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Earlier this year, one of the largest public health insurers, Anthem (or Elevance Health) announced that they’re working with Google Cloud to create a synthetic data platform to generate an [...]

To be eligible for certain federal funds during the COVID-19 public health emergency, states had to suspend dropping beneficiaries from Medicaid programs. The end of the COVID-19 public health [...]

Last year we wrote about how the US Department of Health and Human Services (HHS) released a new artificial intelligence (AI) strategy in conjunction with hiring a new AI officer. In September of [...]

In 2021, the Washington State Legislature authorized the state’s Affordable Care Act (ACA) health insurance exchange, the Washington Health Benefit Exchange to find ways for residents who don’t [...]

In a world of nearly instantaneous money transfers, digitized enrollment data, and complex insurer core admin systems, it’s surprising that benefits billing causes significant headaches to both [...]

Previously, we wrote about health equity, network adequacy, and essential community providers due to the proposed changes outlined in the 2023 Notice of Benefit and Payment Parameters Proposed [...]

Recently, CVS Health released its 2021 Environmental, Social and Government (ESG) Report. As the parent company that owns a retail pharmacy chain, CVS Pharmacy, a pharmacy benefits manager, CVS [...]

Most benefits administrators’ first foray into building technology involved enrollment and eligibility platforms. As they gained market share, their customers began to ask them for consolidated [...]

Simply put, a poor health insurance member experience can hurt an insurance company financially. Take Medicare Advantage enrollment, for example. CMS assigns Medicare Advantage plans star ratings [...]

Connecticut’s state-based health insurance exchange, Access Health CT, was recently audited. The audit gained considerable media attention after it found that the exchange failed to report 44 [...]