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20 payers requesting the largest raises for ACA premiums in 2025
New York state residents will see some of the largest premium increases on the ACA marketplace in 2025, according to an analysis from Peterson-KFF. -
50 payers lowering ACA premiums in 2025
Fifty insurers are looking to lower premiums on an ACA marketplace in 2025, according to an analysis from Peterson-KFF. -
Medicare Advantage members expect more — how top-rated payers respond
Medicare Advantage beneficiaries are getting savvier and expecting more from their plans, executives at the top-rated insurers for customer satisfaction told Becker's. -
Cigna CEO: Expect 'choppiness' in GLP-1 coverage
Interest in Cigna's GLP-1 management program is "through the roof," CEO David Cordani told investors. -
UnitedHealth Group in the headlines: 10 updates
From releasing more details about its national prior authorization gold-card program to reportedly eyeing a potential acquisition of Surgical Partners, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker's has reported since Aug. 13: -
Elevance Health expands into Florida, Texas ACA markets
Elevance Health will expand its Wellpoint individual plans to three states in 2025. -
The most promising insurtech startups in 2024
Three health benefits companies have been named among the 50 most promising private insurtechs in the world by CB Insights. -
Centene: GLP-1s a factor behind Medicaid pressures
GLP-1 medication costs are one factor contributing to tighter margins in the Medicaid space, Centene executives said. -
Humana prepares for 'frustration' over Medicare Advantage changes, 13 market exits
Humana will stop offering Medicare Advantage in 13 counties in 2025, CFO Susan Diamond said Sept. 4. -
Payers move to ditch deductibles
The trend of health insurers launching products without traditional deductibles is accelerating, reflecting a broader shift toward consumer-centric healthcare. As member expectations evolve, insurers are increasingly offering plans that emphasize transparency and simplicity. -
Health Care Service Corp. launching price transparent, 'alternative' health plan
Health Care Service Corp., parent of BCBS Illinois, Texas, Montana, Oklahoma and New Mexico, is launching an "alternative health plan" with no deductibles or copays for large, self-funded employers. -
The lesson Medicare Advantage plans can learn from the '90s
The challenges Medicare Advantage insurers are facing now aren't without precedent, according to an analysis from OliverWyman. -
Indiana launches all payer claims database
Indiana has launched its all payer claims database, a website that collects healthcare claims information from companies across the state, including insurers. -
UnitedHealthcare's national gold-card program: 5 things to know
UnitedHealthcare has released more details about its national gold-card program that is set to take effect on Oct. 1. -
Highmark insurance revenues up 9%: 5 notes
Highmark Health's insurance segment revenue increased 9% year-over-year, according to the company's mid-year financial report published Aug. 29. -
Medicare Advantage in the headlines: 6 recent updates
Newly released court documents show CMS dropped a proposal to require Medicare Advantage plans to return overpayments a decade ago, and J.D. Power published its annual ranking of the top MA plans. -
Blue Shield of California fined over contraceptive copays
Blue Shield of California will pay $285,000 to California for charging members copays for contraceptive services. -
Inefficiencies in RCM Can Sink Hospital Finances: Reimagine Medical Coding with RapidClaims AI
In an era where healthcare margins are razor-thin, inefficiencies in Revenue Cycle Management (RCM) can devastate hospital finances. It’s estimated that U.S. hospitals lose up to $262 billion annually due to revenue cycle inefficiencies, with medical coding being one of the primary culprits. The consequences are clear: missed revenue opportunities, prolonged A/R days, and ballooning denial rates. But what if there was a way to automate coding with unparalleled accuracy, speed, and cost-effectiveness? Enter RapidClaims. -
Best health insurance brands in 2024
Six health insurance brands are among Newsweek's top 604 corporate brands in America. -
UnitedHealth: 5 concerning, 4 positive trends in maternal health
While some measures of maternal health are improving, deep disparities remain in health outcomes and drivers, according to the UnitedHealth Foundation's America's Health Rankings Maternal and Infant Health Disparities Data Brief.
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