payers
publication date
Revenue Cycle
How Health Insurers Have Made Appealing Denials So Complicated
Health insurers reject millions of claims for treatment every year in America. Corporate insiders, recordings, and internal emails expose the...
Finance
Deal or No Deal: 3 Ways CFOs Can Take a Stand in Contract Negotiations with Payers
Providers have ways to gain more leverage, but it includes being willing to walk away from a bad deal.
Payer
CVS Health CEO Karen Lynch 'Optimistic' About Insurer's Medicare Advantage Star Ratings
Aetna's performance in the bonus program could have a sizeable impact on the payer's operating income.
Payer
Papa Grows Partnerships With Resource-Strapped Payers
From less loneliness and ED utilization to more screening and CMS equity alignment, "we've got the data to show it,"...
Payer
UnitedHealthcare-Prisma Health Lawsuit Highlights Rising Tensions in Payer-Provider Negotiations
Economic circumstances are fueling animosity, especially when negotiations go public.
Payer
The Exec: Peter Long Shares How Blue Shield of California Became a Payment Innovation Leader
"We've been given a set of directions by the government and our job is to build this micro ecosystem with...
Payer
Cigna Announces 2024 Marketplace Plans
As the insurer limits expansion, what will others do amidst premium increases and continued enrollment growth?
Revenue Cycle
First Wave of UHC Prior Auth Cuts Begin, But Will it Matter?
In an effort to soften the payer/provider relationship, many large health insurers are rolling back on prior authorizations.
Payer
5 Recent Market Exits by Health Insurers
Some payers have decided to shift their strategy or focus their attention on their core line of business.
Payer
3 Takeaways from Payers' Q2 Earnings Reports
Most major health insurers are so far experiencing positive results in the face of unknowns.
Innovation
West Virginia Targets Crowded ERs With New Pediatric Behavioral Health Program
Coordinated by Community Care of West Virginia and Aetna Better Health for West Virginia, the program will provide on-demand emergency...
Payer
What Health Plans Can Do to Improve Member Experience, Satisfaction
Members want more from their health insurer, but different generations require different approaches.