Payer

Medicare costs are set to see increases over last year as the 2022 open enrollment period start date is just over a month away.

The state of California is investing $6 billion into its Medi-Cal program to target community issues that traditionally fall under social services.

Just two days before the deadline, BlueCross BlueShield of Tennessee and Chattanooga, Tenn.-based CHI Memorial Health Care System reached an agreement that keeps thousands of patients in-network. 

For decades, the prior authorization process has been an albatross for payers, providers and patients. Although utilization management processes are necessary to ensure value-based care, these processes are often labor intensive, inefficient and time consuming. Artificial intelligence (AI) technology has…

America has seen record growth in its gig economy — workers who are contracted, on-call, temporary or self-employed — as gig work now accounts for a third of U.S. employment. 

As the country copes with the destruction of Hurricane Ida, the payer world is also reacting to the natural disaster. 

Virginia lawmakers are reviewing benefit bills tied to Affordable Care Act implementation as the state's current law barring nonessential health benefits could soon be deemed discriminatory.

The Health Plan of San Mateo (Calif.) is one of six county health plans in California that manages both Medicare and Medi-Cal — the state's Medicaid program — and it's using the funding that comes with that responsibility to broaden…

Washington, D.C., Mayor Muriel Bowser declared a state of emergency Sept. 1 to extend MedStar's Medicaid contract.

As the Hospital Insurance trust fund continues to trudge toward its 2026 expected depletion, a new brief from social and economic policy think tank the Urban Institute claims that there are ways to address the looming cliff without broad Medicare…