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How OR Plans to Use a Public Option to Advance Health Equity

WebBy Kelsey Waddill. January 31, 2022 - As Oregon establishes a public option in order to address health equity, it could merge this work with its efforts to unify health equity …

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An Overview of the CMS AHEAD Model for Health Equity …

WebSeptember 06, 2023 - The CMS States Advancing All-Payer Health Equity Approaches and Development Model (AHEAD Model) rallies states and a broad scope of healthcare …

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NCQA Releases Health Plan Performance Ratings with COVID-19 …

WebBy Kelsey Waddill. September 17, 2021 - The National Committee for Quality Assurance (NCQA) has released its first set of Health Plan Ratings since 2019, …

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Claims Payment Transformation Benefits Payer, Providers, and …

WebNovember 15, 2021 - Payers, providers, and members are all central to the healthcare experience, working together to create a seamless, coordinated encounter from …

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How One Payer Redesigned Wellness Program Rewards Around …

WebOffering rewards that deliver better value. UnitedHealthcare members can receive anywhere from $300 to $1,000 annually in rewards based on their wellness. This …

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Medicare Advantage enrollment increased by 1.7 million …

WebMarch 11, 2024 - Medicare Advantage enrollment has increased by 1.7 million beneficiaries since 2023, with for-profit health plans dominating the market, a Chartis report revealed. …

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How Quality Measures, Star Ratings Impact Healthcare Payers

WebSeptember 05, 2023 - Quality performance metrics such as HEDIS, Medicare Advantage Star Ratings, and standardized core quality measures can give consumers an indication …

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UnitedHealthcare Platform Improves Member Access to Well …

WebJanuary 22, 2024 - UnitedHealthcare has launched a platform to facilitate member access to health and well-being programs and lower costs for employers.. The UHC Hub offers a …

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2022 National Healthcare Spending Growth Slowed to Pre-COVID …

WebDecember 15, 2023 - In 2022, national health expenditures hit $4.5 trillion, a 4.1 percent increase, with a couple of key spending areas seeing growth rates return to pre …

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How Home Health Will Evolve in the Year Ahead

WebJanuary 17, 2022 - Healthcare is continuing to go home. The trend of moving care from the hospital to the patient’s home began in the 1990s and has been gathering steam ever …

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Top 5 Largest Health Insurers in the US by National Market Share

WebUnitedHealth Group, Anthem, Aetna, and Cigna returned to the list of the top five largest health insurers and one newcomer joined the list. September 29, 2021 - …

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Exploring the History of the Blue Cross Blue Shield Association

WebBCBSA companies provide health insurance to over 115 million people in the United States. More than 15 Blue Cross Blue Shield plans placed in the top 50 largest …

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The History of Medicare Advantage: From Inception to Growing …

WebMay 22, 2023 - Medicare Advantage’s popularity continues to grow in 2023 as enrollment figures and plan options increase. The private program has received mixed reviews from …

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Payers Embrace Healthcare IT for Cost Optimization, Member …

WebDecember 04, 2023 - Payers are investing in healthcare IT resources to support cost optimization and improve member experience, according to a study from EY-Parthenon …

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UnitedHealth Group lost $1.4B in Q1 2024 following cyberattack

WebApril 18, 2024 - UnitedHealth Group experienced a $1.4 billion net loss in the first quarter of 2024, but revenues increased by almost $8 billion year-over-year. The company said the …

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How Public, Private Payers Cover Care for the LGBTQ+ Population

WebGiven that LGBTQ+ individuals are more likely to have low incomes, Medicaid is a vital source of coverage for this population. Around 1.2 million LGBTQ+ adults were …

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3 Major Payers Take Action on Social Determinants of Health

WebThese three payers have the second, third, and fourth highest market shares in the US health insurance marketplace. In 2020, Elevance held 12 percent of the …

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HealthPayerIntelligence News

WebBig Premium Drop, More Medicare Advantage Benefits Slated for 2021. September 29, 2020 by Kelsey Waddill. As Medicare Advantage plans prepare to expand their benefits …

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Humana reports Medicare Advantage growth, income gains in Q1 …

WebApril 25, 2024 - Humana added 50,000 individual Medicare Advantage beneficiaries and reported a net income of $741 million in the first quarter of 2024. The …

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Common Utilization Measures That Impact Value-Based Care Efforts

WebAnd, of course, utilization is closely tied to healthcare spending. This was evident in 2020 when the annual percent change in utilization per person dropped 7.5 …

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Creating Strategies to Expand Transgender Healthcare Coverage

WebMarch 12, 2021 - For the nearly 1.4 million Americans who identify as transgender, transgender healthcare coverage is lined with hurdles. One in five transgender …

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