Despite an industry-wide transition to value-based payment models that incentivize preventive care and proactive communication between health plans and members, commercial health plans are missing the ...

While digital health still holds plenty of promise in healthcare, the lack of cohesion between Medicare, Medicaid and commercial health plans about just what digital services should be covered is a ...

Social media users can’t stop talking about a new Eli Lilly and Company commercial that some believe promotes obesity, while ...

Jan 25 (Reuters) - Elevance Health Inc (ELV.N), opens new tab said on Wednesday that the growth in the insurer's commercial business is expected to keep concerns over attrition in Medicaid membership ...

Commercial health insurers suffered a 90% decrease in underwriting income last year as fewer people signed onto group health and instead moved into individual coverage on an exchange or a Medicaid ...

Members’ overall satisfaction with their commercial health plans fell 13 points year over year, according to a new study by J.D. Power. The decline was driven by dissatisfaction with customer service, ...

The United States spends more on healthcare, with worse results, than any other country. There are often wild variations in negotiated inpatient and outpatient commercial rates across different payers ...

Hospital prices negotiated by insurers for their commercial plans are two- to three-times higher than Medicare Advantage plan prices at the same location for the same services, according to a new ...

An estimated 73 million Americans with commercial health insurance live in highly concentrated markets and face limited choices as competition has decreased in four years, according to a new American ...

Alpha Sophia Founder and CEO Paul-Lukas Hoffschmidt explains how the company’s software diverges from competitors in healthcare commercial intelligence, with a focus on smaller innovators. Why did you ...

This article is the latest in the Health Affairs Forefront series, Provider Prices in the Commercial Sector, featuring analysis and discussion of physician, hospital, and other health care provider ...

Feb. 12—Consumers with some employer-sponsored Cigna health insurance plans may find themselves out-of-network with Mercy Health facilities on April 1 if the two health care organizations are not able ...