Payer

By 2025, it’s been estimated that healthcare data will represent 36% of the world’s data volume.

Better Medicare Alliance, a pro-Medicare Advantage advocacy group, wants more frequent audits and more robust criteria for in-home health risk assessments for beneficiaries. 

A value-based care agreement with Minnesota Oncology has resulted in big savings for members, Blue Cross and Blue Shield of Minnesota said Dec. 16. 

Two states have youth uninsured rates above 10 percent (Texas and Wyoming), while two states have rates below 2 percent (Vermont and Massachusetts), according to 2021 U.S. Census data.

Centene is expecting to see total revenues between $137.4 billion and $139.4 billion in 2023, down from the $142.7 billion to $144.7 billion it is projecting for this year.  

A majority of Americans don't like to go through their health plan to find care, but there are key changes payers can enact to build more trust with members, according to a new survey released Dec. 13 by Ribbon Health,…

A group of 27 payers said they will update provider directories to include CMS' birthing friendly hospital designations, and Blue Cross Blue Shield Association said it will add health equity criteria to its maternal care ratings. 

There's a lot of payer price transparency data out there. So much that it would take 76,104 decades to count up all the data available in machine-readable files, according to transparency data startup Turquoise Health. 

Superior HealthPlan, a Centene subsidiary Medicaid-managed care plan in Texas, is adding a partnership with mobile home healthcare provider MedArrive. 

Centene has agreed to a $44.4 million settlement with Iowa to resolve allegations that it overbilled the state's Medicaid program for pharmacy benefits and services.