insurance
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
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?
CFO
How One Payer Is Simplifying Prior Authorization. Will it Make a Difference?
A partnership between Blue Shield of California and Salesforce aims to dilute some prior authorization struggles for providers.
CFO
Payers Are Playing Hardball—And Hospital CFOs Are Paying the Price
New data exposes aggressive tactics by payers for Medicare Advantage denials.
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...
CFO
No Advantage to Medicare Advantage
Many providers have had it with the government plan, and dozens have already left it this year.
Payer
What Those Hot New Employer Cost Stats Actually Mean — and the Pivots They Could Signal
You've seen the WTW stats: Employer health costs are rising exponentially. But have you seen the surprising solutions? Including how...
Innovation
In Healthcare, It Ain't Easy Going Green
Health systems and hospitals are taking a closer look at how they impact the environment. At Valley Children's Healthcare, that...
Payer
Could Re-Expanded STLDI Be Part of Trump's 'Concepts of a Plan' for Healthcare?
A memorable healthcare debate moment in an election year focused largely on other issues.
Innovation
Predictive AI Helps Providers Plan Patient Care
Health systems like West Tennessee Healthcare are using AI platforms that can map out a patient?s predicted stay, allowing clinicians...