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The “Big Five” have reported their financial and enrollment results for the first calendar quarter of 2026. The “Big Five” are the five largest publicly-traded insurers, measured b...
People are often worried about facing huge medical expenses once they deal with serious health problems. Management of chronic diseases […] Magellan Solutions - Call Center | BPO |...
For a majority of Medicare and Medicaid recipients, the government program is paying a private health insurance company to provide the service from a private firm. In the Spring 20...
Providers caring for patients with chronic conditions have for years faced a persistent mismatch between how care is delivered and how Medicare pays for it. Managing chronic illnes...
The traditional approach to negotiating representations and warranties (R&W) and allocating risk in mergers and acquisitions is shifting. As the phased implementation of the "O...
Approximately 35 million Americans are enrolled in Medicare Advantage plans in 2026, and that number is expected to grow to about 45 million MA enrollees by 2030. That means within...
Out-of-pocket costs for emergencies and chronic disease management are steadily increasing. Medical inflation is simply devastating for most people. The […] Magellan Solutions - Ca...
Providers caring for patients with chronic conditions have for years faced a persistent mismatch between how care is delivered and how Medicare pays for it. Managing chronic illnes...
Affordability won’t come from being a passive payer. See how health plans can connect networks, benefits, and experience to lower total cost.
We put a doctor and a former insurance executive in a room.
Key Takeaways CMS’ Innovation Center is accelerating new payment and care delivery models as the Trump administration uses CMMI to advance health policy priorities. Current models...
An excerpt from Beyond Medicare For All: Cracking the Code of the Healthcare Affordability Crisis. If our goal is high-quality, comprehensive, affordable health care for all, we mu...
An excerpt from Beyond Medicare For All: Cracking the Code of the Healthcare Affordability Crisis. If our goal is high-quality, comprehensive, affordable health care for all, we mu...
Doctors and patients complain that the controversial practice of prior authorization for treatment and procedures is still widespread.
Imagine, for a moment, that you have two sick children at home, and you’ve just received a pre-authorization denial for an MRI scheduled for next week. Frantically, you call the in...
THIS WEEK’S DOSE House Ways and Means Committee hears from hospital and health system executives. The hearing focused on how to improve healthcare affordability and followed the...
In the first episode of Times Opinion’s new series “Divided,” a doctor and a former insurance executive confront a central question: Do insurance companies prioritize profit over p...
In the first episode of Times Opinion’s new series “Divided,” a doctor and a former insurance executive confront a central question: Do insurance companies prioritize profit over p...
The program, which was first launched in 2023 in collaboration with Accolade and TeleMed2U, has more than 150,000 members to date.
This is forcing brokers to rethink how they serve clients and how their businesses continue to grow without sacrificing service. The post As Health Costs Hit Record Highs, Brokers...
In May 2025, CMS’s Center for Medicare & Medicaid Innovation (CMMI) unveiled it’s “Make America Healthy Again” vision. CMMI models focus on not only “protecting the federal tax...
Farm Bill health care plans have been offered in Tennesseefor over 75 years. (Tennessee Farm Bureau photo)Affordable Care Act subsidies from the pandemic years made purchasing heal...
Employer-sponsored group health plans operate at the intersection of multiple federal regulatory frameworks — ERISA, the ACA, COBRA, HIPAA, the Mental Health Parity and Addiction E...
Most people are worried about high medical costs, and the last thing they want is to pay huge medical bills. […] Magellan Solutions - Call Center | BPO | KPO | Outsourcing
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