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 ...

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 ...

For a hospital to expand its reach, patients have to know where to go. When a Kentuckian receives a medical diagnosis, the University of Kentucky wants to position itself as the go-to hospital in the ...

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 ...

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 ...

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 ...

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 ...

We know from experience — with Medicare — that the government can administer health insurance better than commercial insurers ...

COSTA MESA, Calif.: 9 May 2019 — Customer satisfaction among commercial health plan members has improved nationwide, but health insurers are still confronting challenges when it comes to delivering on ...