Payer

The nation's uninsured rate hit a record low of 8 percent in the first quarter of this year, and it's likely to decrease further following major ACA investments at the federal level and significant expansions into the individual market from…

Total Medicaid enrollment increased by 17.7 million, up nearly 25 percent from February 2020 — when the COVID-19 pandemic began — to May 2022, a Kaiser Family Foundation analysis shows. 

Price-capping insulin could have unintended consequences, as lower costs could lead to the drug being prioritized over newer, more effective treatments for diabetes, Michael Rose, MD, writes in The Atlantic. 

Mass General Brigham Health Plan will begin offering new Medicare Advantage plans in 2023.

A Texas federal judge's ruling that requiring employers to cover HIV prevention drugs, or PrEP, violates religious freedom is against common sense, a Texas physician writes. 

More than half of American adults believe commercial payers, Medicare and Medicaid should be more involved in paying for long-term senior care, according to a new survey from The Associated Press-NORC Center for Public Affairs Research in Chicago.

Blue Shield of California Promise Health Plan and L.A Care Health Plan have teamed up to open a new community center in Inglewood, Calif., to offer free health resources and classes. 

Montana Medicaid underpaid providers of care for seniors in assisted living facilities, people with disabilities and children and adults with mental illness, a study commissioned by the state's legislature found, as reported Sept. 7 in the Montana Free Press. 

UnitedHealthcare and Nashville-based Envision Healthcare have each filed a lawsuit against the other in a Tennessee federal court over a disagreement about payments for emergency care.

Many payer-provider enablement solutions look great on a whiteboard.