health plans
publication date
Payer
Medicare Advantage's Hidden Headline (Part 2)
Special Needs Plans are surprisingly (and highly) profitable. That's good for payers ? but what about members?
Payer
Behavioral Health Tech Spotlights the Next Wave of MH/SUD Innovation, Leadership and Progress
The Behavioral Health Tech (BHT) Conference just keeps getting bigger and better.
CFO
An Inadequate Increase: CMS Finalizes 2.9% Pay Increase for Outpatient Services
For many health systems, the increase feels like just a drop in the bucket.
Payer
Medicare Advantage's Hidden Headline
The fastest-growing MA plans and what's behind the 2x growth in enrollment and profit margin.
CFO
Payer Denials Shake Community Health Systems Q3 Earnings
What can be done about aggressive payer tactics?
Payer
Medicare Advantage 2025: Expert Previews Plan Changes and Weighs in on Payment Rule Impacts
It's already an active season and we're just getting started.
Innovation
Three Trends Coming Out of HLTH So Far
The healthcare industry's annual showcase of innovative ideas is off to a good start. Here's what attendees are talking about.
CFO
Kaiser Permanente Expands Partnership with HCA Health Systems in Denver
The expanded partnership comes at a critical time for care access in the city.
Payer
Part 2: How Those Hot New Employer Cost Stats Could Upend Employers' Payer-PBM Relationships
For everything from GLP-1 and cancer costs to provider networks, one employer association has strategies ? and they don't involve...
Payer
Employers Haven't a Clue How Their Drug Benefits Are Managed
A new KFF survey indicates how little employers understand the PBMs and their pricing policies.
CFO
No Advantage to Medicare Advantage
Many providers have had it with the government plan, and dozens have already left it this year.
Payer
Benefit Trend: Employers Opt to Give Workers an Allowance for Coverage
The plans allow employers to make tax-preferred contributions to employees to use to buy coverage on the individual market.