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How 3 Payer Execs Are Tackling Mental Health Services Integration, Reimbursement
Three Blues plan execs share mental health reimbursement strategies.
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...
Save Billions or Stick with Humira? Drug Brokers Steer Americans to the Costly Choice
The biggest hitch seems to be the PBMs.
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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.
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.
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,"...
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It’s Time to Go Digital with Your Payments: Here’s Why
As More Patients Email Doctors, Health Systems Start Charging Fees
Billing for e-visits raises knotty questions about fairly compensating providers and enhancing patients' access to care.
Q2 Earnings a Mixed Bag for Nonprofit Hospitals
A look at three health systems that were up and three that were down in the second quarter of the...
KidCare health insurance will be free this month in Idalia counties
The Florida Healthy Kids Corp. will cover the costs of September premiums for children who are enrolled in the KidCare...
Texas among states being audited by federal CMS for Medicaid terminations. What we know.
The Texas Health and Human Services Commission is being audited by the federal Centers for Medicare & Medicaid Services, part...
Hospitals plead with Congress to avert $8B in cuts in Medicaid funding
Healthcare representatives from across the United States are urging Congress to halt cuts to funding that helps hospitals care for...
NM orders insurance companies to expand timely access to behavioral health services
New Mexico's top insurance regulator on Tuesday ordered health insurance companies to expand timely access to behavioral health services in...
Bright Health owes $380 million in delayed payments to federal government
Bright Health hasn't made full payment on its risk adjustment obligations to the federal government and is entering into a...
House to vote on budget and separate casinos-Medicaid bill this week, top appropriator says
The North Carolina House of Representatives will hold votes on a $30 billion state budget and a separate bill that...
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