-
CMS: Marketplaces are ready to be 'landing spot' for those losing Medicaid coverage
CMS is ramping up efforts to connect over 2 million people who have been disenrolled from Medicaid coverage to ACA plans. -
Kaiser will honor deductibles, out-of-pocket caps for Friday Health members in Colorado
Friday Health Plan members in Colorado must enroll in new insurance by Aug. 31 to avoid a gap in coverage, the state's division of insurance said July 17. -
3 ways to reduce Medicare Advantage overpayments
Medicare Advantage overpayments may be higher than the Medicare Payment and Advisory Commission estimates, a June study from researchers at the Los Angeles-based University of Southern California found. -
How payers' executive compensation stacks up with other healthcare giants
Pfizer CEO Albert Bourla, PhD, was the highest-paid executive out of the 11 healthcare firms in the top 50 companies on the 2023 Fortune 500 rankings. -
100 fittest cities in America, per Elevance Health
Arlington, Virginia is the fittest city in America for the 6th year in a row, according to the 16th annual American College of Sports Medicine Fitness Index published July 18 alongside the Elevance Health Foundation. -
Humana in the headlines: 8 recent updates
Humana is warning of rising medical utilization rates and has published new research findings. -
Centene in the headlines: 7 recent updates
Centene received workforce awards and beat out Optum for a behavioral health contract with Idaho in the past month. -
How 7 payers are using AI
Payers are using artificial intelligence to speed up administrative processes, improve customer services and analyze data. -
5 reasons medical costs are rising, according to payers
The nation's largest insurers have warned of increasing medical costs next year, driving up medical loss ratios and member premiums. -
UnitedHealthcare preparing for rising Medicare Advantage costs in 2024
UnitedHealthcare is expecting medical costs for its Medicare Advantage members to keep rising, the company's top executives said. -
50 things to know about Optum
Optum, UnitedHealth Group's health services arm, is a major player in many corners of the healthcare industry, including pharmacy, primary care and revenue cycle management. -
California prior authorization bill advances
A California bill aiming to reform the prior authorization process has advanced out of the Assembly health committee, according to the California Medical Association. -
More than 2 million have been disenrolled from Medicaid. 75% are for procedural reasons
More than 2 million people have lost Medicaid coverage during the redetermination process as of July 13, according to KFF's Medicaid enrollment and unwinding tracker. -
Behavioral health is contributing to rising medical utilization, UnitedHealth execs say
More people are using behavioral health services compared to a year ago, UnitedHealth Group executives said. -
Medicare Advantage in the headlines: 10 recent updates
Medicare Advantage plans could face mounting pressures in 2024 as medical utilization increases, and payers should prepare for shifts in the market, analysts say. -
Blue Cross Blue Shield plans: Learn to compete with each other, analysts say
Competition between Blue Cross Blue Shield companies is increasing after a 2022 antitrust settlement that struck down some agreements limiting competition between BCBS Association members, according to a July 13 report from Advisory Board. -
Anthem Health Plans of Virginia settles late claims payment allegations
Anthem Health Plans of Virginia and its HealthKeepers managed care unit have agreed to pay $300,000 to settle allegations from the state's insurance department that it was not paying claims as quickly as was required by law, the Richmond Times-Dispatch reported July 13. -
UnitedHealth Group posts $5.5B profit in Q2
UnitedHealth Group recorded double-digit growth in revenue year over year across its lines of business at UnitedHealthcare and Optum, according to the company's second-quarter earnings report released July 14. -
Medicare Advantage's growth spurt won't last forever: McKinsey
Medicare Advantage enrollment has grown rapidly in recent years, now enrolling over half of Medicare eligibles. But payers shouldn't expect the growth to last forever, analysts for McKinsey and Company say. -
How Health Care Service Corp. made prior authorization 1,400 times faster with AI
Health Care Service Corporation, which operates Blue Cross Blue Shield affiliates in Illinois, Texas, Oklahoma, Montana and New Mexico, is expanding AI technology to speed up prior authorization.
Page 42 of 50