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Insurance
Major insurers to ease prior authorizations ahead of federal crackdown

UnitedHealth Group and Cigna are relaxing prior authorization processes days before federal regulators are expected to finalize an overhaul of their administrative processes.

Clawbacks
Insurance
Insurance companies ramp up efforts to claw back money from providers

The so-called clawbacks are adding to providers’ operational and financial challenges in an already-tough economic environment.

Insurance
Feds take aim at prior authorization

Recent proposed changes would force health plans to speed up prior authorization decisions and provide more information about the reasons for denials.

Humana CEO Bruce Broussard
Insurance
Humana CEO says Medicare Advantage cuts good for insurer

Humana gains market share from rivals when Medicare Advantage rates fall, President and CEO Bruce Broussard said during a TD Cowen healthcare conference in Boston.

optum
Sponsored Content Provided By Optum
Improve your CMS Star Ratings with high-touch care strategies
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Insurance
Humana exits $4B commercial market, goes ‘all in’ on Medicare
Medicare - insurance - people standing in line
Insurance
Medicare Advantage enrollment growth slowed for 2023
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Insurance
Cigna announces corporate rebranding
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Insurance
Oscar Health sustains heavy net loss in 2022, but executives still optimistic
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Insurance
Millions at risk of losing Medicaid coverage once COVID-19 emergency ends
Integra Connect
Sponsored Content Provided By Integra Connect
The Year Ahead in Value-Based Care: Trends to Watch as Alternative Payment Models Evolve
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Insurance
More MA insurer audits mean more scrutiny on providers
medicare advantage directories
Insurance
Provider directories are a mess. CMS' plan to fix them has few fans
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Insurance
Blues plans launch Synergie to cut costs for the priciest drugs
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  • News
    • Current News
    • Providers
    • Insurance
    • Digital Health
    • Government
    • Finance
    • Technology
    • Safety & Quality
    • Transformation
      • Patients
      • Operations
      • Care Delivery
      • Payment
    • People
    • Regional News
      • Midwest
      • Northeast
      • South
      • West
    • Digital Edition (Web Version)
  • Unwell in America
  • Opinion
    • Bold Moves
    • Breaking Bias
    • Commentaries
    • Letters
    • Vital Signs Blog
    • From the Editor
  • Events & Awards
    • Awards
      • Nominate/Eligibility
      • 100 Most Influential People
      • 50 Most Influential Clinical Executives
      • Best Places to Work in Healthcare
      • Excellence in Governance
      • Health Care Hall of Fame
      • Healthcare Marketing Impact Awards
      • Top 25 Emerging Leaders
      • Top 25 Innovators
      • Diversity in Healthcare
        • - Luminaries
        • - Top 25 Diversity Leaders
        • - Leaders to Watch
      • Women in Healthcare
        • - Luminaries
        • - Top 25 Women Leaders
        • - Women to Watch
    • Conferences
      • Digital Health Transformation Summit
      • ESG: The Implementation Imperative Summit
      • Leadership Symposium
      • Social Determinants of Health Symposium
      • Women Leaders in Healthcare Conference
    • Galas
      • Best Places to Work Awards Gala
      • Health Care Hall of Fame Gala
      • Top 25 Diversity Leaders Gala
      • Top 25 Women Leaders Gala
    • Virtual Briefings
      • - Hospital of the Future
      • - Value Based Care
      • - Hospital at Home
      • - Workplace of the Future
      • - Digital Health
      • - Future of Staffing
      • - Hospital of the Future (Fall)
    • Webinars
  • Multimedia
    • Podcast - Beyond the Byline
    • Sponsored Podcast - Healthcare Insider
    • Video Series - The Check Up
    • Sponsored Video Series - One on One
  • Data Center
    • Data Center Home
    • Hospital Financials
    • Staffing & Compensation
    • Quality & Safety
    • Mergers & Acquisitions
    • Data Archive
    • Resource Guide: By the Numbers
    • Surveys
    • Data Points
  • MORE+
    • Contact Us
    • Advertise
    • Media Kit
    • Newsletters
    • Jobs
    • People on the Move
    • Reprints & Licensing