Industry News

Employer-based health plans are the largest source of coverage in the United States – covering almost 159 million people last year. According to the Kaiser

Prior-authorization requirements have long been a tool used by insurance carriers to “manage” care and promote “efficiency”. But, the burden pre-authorizations put on medical providers

For more than a decade, industry watchdog groups have questioned why hospital outpatient departments receive higher reimbursement – and, patients have higher copays – than

Access to primary care physicians is becoming increasingly difficult for patients across the country. Per Modern Healthcare, an estimated one-third of all physicians in the

Elevance Health (formerly named Anthem, Inc) has hired its first “food as medicine” director to advance the goal of addressing chronic conditions among its 47

ProPublica and The Capitol Forum reported this month on a company-designed pattern of inappropriate claim rejections by Cigna Healthcare. According to insurance laws and regulations,

States are preparing to remove millions of people from Medicaid as protections put in place under the PHE expire. The upheaval, which begins in April,

In March 2023, Humana announced it will leave the commercial health insurance market and focus its efforts on government-sponsored products such as Medicare Advantage. The

The Department of Health and Human Services (HHS) is planning for the federal Public Health Emergency (PHE) for COVID-19 to expire at the end of