Rising Claim Denial Rates Challenge Healthcare Providers
Explore the rising claim denial rates in healthcare, their impact on providers and patients, and how automation may improve claims management in this evolving landscape.
Cigna Medicare Advantage Members in Delaware Face Enrollment Changes
Cigna Medicare Advantage members in Delaware can enroll in new plans due to contract changes with Bayhealth. Learn more!
Medicare Cuts Raise Concerns for Physician Practices
The 2025 Medicare Physician Fee Schedule cuts reimbursement rates, impacting healthcare providers' finances and patient access to care.
ACC Announces New Medicare Reimbursement Policies for CCTA Exams
The ACC has updated Medicare reimbursement policies for CCTA exams, doubling rates for hospitals.
Rural Medicare Advantage Changes Complicate Access to Care
This article examines how Medicare Advantage expansion is impacting access to healthcare for rural seniors, highlighting the challenges and changes brought by insurers.
U.S. Healthcare Spending Hits $4.9 Trillion in 2023
In 2023, U.S. healthcare spending rose to $4.9 trillion, driven by ACA enrollment and increased medical services usage. This report highlights the significant growth in healthcare expenses and insurance enrollment.
Seniors’ Timely Access to Care Act Aims to Expedite Medicare Approval
The Improving Seniors’ Timely Access to Care Act of 2024 aims to streamline the Medicare Advantage prior authorization process, reducing administrative burdens and enhancing care access for seniors.
Aetna Employees Arrested in $1.1 Million Insurance Fraud Scheme
Aetna employees arrested for orchestrating a $1.1 million insurance fraud scheme involving false claims.
Cigna Drops Merger Plans with Humana Post-Trump Reelection
Cigna has confirmed it is not pursuing a merger with Humana, impacting stock prices and highlighting industry dynamics.
CVS Faces Financial Struggles Amid Rising Medical Costs
CVS confronts significant financial hurdles in 2024, primarily due to rising medical costs impacting Aetna's performance and leadership changes. Read about their strategies for recovery.