payers
publication date
Payer
Are We Any Closer To VBID-X?
Yes and no, but keep an eye on CMS' growing Value-Based Insurance Design model.
Payer
Spotlight: Healthfirst's unique approach to Value-Based Insurance Design
The payer is one of only two Medicare Advantage plans focused solely on social drivers of health in its CMS...
Revenue Cycle
Yet Another Payer Backtracks on Mandate Amid Provider Pushback
UHC is pulling back on its controversial prior authorization mandate.
Payer
Curbing the Marketing Problem in Medicare Advantage
Misleading marketing has run rampant in the private program for too long, though new CMS regulations will attempt to offer...
Payer
MA Star Ratings: A Path to Dominance or Billions in Losses?
The answer is both as payers benefit unevenly from CMS' fine turning.
Payer
Medicare Advantage in the Hot Seat: Challenges and Opportunities Part 1
The first look at a preview of HealthLeaders Payer Week, five days of in-depth coverage and exclusive interviews.
Payer
UHC's Alternative Proposal to Prior Authorization Policy Rejected by GI Docs
The two sides remain apart as the payer's prior authorization mandate is set to begin on June 1.
Revenue Cycle
Payer Reverses Course on Controversial Documentation Policy
Cigna is taking heed at its "burdensome" documentation requirement.
Payer
CVS Health Forecasting $1B Loss From Medicare Advantage's Star Ratings Drop
Only 21% of the payer's Medicare Advantage (MA) members are enrolled in plans with at least four stars.
Clinical Care
Video: HealthLeaders Weekly Wrap
The Weekly Wrap, HealthLeaders' video series, brings you a quick look at what we're covering around the healthcare industry.
Payer
The Exec: Bolstering Value-Based Primary Care with Blue Cross' Ashley Yeats
The vice president of medical operations speaks on the health plan's addition of three physician groups participating in its value-based...
Revenue Cycle
Are Commercial Payers to Blame for Majority of Rev Cycle Claim Denials, Payment Delays?
One study says yes.