News
Elevance Preparing to Exit Several Medicaid States
1+ hour, 30+ min ago (298+ words) Navigating the shift from volume to value in healthcare Elevance Health Inc. is pulling out of the Washington, D.C. Medicaid market and plans to exit other states by the end of next year, executives told analysts and investors last week. Speaking…...
How Health System Leaders Are Responding to Medicare Advantage Pressures
4+ mon, 1+ day ago (727+ words) Navigating the shift from volume to value in healthcare Healthcare Innovation: Your new report, based on the survey with 30 senior execs, found them at an inflection point in terms of how they think about Medicare Advantage, with them saying that…...
N.C. State Health Plan Contracts With 3 Clinically Integrated Networks
5+ mon, 2+ week ago (274+ words) HCI Innovation Group N.C. State Health Plan Contracts With 3 Clinically Integrated Networks The North Carolina State Health Plan, which provides health benefits to nearly 740,000 teachers, state employees, retirees, and their dependents, has approved contracts with three clinically integrated networks (CINs): Aledade,…...
How Blue Shield of California Is Reimagining Prior Authorization
5+ mon, 2+ week ago (800+ words) Navigating the shift from volume to value in healthcare Alvarez: Plans that haven’t begun planning or implementing the digitization of policies may indeed be pressed to comply by 1/1/27. At Blue Shield of California, our goal is to reduce provider and…...
Doctors Trade Group: Medicare Advantage Rate Proposal ‘Will Impair’ Care Capacity
5+ mon, 2+ week ago (375+ words) Navigating the shift from volume to value in healthcare Centers for Medicare and Medicaid Services officials have proposed a tiny 2027 payment increase for Medicare Advantage plans, a plan that has caught off guard stakeholders who are warning of care disruptions…...