payers
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.
CEO
Elevance Is Latest to Invest in Home Health with CareBridge Acquisition
The home-based care business is seeing increased interest and could be ripe for more activity going forward.
Payer
Medicare Advantage's Hidden Headline
The fastest-growing MA plans and what's behind the 2x growth in enrollment and profit margin.
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.
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.
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.
CEO
Cigna Revives Merger Talks with Humana: False Alarm or Real Deal?
The insurer giants are reportedly discussing combining once again after initial talks broke down last year.
Payer
The New CFO Resume: How to Be a Strategic Thought Partner
Blue Shield of California CFO and endurance athlete Mike Stuart shares new requirements for today's financial leaders.
CEO
CVS Replaces CEO Karen Lynch with Caremark Head in Latest Shake-Up
David Joyner will take over as the company heads in a new direction to stabilize its finances.
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...