Insurance Premium Billing

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% [...]

On Oct. 8, 2021, the Center for Medicare and Medicaid Services released a fact sheet about 2022 Medicare Part C and Part D Star Ratings. We’ve previously published a Guide to Medicare Star [...]

Shortly after becoming CEO, Satya Nadella undertook a major restructuring at Microsoft. The goal was to remove the product silos that made it difficult for Microsoft to innovate and instead [...]