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Last week, we answered the question “What are essential community providers?” This week, we’ll dig into another topic discussed in the Notice of Benefit Payment Parameters for 2023, network [...]

In late December, the US Department of Health and Human Services (HHS) released a hefty 408 page proposed Notice of Benefit Payment Parameters for 2023. As evidenced by its length, the proposed [...]

Many health insurers still rely on legacy billing systems or dated core admin solutions with less robust billing modules. As a result, they lack flexibility and result in a very manual, very [...]

Investor meetings offer a wealth of information about a company’s strategy and short and long-term plans. Five insurers recently completed their investor meetings. Discussions centered around [...]

2021 is almost in the books. The US inaugurated a new President, rolled out three vaccines and boosters to stem the COVID-19 pandemic and the world awakened a bit from its COVID slumber. Yet, [...]

Over the past decade, Medicaid has transitioned to a managed care model where states pay a monthly premium, called a capitation payment, to Medicaid managed care plans who then take on the [...]

As the COVID-19 pandemic raged, many consumers got their first taste of virtual health. And apparently, they enjoyed the experience. A recent survey from Press Ganey found that more than 1/3 of [...]

A recent KFF Medicare Advantage enrollment breakdown found that 26 million Americans enrolled in a Medicare Advantage plan in 2021, up 8 million from a year ago. Medicare Advantage now counts 42% [...]