Insurance Premium Billing

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 [...]

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 [...]

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 [...]

In late March, the Office of the Actuary in the Centers for Medicare and Medicaid Services (CMS) released their annual projections for US healthcare spending. These projections analyze several [...]

Each year the Medical Payment Advisory Commission (MedPAC) releases two annual reports. Those reports provide recommendations to Congress based on an analysis of the Medicare program. MedPAC [...]

In early March, the Center for Medicare and Medicaid Services released SHO#22-001 to help states deal with the conclusion of the Medicaid Public Health Emergency (PHE) and the influx of Medicaid [...]

The 2022 Medicare Advantage open enrollment period recently ended. In early March, the Chartis Group released an in-depth examination of the Medicare Advantage market. Among the findings: [...]