Humana is scaling its Cohere Health-enabled musculoskeletal prior authorization platform from use in 12 states to the entire country.
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Humana will be refunding $18.3 million to the Kentucky Public Pensions Authority, whose Medicare plan it administers.
An opinion piece co-authored by Donald Berwick, MD, former CMS administrator, chalks up the surge of Medicare Advantage offerings in recent years to the system being a "money machine" for payers.
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.
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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.