By Jay Eisenstock – The shocking execution of the CEO of America’s largest health insurer has reignited widespread criticism of the health insurance industry, often viewed as primarily responsible for the high cost of healthcare. While these companies bear some responsibility, the issue is far more complex with blame shared across the entire system.
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By John T. Bright – Medical billing inaccuracies remain a significant issue in the U.S. healthcare system, contributing to inefficiencies that negatively impact providers and patients. These errors not only affect the revenue cycle but also hinder operational productivity and reduce patient satisfaction.
By Pete Heydt – When half of rural hospitals are operating in the red and 418 are vulnerable to closure, the data alone are a call to action for new approaches to capturing revenue. Turning up the focus on patient financial engagement in ways that meet consumers where they are is one essential step.
Reported payers and health insurance industry news from Humana, Independence Blue Cross, Anthem Blue Cross and Blue Shield, CareSource, Cigna, Oscar Health, AHIP and more.
By Matthew Hawley – Artificial intelligence has been touted as a “solution” to modernize many payers’ processes and functions, including their traditional payment integrity programs. Yet seeing AI as the answer to health plans’ administrative burdens is overly simplistic.
By Noel Felipe – With high labor costs, low margins and claims denial rates averaging almost 15%, according to the American Hospital Association, providers need new approaches to effective revenue cycle management. Automation and AI tools can increase productivity, reduce the cost to collect and accelerate revenues.
By Matt Bridge – Efficient patient access operations are paramount for healthcare provider organizations to thrive in today’s tumultuous financial landscape. Inefficiencies created by outdated, time-consuming, and cost-intensive patient access and financial clearance operations create delays in the patient’s journey from…
We rounded up some industry experts to comment on The 2025 Employer Health Care Strategy Survey that explored ways employers address health care costs and key benefit strategy considerations in the near future and long-term.
Reported payers and health insurance industry news from Aetna, Cohere Health, Oscar Health, UnitedHealthcare, Centene, AHIP, HealthEdge, Anthem Blue Cross and Blue Shield, CVS Health, Cigna, Humana, CareFirst BlueCross BlueShield, Independence Blue Cross, and more.