Payer

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…

Six health insurance brands are among Newsweek's top 604 corporate brands in America.

While some measures of maternal health are improving, deep disparities remain in health outcomes and drivers, according to the UnitedHealth Foundation's America's Health Rankings Maternal and Infant Health Disparities Data Brief. 

Centene will no longer pay commission to insurance brokers enrolling or renewing members in its Medicare Part D plans. 

CMS has awarded $100 million to organizations that help individuals enroll in ACA marketplace coverage. 

CMS dropped a proposed regulation that would have required Medicare Advantage plans to return overpayments found during chart reviews over industry opposition, KFF reported Aug. 27. 

ACA enrollees in Cook County, Illinois have access to 14% of local physicians, according to an Aug. 26 analysis from KFF. 

The continued rising cost of healthcare is prompting many health plans to take a closer look at the value strong payment integrity programs can drive. 

Around 1 in 5 Medicare Advantage beneficiaries switch to traditional Medicare when their plans shut down, a study published Aug. 20 in JAMA Network Open found.