Payer

Fee-for-service Medicare members spend about 7 percent more on average for healthcare compared to Medicare Advantage members, according to a study published Sept. 21 by AHIP.

To curb the rising costs of paying for employee healthcare, employers should move away from consultants and bring healthcare spending decisions in-house, a group of policy researchers write in Health Affairs. 

The HHS Office of Inspector General found states frequently pay capitation benefits for Medicaid beneficiaries enrolled in multiple states. 

Ten providers — including Christus Health and Ascension — recently posted job listings seeking leaders in payer contracting and relations. 

Blue Cross Blue Shield of Massachusetts is introducing a virtual primary care team feature, the insurer said Sept. 22. 

CVS Health said it has made progress toward its goal of reducing suicide attempts among adult Aetna members, but rates of suicide attempts in teen populations are increasing. 

The healthcare industry often seems to get trapped in the cycle of repeatedly doing the same things while expecting dramatically different results. Value-based care initiatives are no different. Many providers have made large investments in technology related to value-based care,…

Healthcare startup Curative, best-known for providing COVID-19 testing, is introducing a health plan with no copays or deductibles. 

Medicare Advantage enrollment has grown for nearly every major payer in the first half of this year, with continued expansions planned for 2023:

From long COVID-19 costs to comparisons of Medicare plans, here are six recent study findings involving payers Becker's has reported on since Sept. 1.