blue Cross Blue Shield data reveals about emergency room upcoding
A study of Blue Cross Blue Shield claims data from five states found price increases were a bigger contributor to rising emergency room costs than upcoding. -
10 states where exchange plan premiums will increase the most in 2024
Premiums for insurance on the ACA exchange in Virginia will increase over 25 percent next year, according to data from the KFF-Petersen Health System tracker. -
Rhode Island AG objects to rate hike proposals from largest payers
Rhode Island Attorney General Peter Neronha filed objections with the state's health insurance commissioner over the rate hike proposals from six payers. -
Window closing on Oct. 1 start for North Carolina Medicaid expansion
North Carolina's budget negotiations could continue into September, which would delay the start date of the state's Medicaid expansion, NBC affiliate WRAL reported Aug. 7. -
Payers proposing the highest individual premium increases for 2024
Many individual insurance plans offered on the ACA exchange in New York and Virginia will see premium increases of over 20 percent in 2024, according to data from the KFF-Petersen Health System tracker. -
Why this UnitedHealth Group employee joined 'the Bachelorette'
Those who have been tuning in to the latest season of ABC's The Bachelorette may have seen former and future UnitedHealth Group employee John Buresh starring in a main role. -
Healthmap Solutions Announces Kidney Health Management Program Partnership with Triple-S Management Corporation
August 8, 2023, TAMPA, FL— Healthmap Solutions, Inc. (Healthmap), an NCQA-accredited Kidney Population Health Management company, announced its partnership today with Triple-S Management Corporation (Triple-S), a health services organization based in San Juan, Puerto Rico. This partnership introduces Healthmap’s proven NCQA-accredited Kidney Population Health Management program to Triple-S members living with chronic kidney disease (CKD). -
Cigna in the headlines: 8 recent updates
The Cigna Group is facing a legal challenge to its prior authorization process and is expecting more pressure on its individual insurance margins. -
Payers ranked by commercial membership | Q2 2023
CVS Health saw the largest gains in commercial membership of major payers in the second quarter of 2023, adding 159,000 members. -
Inflation drives 6% average ACA premium hike
Insurers have proposed average ACA exchange premium increases of 6 percent for 2024, according to a report from Petersen-KFF's health system tracker.
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