Social Media Ideas for Payer Policy

Your health policy got stronger

Cashless Everywhere, a three-hour discharge rule and a five-year no-rejection guarantee are now in place. Here is what each actually delivers and where enforcement lags.

Medicare red tape turned insurers into villains

Imagine your doctor diagnoses you with Alzheimer’s disease, evaluates your needs and risks, and recommends a tailored treatment plan to extend your healthy years. Who should have t...

Patients Face a Thicket of Red Tape Trying To Maintain Consistent Health Coverage

Many Americans are shopping around for affordable options as the cost of health insurance soars. But some who hope to keep the same doctors and medications face a thicket of red ta...

New Connecticut Law Expedites Claim Disputes Between Health Care Providers and Insurers

On May 27, 2026, Connecticut Governor Ned Lamont signed “An Act Concerning Return of Health Care Provider Payments” (PA 26-56). As of January 1, 2027, PA 26-56 shortens the time pe...

PURE Insurance allocates $50 million to member accounts

Longtime policyholders will also receive financial distributions

Copay Assistance Is Meant To Defray Patient Drug Costs. Some Insurers Keep It Instead.

Drugmakers provide financial assistance to help patients afford increasingly expensive medications. But some insurers do not count those payments toward a plan’s deductible or out-...

Pennsylvania Supreme Court bars insurers from denying pharmacy bills over referrals

Eight services made the list - prescription drugs didn't, and the insurer's case fell apart

One in 6 buyers now spends more than 3% of income on insurance

Urban Institute links rising premiums to income, geography, and credit

Why the Office of Personnel Management Needs Access to Government Employee Health Plan Claims Data

Without knowledge of the exact amount providers billed and middlemen charged in fees, OPM can’t fix payment discrepancies. The post Why the Office of Personnel Management Needs Ac...

Payer-backed ad campaign urges lawmakers to reject NSA enforcement bill

A payer-backed group has launched a campaign challenging a bill that aims to build on the No Surprises Act.

Federal Agencies Finalize Long-Pending No Surprises Act IDR Operations Rule

Americans mostly blame insurers for rising healthcare costs, survey finds

Insurer groups said the survey was skewed against their industry and that hospitals are largely at fault for spiking costs.

47% of US adults say corporate health insurers ‘primary drivers’ of rising health costs

Though 47% of respondents point the finger at corporate health insurers, respondents also selected the federal government (36%) and drug companies (34%) as primary drivers in risin...

Eroding ACA Enrollment Portends Higher Insurance Rates

An uptick in people skipping Obamacare premium payments in many states suggests the Affordable Care Act’s rising costs — driven partly by lower subsidies to help people buy plans —...

US P&C insurers return $6.2 billion to policyholders as profits rebound: Verisk and APCIA report

Underwriting recovery slows premium growth and boosts surplus, but litigation and catastrophe risks remain

Over 90pc insurance claims approved yearly, Parliament told amid policyholder concerns

KUALA LUMPUR, July 6 — Insurance and takaful operators (ITOs) maintained an average claim approval rate of 90 per...

OIG: 3 Largest MA Insurers Deny Prior Auth Requests at High Rates for Long-Term Acute Care, Inpatient Rehab

An OIG report found that the three largest Medicare Advantage insurers denied prior authorization requests for long-term acute care and inpatient rehabilitation at higher rates tha...

Commonwealth Fund: 21% of adults experienced a coverage denial in the past year

One in five adults with private insurance coverage said that they or a family member had a medical service denied in the past year, even though it was recommended by their physicia...

Prior Authorization Criteria Differ Significantly Across Leading Commercial Insurers

In the ever-complex landscape of healthcare administration, one of the most confounding challenges faced by clinicians and patients alike is the variability in prior authorization...

Colorado law lets non-insurers buy unsold insurance premium tax credits

Insurers still get first pick – but the leftovers now have a new home

What do Medicare Advantage enrollees think about prior authorization? Actions speak louder than words

Do Medicare Advantage enrollees like plans with more prior authorization? On the one han, one would think the answer is a clear ‘no’. However, higher levels of prior authorization...

Maryland opens private paid family leave market to insurers with September deadline

Bundle it with life cover, sure – but miss the cutoff and you're locked out of year one

Industry Voices—From claims to compassion: Reclaiming patient advocacy in revenue cycle

Working with payers to ensure every patient is covered at the appropriate level of care isn't a back-office function—it's the place where revenue cycle managers can show up for pat...

How Medicare and Medicaid Rely on Private Health Insurance

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...