By Molly Castle Work – Californians with medical debt will no longer have to worry about unpaid medical bills showing up on their credit reports under legislation signed recently by Gov. Gavin Newsom, adding the nation’s most populous state to a growing effort to protect consumers squeezed by unaffordable medical bills.
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Reported payers and health insurance industry news from Independence Blue Cross, Highmark, AHIP, Anthem Blue Cross and Blue Shield, CVS Health, UnitedHealthcare, Humana, Cigna, and more.
By Richa Jain – Looking at the massive amounts of complex financial processes, the need for an efficient and more patient-centric system cannot be denied. But what does the future have for RCM? Do you know how several innovations are driving this change?
By Sarah Mendiola – Claims denials are an issue that do not merely take a financial toll on healthcare providers; they create a ripple effect that delays payment, eats up staff time and resources, and worsens the patient experience.
By Ram Krishnan – As part of a broader movement across healthcare to improve patient outcomes while reducing costs, behavioral health has seen a shift toward value-based care incentivizing providers to deliver high-quality and efficient care by linking payment to patient health outcomes.
By Matt Fisher – Value based care has become an evergreen topic in healthcare circles with the accompanying message that value based care will transform healthcare. Is that transformation happening? Is the value based care discussion stagnating or getting stuck on certain concepts?
The AMA recently published its new annual analysis of pharmacy benefit manager (PBM) markets confirming low competition among these middlemen in the pharmaceutical supply chain and high vertical integration of PBMs with health insurance companies.
Reported payers and health insurance industry news from Aetna, UnitedHealth Group, Humana, CareSource, CareFirst BlueCross BlueShield, Oscar Health Insurance, and more.
By Misty Graham – Key stakeholders in the healthcare industry, including health plans, clinical data registries, and accountable care organizations, must collaborate to improve health outcomes, enhance patient experiences, manage chronic diseases, and provide better access to care while keeping costs low.