12+ hour, 48+ min ago  (73+ words) Benefits PRO United Healthcare tells doctors it will pay some claims in real time What You Need To Know - United Healthcare is telling doctors it will pay some commercial claims the same day. - The insurer says doctors should talk to…...

1+ week, 5+ day ago  (68+ words) Benefits PRO Aetna, Cigna, Elevance and United Health back new prior authorization standards push What You Need To Know - Big insurers say the new standards will apply to many services by Jan. 1, 2027. - Cigna predicts it will use the standards for…...

3+ week, 6+ day ago  (490+ words) Big insurers say they will reduce overall volume about 11% this year but are not giving many details. Big health insurers say they are keeping their promises to reduce the amount of paperwork plaguing doctors and hospitals " but they are not…...

1+ mon, 1+ week ago  (262+ words) The U. S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) announced the members of the Healthcare Advisory Committee, a new federal advisory body that will provide expert advice on improving, strengthening and modernizing U. S. health…...

1+ mon, 1+ week ago  (948+ words) A non-network plan proposal could help companies like Sidecar and Imagine360 compete with the HMOs and the PPOs. The regulators who oversee the Affordable Care Act public exchange system are wondering whether to treat "non-network plans" as major medical insurance coverage…...

1+ mon, 1+ week ago  (417+ words) A big nonprofit health insurer is suffering from the same kinds of problems in the U. S. stop-loss insurance market that for-profit competitors have talked about. Highmark said Tuesday that HM Insurance Group, its stop-loss business, posted an operating loss of $107 million…...

1+ mon, 2+ week ago  (188+ words) Officials at the credit ratings company said health insurers are facing low margins across most market segments, and companies likely will focus on redesigning medical plans, reducing benefits, and exiting less profitable markets and geographies this year. Moody's Ratings is…...

1+ mon, 3+ week ago  (22+ words) Benefits PRO Pivot to data driven decision making as legacy health plans underperform...

1+ mon, 3+ week ago  (20+ words) Benefits PRO Aetna to pay $117. 7 M to settle Medicare Advantage fraud allegations...

1+ mon, 3+ week ago  (81+ words) Benefits PRO Aetna faces no risk of financial loss in health benefits case, federal court rules What You Need To Know - Both plaintiffs are participants in self-insured employer plans. - An Aetna clinical policy bulletin classifies some gender-related face procedures as…...