Today's Top 20 Payer Articles
  • Payers' role in engaging with public health: 3 CDC director insights

    Public health and the rest of the healthcare delivery system have long operated in silos in the U.S. While progress was made during the COVID-19 pandemic, CDC Director Mandy Cohen, MD, stressed that now is the time to build on that momentum and invest in data modernization and interoperability efforts. 
  • 5 signs it's time for end-to-end RCM

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  • Opening the Kimono

    The year 2024 marks a turning point for healthcare transparency in the United States. Regulations like the Transparency in Coverage Rule (TCR) aim to empower patients with cost information, allowing them to make better informed decisions about their healthcare. However, for health insurers, complying with these regulations presents a complex challenge, further strained by rising labor costs, staffing shortages, and the ever-present risk of inaccurate information dissemination.
  • Kaiser extends coverage for larger employers across all of Colorado

    Oakland, Calif-based Kaiser Permanente is expanding its insurance plans across all of Colorado, moving away from just its current urban focus in the state, according to an Aug. 22 Denver Business Journal report.
  • Better outcomes, lower costs: How improving members' sleep benefits everyone

    Unhealthy sleep patterns can negatively impact people's health and are associated with many health conditions and risk behaviors, from cardiovascular disease to car crashes.
  • Managed Health partners with ADP on new health plan

    Health insurance company Managed Health is partnering with human resources software company ADP to offer companies the Managed Health Champ plan.
  • CalOptima partners with care management company

    Health insurance plan CalOptima Health is partnering with population health management company ZeOmega. 
  • True Captive partners with Walmart Virtual Care for employee health plan

    True Captive Insurance is partnering with Walmart Health Virtual Care to launch myTrueMD, a new virtual-first insurance plan for employers.
  • Health Insurance Companies Think They’re Differentiating in 2022 … But Are They?

    It’s no secret that the HR function has become more complex in recent years. Thanks to policy changes in State Paid Sick Leave, the Affordable Care Act, demands brought forth by the #MeToo movement (among other changes), today HR professionals have the gargantuan task of keeping their organizations compliant, while also keeping employees happy, safe and healthy. 
  • Georgia bill seeks to impose spending threshold on managed care organizations

    A bipartisan bill in Georgia's House of Representatives would require managed care organizations to reimburse the state if they spent too little on medical care or quality improvements, according to Kaiser Health News. 
  • 10 providers seeking payer contracting talent

    Ten providers — including Lumeris, Wellpath and St. Luke's University Health Network — recently posted job listings seeking leaders to help payer contracting and relations. 
  • CMS invests $49M to increase insurance among children, parents, pregnant people

    CMS is earmarking $49.4 million to reduce the number of uninsured children, parents and pregnant people across the country. 
  • Employers say health plans may be key to surviving labor shortages

    Small businesses aren't just bumping up wages to attract employees amid labor shortages — they are also doubling-down on strong health insurance benefits, according to a Jan. 27 Bloomberg report. 
  • 21 payers named best places to work for LGBTQ+ equality

    Twenty-one payers were recognized by the Human Rights Campaign Foundation as some of the best places to work for LGBTQ+ equality.
  • 10 recent payer exec moves

    From the Blue Cross Blue Shield Association finding its top-level information security officer to Colorado Access making history with its new president and CEO — the first woman and person of color to hold the position — here are 10 recent payer executive moves:
  • Record 14.5 million Americans signed up for health insurance under ACA

    A record-setting 14.5 million Americans signed up for health coverage since open enrollment began Nov. 1. 
  • Cigna discussed potential acquisition with Centene in late 2021

    Cigna discussed a potential acquisition of Centene in the final months of 2021, but nothing has come of the preliminary conversations, according to a Jan. 26 Bloomberg report. 
  • Anthem in headlines: 5 stories

    From a 2021 earnings report with mixed takeaways to leadership earning one of the National Collegiate Athletic Association's highest honors, here are five recent headlines involving Anthem:
  • Indiana Senate advances bill to slash prior authorization turnaround, increase price transparency

    Indiana lawmakers are pushing forward a bill that aims to increase payer price transparency and cut down prior authorization turnaround time, according to the Indianapolis Business Journal. 
  • AHIP amicus brief backs HHS in No Surprises Act lawsuit

    America's Health Insurance Plans filed an amicus curiae brief in support of HHS in an ongoing lawsuit from the Association of Air Medical Services, a trade association representing air ambulance providers. 
  • 2 insurers withdraw appeal over North Carolina Medicaid contract award

    Two North Carolina payers — Aetna Better Health Care and My Health by Health Providers of Morrisville — are stepping away from the table after suing the state's health and human services department in 2019 over its Medicaid contract, according to the Triangle Business Journal.  

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