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It’s been more than five months since the Trump administration’s Centers for Medicare and Medicaid Services (CMS) issued a final rule on price transparency for payers. Called the Transparency in [...]

According to a McKinsey survey, seniors are extremely loyal. The survey found 81% of Medicare customers 75 or older said they renewed their plans without shopping for a new one. 76% of 71 to [...]

The Affordable Care Act redefined health insurance and health care when it was passed in 2010. At a high level, it created health insurance marketplaces run either by the federal government or by [...]

The 2020 election saw an increase in candidates espousing healthcare plans that included some form of a public option. Several states (including Nevada’s interest in public health insurance [...]

There are hundreds of health insurance companies in the US, though the top 10 health insurers earn as much as 60% of the revenue. Plus, consolidation has enabled larger insurers to quickly grow [...]

Five states  –  Colorado, Idaho, Massachusetts, Minnesota, and Nevada – recently released their state health insurance exchange annual reports. As you’ll see, these state exchange [...]

Artificial Intelligence (AI) has long been touted as having the potential to significantly change the healthcare industry. From helping payers automate processes and streamline the business to [...]

This year, New Jersey and Pennsylvania made the transition from Federally Facilitated Marketplaces (FFM) to State-based Marketplaces (SBMs). They joined 13 other SBM states plus the District of [...]

On January 27th,  Anthem, one of the largest health insurers in the US, released their Q4 earnings on a call with analysts and investors. The call offered a look at strategic moves the insurer is [...]