health plans
publication date
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...
Innovation
Memphis Project Brings Primary Care to Urban YMCAs
A new partnership will open primary care clinics in select YMCAs around Memphis, offering more convenient access to care for...
Payer
Cigna Announces 2024 Marketplace Plans
As the insurer limits expansion, what will others do amidst premium increases and continued enrollment growth?
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.
Innovation
LA Health Plan Launches Program to Improve Healthcare for the Homeless
The health plan is issuing more than $4 million in grants to nine organizations through an innovative program to improve...
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
How Delivery System Leaders Are Linking Prevention, Reimbursement, and Value-Based Care
Execs from diverse organizations share their strategies.
Payer
What Health Plans Can Do to Improve Member Experience, Satisfaction
Members want more from their health insurer, but different generations require different approaches.
Finance
The Exec: L.A. Care Health Plan CFO Afzal Shah on Working to Pay Claims Faster
The publicly operated health plan has seen an increase in requests for resolving claims and requests for potential advances coming...