By Patty Hayward – The healthcare payer space has shifted radically in recent years, with evolving reimbursement models, the rise of healthcare consumerism, advances in technology, and a global pandemic that upended businesses.
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By David Shelton – A staggering 90% of physicians say manual prior authorizations are a concern, according to the 2019 CAQH Index. Further magnifying the current situation are payers’ intentions to increase prior authorization requirements for even more services in the near future.
By Emad Rizk MD – COVID-19 exposed many weaknesses in our healthcare system and exacerbated fraud, waste and abuse. As the federal government waived restrictions around various reimbursements for Medicare patients as well as encouraged plans to be more…
By Nathaniel Arana – Physician Reimbursement and the Need for Independent Physician Groups to Assert Their Authority Against Payers. Years before COVID19, a physician I was speaking with asked me why insurance payers hardly ever cover Telehealth.
By Cameron Wood – Most physicians who have been practicing for a few decades remember the days when private payer reimbursements dwarfed Medicare reimbursements. That dynamic has long since flipped, starting with the 2008 recession.
By Suzanne Cogan – The relationship between payers and providers has come a long way over the last decade, as the push toward value-based care has shifted the dynamic between the two healthcare stakeholders.
By Abhinav Shashank – The health plan market is undergoing a drastic transformation. In the past, the competition had been lean with just a small number of payers. However, the market dynamics are changing.
Latest news being reported on payers and the health insurance industry including news from Haven Healthcare, Anthem, Humana, Cigna, United Healthcare, Blue Cross Blue Shield Association, UnitedHealth Group, Aetna, CVS Health and more.
Latest news being reported on payers and the health insurance industry including news from Anthem, Humana, Cigna, United Healthcare, Independence Blue Cross, UnitedHealth Group, Oscar Health Insurance and more.