What are payers? The payer to a health care provider is the organization that negotiates or sets rates for provider services, collects revenue through premium payments or tax dollars, processes provider claims for service, and pays provider claims using collected premium or tax revenues.
Walmart and UnitedHealth Group are rolling out a major partnership to provide healthcare services and “improve the patient experience” for Medicare Advantage enrollees in certain markets across the country.
Throughout the pandemic, the federal government has provided Americans with Covid-19 tests, vaccines, and treatments free of charge, but this will soon change.
Humana has finished its rebranding of the home health division CenterWell from Kindred at Home, which the insurer acquired in August of last year.
Some Japanese insurance companies are taking advantage of the situation, offering daily coverage for consumers who are worried about heat stroke.
When it comes to prescription drugs lowest premium and lowest cost aren’t always the same thing.
The bill to allow Medicare to negotiate some drug prices, cap out-of-pocket drug costs for seniors, and extend temporary subsidies for Affordable Care Act insurance premiums would represent a major step if Democrats can get it across the finish line.
Following new legal action senators are seeking to improve access and affordability for prescription drugs.
Experts are detailing how they plan to use a trove of data from health insurers detailing their in- and out-of-network rates.
Molina Healthcare will acquire My Choice Wisconsin, a Medicaid plan, for about $150 million.
Democratic lawmakers making a last-ditch attempt to pass a tax and spending bill are now weighing whether to extend pandemic-era Obamacare subsidies to avoid skyrocketing premiums that will hit just as voters head to the polls in November
SCOTUS sidede with hospitals in the case in how outpatient drugs were paid out. The court found that HHS did not follow the law when it changed rate payments under the 340B drug discount program.
Many US hospitals are facing unprecedented financial strain and the AHA reached out to Congress requesting to delay cuts to Medicare. AHA claimed financial relief would be needed for such cuts “to maintain access to care for the patients and communities they serve.”
