Turquoise Health has detailed its first comprehensive payer price transparency scores in its 2025 impact report, evaluating machine-readable file quality across 97 payers. Ten key findings: 1. Turquoise Health now tracks 219 payer files monthly. The company has assigned transparency…
Research & Analysis
Nearly half of health plan coverage denials that reached independent medical review were overturned between 2019 and 2023, with significant variation by state, according to a Health Affairs study published Dec. 10. Researchers from the University of California San Francisco…
Insurers are publishing incomplete price transparency data, with hospital inpatient information particularly sparse, according to a study published in the American Journal of Managed Care in December. Researchers from Simple Healthcare analyzed 2025 Transparency in Coverage files from Aetna, Cigna,…
Average worker contributions toward family insurance premiums grew by 308% between 1999 and 2024, according to a Dec. 8 research letter published in JAMA Network Open. Researchers from Rice University and Baylor College of Medicine, both based in Houston, found…
Traditional Medicare could have saved $7 billion from 2019 to 2023 across four services had it mirrored Medicare Advantage’s utilization rates and fraud strategies, according to a December Berkeley Research Group report sponsored by Elevance Health. Because MA plans are…
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Having a sense of purpose promotes health engagement, according to research published Dec. 4 by The Cigna Group. But fewer than one-third of adults have it. In collaboration with YouGov, Cigna’s “Vitality in America” report fielded responses from 5,000 Americans.…
The Trump administration introduced plans to lower obesity drug costs for Medicaid and Medicare, but commercial insurance coverage of GLP-1s remains a concern. “There is some speculation that this initiative will help create downward pressure for drug manufacturers to lower…
Seventy-seven percent of Americans who reviewed their health plan choices for 2026 “felt good” about their options, according to a Dec. 3 eHealth survey. The health insurance marketplace surveyed more than 1,500 adults nationwide in November. Medicare beneficiaries reported the…
Health insurance ranks as the top deciding factor as Americans consider a career move, according to a survey from Talker Research on behalf of Oscar Health. The survey, published Dec. 2, assessed 2,000 Americans’ opinions of employer health insurance. Read…
Millions of Americans rely on Medicaid for their contraceptive care. Given the scale of care coverage, KFF reviewed Medicaid claims data from across the country — excluding Georgia and Illinois, due to data issues — to evaluate how Medicaid enrollees…