In the wake of a pandemic that forcibly accelerated the adoption of telemedicine, insurers are starting to offer virtual-first plans at lower costs and they are being met with both enthusiasm and concern.
Some of the biggest players in health insurance—Humana, UnitedHealthcare, Kaiser Permanente—have started offering...
The volume of telehealth claim lines increased more than 8,335% in April 2020 compared to April 2019 as the pandemic continues to drive utilization.
Mental health diagnoses drove visits, followed by joint and soft tissue conditions and hypertension, suggesting more privately insured patients turned to telehealth to manage chronic...Arizona News
With two-thirds of U.S. Medicaid beneficiaries receiving care from managed care organizations, private insurers are unlikely to suffer from the Medicaid block grant plan.
A majority of states contract with MCOs to provide coverage and the government space is still perceived as a prime growth strategy for large insurers such as...Arizona News
Healthcare stocks took quite the beating last week and continue to decline into the third week of April. Even insurance giant United Healthcare cannot escape the downturn as it stays on track for its worst month in a decade. Analysts are already pointing the finger at 'Medicare for All,' claiming the political pressure is not good for...Arizona News
On Friday, Feb. 15, The Centers for Medicare and Medicaid Services (CMS) published a proposal that would require Medicare to offer coverage for CAR-T cell therapy and could take form as a national coverage determination (NCD). The cancer treatment uses a patient's immune system to fight off the illness and currently, local Medicare...Arizona News
MA insurers are auditing patient's medical charts to find more diagnosis codes in effort to get larger reimbursements from the Medicare program. The business of insurance encourages the documentation of all possible diagnoses to generate billions in profits. Modern Healthcare cites an Anthem lawsuit as an example of the returns...National News
The lawsuit claims the insurance provider submitted invalid data concerning the health status of patients enrolled in Medicare Advantage plans to the tune of more than $1 billion.
Medicare helps about 56 million people of which approximately 19 million have chosen to enroll in Medicare Advantage plans as an alternative to a standard...
The potential merger between CVS and Aetna could be worth more than $66 billion.
The online retailer Amazon's flirtation with the pharmacy business has been raised as a factor in the merger. But many industry experts say CVS and Aetna have another huge competitor on their minds: UnitedHealth Group. Kaiser Health News quotes Ana Gupte,...
The contract to provide health care services to U.S. military members and their families in the western region started April 1, 2013 and officially ends Dec. 31, 2017.
UnitedHealthcare expects to eliminate 381 jobs in Arizona as of Jan. 2.
The Phoenix Business Journal quotes Bruce Jasurda, vice president of communications for...