Payer

Capping cost-sharing each month, rather than on an annual basis, could result in savings for consumers, a new research brief published in JAMA Network Open found. 

Medicare Advantage plan star ratings hit their highest-ever levels in 2022 — but plans shouldn't expect these increases to continue, McKinsey analysts warn. 

From Medicare Advantage providers denying access to care unnecessarily to the nation's organ transplant network being vulnerable to a cyberattack, these are 10 recent findings from HHS' Office of the Inspector General:

Humana executives told investors Sept. 15 it's looking to match or exceed other payers that have outpaced it in Medicare Advantage growth over the last year, WDRB reported.

UnitedHealth Group defeated a class-action lawsuit from more than 200 physicians who said they were not paid facility fees for office-based surgeries, Bloomberg Law reported Sept. 15. 

Texas has the highest percentage of uninsured residents in the country and Massachusetts has the lowest, according to American Community Survey data released Sept. 15 by the Census Bureau.

Around 4 in 10 Americans say they don't understand what their insurance plan covers, according to a new survey from the Pharmaceutical Research and Manufacturers of America. 

The National Committee for Quality Assurance has named the top-performing health plans of 2022 based on factors that include care quality, patient satisfaction and efforts to keep improving.

Payers generally negotiated lower prices for healthcare exchange plans than commercial group rates at the same hospital, a study published in The American Journal of Managed Care found. 

Molina Healthcare of California is expanding its partnership with Healthcare in Action, a street-based medical group that provides care for unhoused people, to San Diego County.