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In recent years, there have been significant advancements in how health insurance companies deliver services to their members. Innovations like digital platforms and personalized guidance have [...]

After years of being a highly profitable market for health insurers, the regulatory sands may be shifting for Medicare Advantage payers. Star ratings have tightened up, with the average rating [...]

Advances in technology, aging technology infrastructure, shifting regulations, and increasing competition have made it difficult for payer CIOs to prioritize activities. Here are 5 key actions [...]

In August, the Centers for Medicare and Medicaid Services (CMS) published draft guidance regarding a new payment plan option for Medicare Advantage Part D beneficiaries called the Medicare [...]