Payer

AHIP is pushing back on claims that Medicare Advantage plans are overcharging the government. 

A study from a Trinity College economist found that 60 percent of rates negotiated by health insurers were higher than self-pay cash rates for the same services. 

UnitedHealth Group expects 2023 revenues to be at least $357 billion.

A pair of senators have introduced a bill to improve the "Medicare & You" handbook after hearing complaints about seniors inadvertently selecting plans that do not best meet their healthcare needs. 

Gold-card programs give providers exemptions from certain prior authorization requirements, but providers who have discontinued these programs have found them administratively difficult to implement, according to a Nov. 14 America's Health Insurance Plans survey. 

Providers using EHRs that aren't enabled for electronic prior authorization and the cost to upgrade to EHRs that have that capability are the main barriers preventing automated PA, according to a Nov. 14 America's Health Insurance Plans survey. 

Humana completed its public offering of $1.25 billion in senior notes, the payer said Nov. 22. 

"Gold card" programs that give providers exemptions from certain prior authorization requirements have received mixed reviews from payers, according to a Nov. 14 America's Health Insurance Plans survey. 

Genetic testing, specialty drugs and high-tech imaging are some of the most common treatments that require prior authorization, according to a Nov. 14 survey from AHIP.

Medicare Advantage premiums have risen for the first time in four years, and less enrollees are choosing $0 premium plans, according to a new report from online insurance marketplace eHealth.