Despite the gradual move away from fee-for-service payment models, value-based contracts are still only a small percentage of overall medical revenues, according to an August report from the Medical Group Management Association.
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CMS is investing $98.9 million in organizations that help people navigate the ACA marketplace, Medicaid and Children’s Health Insurance Program enrollment during the 2023 open enrollment period.
UnitedHealthcare and Humana account for 46 percent of the 28.4 million people enrolled in Medicare Advantage plans in 2022, according to the Kaiser Family Foundation.
Blue Cross Blue Shield of Massachusetts is collaborating with value-based primary care company VillageMD to expand primary care offerings in the state.
From Blue Cross & Blue Shield of Mississippi filing a lawsuit against three University of Mississippi Medical Center executives, to the start of a trial over UnitedHealth Group's attempted $13 billion acquisition of Change Healthcare, here are eight recent legal…
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Despite forgoing a salary, Clover Health CEO Vivek Garipalli was the highest paid CEO at a publicly traded health insurance company in 2021 thanks to equity awards, according to an S&P Global report.
UnitedHealth Group CFO John Rex has been added to a class-action lawsuit alleging he put the company's business relationship with Wells Fargo ahead of information the company's 401(k) plan was filled with low-performing target-date funds, The Wall Street Journal reported…
A South Carolina woman's $18,000 breast biopsy bill may have been cheaper if she paid with cash instead of using her insurance, Kaiser Health News reported Aug. 23.
Centene has agreed to pay $19 million to the state of Washington and $13 million to the federal government to settle allegations it overcharged the state Medicaid program for pharmacy benefit management services.
Cancer has overtaken musculoskeletal conditions as large employers' biggest driver of healthcare costs, according to Business Group on Health’s "2023 Large Employers’ Health Care Strategy and Plan Design Survey."