Payer

A Kaiser Family Foundation study found that seven in 10 (71 percent) of Medicare beneficiaries did not shop around among plans during the 2018 open enrollment period.

On the heels of a wave-making partnership with Optum, Laura Kaiser, president and CEO of St. Louis-based SSM Health, is looking to leverage the newfound support to transform healthcare.

A recent survey conducted by Dynata for EmblemHealth found that only 1 in 4 American consumers knew what "value-based care" was.

As employers brace for an approximately 5 percent increase in health benefit costs, many are exploring ways to cut costs amid challenges like remote work and a difficult labor market. 

President Joe Biden and Colorado state officials signed off on a decision that requires payers representing a quarter of the state's market to cover gender-affirming care. 

Caroline Carney, MD, is the CMO of payer services company Magellan Health. A board certified internist and psychiatrist, she and her team are overseeing multiple initiatives designed to target the mental healthcare landscape at depths a simple smartphone app can't…

Blue Health Intelligence is revamping its Whyzen Analytics platform with a new user interface and guided analytic pathways, the company announced Oct. 12. 

AmeriHealth Caritas is bringing six new health plans to the North Carolina marketplace through AmeriHealth Caritas Next. 

A number of federal policies have gone into effect since the beginning of 2021, while other policies will be implemented over the next several years. Payers and providers alike need to understand what these various government mandates include so they…

OptumCare is suing Miami-based Cano Health in New Mexico, alleging that two former Optum employees stole medical data to poach patients and physicians.