Payer

New regulations for inpatient services in Medicare Advantage are looming, and new research has found MA enrollees with chronic conditions are likely to stay enrolled in the programand spend less time in the hospital than their fee-for-service counterparts. 

State employee health plans are often the largest commercial purchaser of healthcare in each state, according to a report from the Center on Health Insurance Reforms at Georgetown University in Washington, D.C. 

Medicare Advantage members are less likely to be prescribed high-risk medications than their counterparts in fee-for-service Medicare, a study published June 27 in JAMA Health Forum found. 

Blue Cross Blue Shield of Arizona has launched a new primary care company, Prosano Health Solutions.

Georgia's Medicaid work requirement program is set to begin July 1. Here are five things to know about the program:

The Blue Cross and Blue Shield Association is suing a specialty care management company in Texas for using a logo it says infringes upon and dilutes the BCBS brand.

Oscar Health published a glimpse into how the payer uses AI. 

Health plans for state employees are often the largest commercial healthcare purchasers in their state, but these bargaining powers are not translating to lower costs, according to a report from the Center on Health Insurance Reforms at Georgetown University in…

Medicare Advantage beneficiaries with three common chronic conditions spend less time in the hospital than their counterparts in fee-for-service Medicare, an industry-backed report found. 

Michigan said it would pause Medicaid disenrollments through July, and more states could follow, The Washington Post reported June 29.