Second, payer data can impact patient education by informing payers about a member’s race, sexual orientation, gender ...
CMS released a brief exploring the status of children with autism or autism spectrum disorder (ASD) in Medicaid and CHIP and ...
June 24, 2024 - In the payer industry, there have been many calls to accelerate value-based care, but how can the beleaguered US healthcare system achieve this goal? Don Antonucci, president and ...
The share of Medicare fee-for-service beneficiaries with Medicare Supplement coverage grew from 35.4 percent in 2017 to 41.4 percent in 2022, an AHIP report found. Medicare Supplement plans, also ...
Medical loss ratios and gross margins indicated that in 2023 Medicare Advantage plans and individual health insurance ...
July 01, 2024 - Editorial Note 7/1/2024: This article has been updated to reflect that one of the interviewees, Oleg Tarkovsky, no longer works at CareFirst. As the mental health crisis persists ...
June 26, 2024 - Health plans are processing more payments than ever, often with outdated technology and workflows. According to the “2023 CAQH Index Report,” the volume of medical ...
Humana added 50,000 individual Medicare Advantage beneficiaries and reported a net income of $741 million in the first quarter of 2024. The payer reported earnings per share (EPS) of $6.11 for ...