Medicare spends more on beneficiaries who switch from Medicare Advantage to traditional Medicare compared to those who remained enrolled in traditional Medicare, a report from KFF found.
Uncategorized
The USP Drug Classification PLUS is an offering from USP that provides online, interactive access to the USP Drug Classification (an independent drug classification of FDA-approved drugs, organized by categories and classes) with:
In an industry often criticized for its opacity, healthcare is undergoing a significant shift thanks to the CMS’s 2020 Transparency in Coverage ruling, which requires insurers and Payers to disclose the rates they negotiate with healthcare providers via detailed breakdowns…
UnitedHealthcare has completely revamped its provider search experience for millions of members, infusing new features that leverage claims and pricing data, along with AI-powered tools that provide more accurate results.
Medicare Advantage enrollees were less likely to receive burdensome treatments or transfers in the last months of life compared to their peers in traditional Medicare, a study published July 19 in JAMA Health Forum found.
Advertisement
Preventive care delivery is one of the inalienable levers of value-based care (VBC). With the increasing VBC adoption, many healthcare payers have been offering care management programs that aim to promote overall member wellness by managing members’ medical conditions and…
Measuring the return on investment for social determinants of health initiatives is no easy task for managed care organizations, but Centene's Medicaid plan in Kentucky, WellCare, is using members' data to create customized and local solutions aimed at improving health…
Suspending prior authorization requirements as providers continue to to face disruptions from the Change Healthcare hack could do more harm than good, according to AHIP.
UnitedHealthcare's deductible-free and fastest growing commercial health plan, Surest, is saving money for employers and employees by offering a shoppable healthcare experience.
A Colorado judge ordered defunct health insurance company Friday Health Plan to pay $450,000 to its co-founder David Pinkert, who sued the company for failing to pay his severance after he was fired in 2022, Law360 reported Jan. 3.