This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
billion as the health insurer gains control of rising medical costs and its Evernorth business continues to perform well. Cigna swung to a first quarter profit of $1.3
Growing evidence demonstrates a counterintuitive phenomenon in healthcare: the cash price is often cheaper than insurance prices for the same service or product.
Second quarter profits of the largest health insurers - Elevance Health and UnitedHealth Group - are an indication the industry is weathering Medicare Advantage issues.
Vance talks of placing people with chronic conditions into separate insurance pools. Insurers may then charge higher premiums for people with pre-existing conditions.
Price discrepancies for the same medical procedures show how unfair insurance practices erode trust, leaving patients confused, financially strained, and feeling helpless.
Health insurance companies including CVS Health's Aetna, Cigna and Humana are pulling back slightly on their Medicare Advantage footprints after years of expansions.
billion in 2024 profits that included a $693 million fourth quarter loss as the health insurer exits unprofitable Medicare Advantage markets. Humana Tuesday reported $1.2
Former Palantir employees Mayank Jain and Pranav Pillai started Guardian AI to help healthcare providers fight insurance claim denials. Now their former employer is suing them for allegedly stealing trade secrets.
Pat Geraghty, the longtime top executive of one of the nations fastest-growing health insurance companies in Florida Blue, will retire at the end of this year.
Republican-led states historically opposed to the Affordable Care Act are seeing an influx of health insurance options for 2025 as insurers see a new market opportunity.
While the number of prescription fills for GLP-1 receptor agonists has continued to increase, health Insurance coverage for meds like Ozempic and Zepbound has decreased.
If a patient is suing you – and it can happen more easily than you want to imagine – then personal malpractice insurance can come in handy. At the same time, you want to make sure you ask all the necessary questions to find out how much your employer’s insurance covers you. There’s another good reason why you need personal insurance.
Health insurers increasingly use prior authorization to review care decisions. This leads to delays and administrative burden. Policy fixes are addressing the problem.
Going forward, we may see more instances in which insurers deny or (temporarily) severely restrict coverage of accelerated approvals, as Independence Blue Cross has done.
Most of us need cash more than comprehensive plans. The goal of equalizing medical spending cannot justify forcing everyone to pay for the same expensive coverage.
Livongo cofounder Glen Tullman wants to help employers lower healthcare costs with AI, but it may be just another Band-aid for America's $4.5 billion healthcare bill.
The December murder of Brian Thompson has left the industry grappling with how so much anger could be directed towards a sector that purports to keep people healthy.
Resentment toward insurance companies is not inevitableits a symptom of a broken system. With their reputations so damaged, how can payers rebuild trust with consumers?
Blue Cross Blue Shield has controlled the Alabama health insurance market. AFLA is creating a new insurance but are they playing by the rules? What patients need to know
CignaGroup recently announced plans to simplify its claims process and link executive compensation to customer satisfaction, which is a much-needed transformation.
With the murder of the UnitedHealthcare CEO, many have expressed vitriol towards the insurance industry. Having worked in non-profit health care all my life, I decided in 2018 to switch to the “dark side,” or the insurance industry, out of curiosity. What is it that they do, and how are they doing it?
News that The Doctors Company is spending $1.3 billion to buy ProAssurance could be a sign of more consolidation among companies selling medical malpractice coverage.
In the third quarter, the seven major publicly traded insurers’ medical loss ratios increased an average of 3.3 percentage points year over year — a major jump in medical costs.
There’s no denying that prescription opioids can be misused, abused, and diverted. And so, given these risks, there’s a desire for novel non-opioid treatments.
Whether you’re a physician starting a practice or a healthcare provider working to expand patient access, getting medical insurance credentialing is vital. RELATED ARTICLE: Optimizing Insurance Payer Reimbursement with RCM Services What is Medical Insurance Credentialing? Let’s dive in.
Some payers are imposing further restrictions or eliminating coverage of GLP-1 drugs while either maintaining access to bariatric surgery or making it easier to obtain.
CVS Health plans to exit the individual Obamacare health insurance business next year, leaving 1 million people in 17 states looking for new coverage in 2026.
MultiPlan, which denies the allegations, has been sued dozens of times over concerns the company is conspiring with health insurers to underpay doctors for out-of-network care.
We organize all of the trending information in your field so you don't have to. Join 5,000+ users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
Insurance Related Topics 
258 
Let's personalize your content