Payer

Humana will stop offering Medicare Advantage in 13 counties in 2025, CFO Susan Diamond said Sept. 4. 

The trend of health insurers launching products without traditional deductibles is accelerating, reflecting a broader shift toward consumer-centric healthcare. As member expectations evolve, insurers are increasingly offering plans that emphasize transparency and simplicity.

Health Care Service Corp., parent of BCBS Illinois, Texas, Montana, Oklahoma and New Mexico, is launching an "alternative health plan" with no deductibles or copays for large, self-funded employers.

The challenges Medicare Advantage insurers are facing now aren't without precedent, according to an analysis from OliverWyman. 

Indiana has launched its all payer claims database, a website that collects healthcare claims information from companies across the state, including insurers.

UnitedHealthcare has released more details about its national gold-card program that is set to take effect on Oct. 1.

Highmark Health's insurance segment revenue increased 9% year-over-year, according to the company's mid-year financial report published Aug. 29. 

Newly released court documents show CMS dropped a proposal to require Medicare Advantage plans to return overpayments a decade ago, and J.D. Power published its annual ranking of the top MA plans. 

Blue Shield of California will pay $250,000 to California for charging members copays for contraceptive services.  

In an era where healthcare margins are razor-thin, inefficiencies in Revenue Cycle Management (RCM) can devastate hospital finances. It’s estimated that U.S. hospitals lose up to $262 billion annually due to revenue cycle inefficiencies, with medical coding being one of…