PAYERS
Formerly Healthcare Payer News
Change comes to health insurance
Policy changes and new value-based reimbursement models aren’t just disrupting healthcare providers.
Insurers and government payers are having to make major adjustments as well.
This section highlights Healthcare Finance’s coverage on topics including benefit design, Medicare and Medicaid, risk management,
payer contracting, analytics, compliance, insurance exchanges, provider-sponsored health plans and merger and acquisition activity among top U.S. insurers.
Capital Finance / Payer
Cigna nixes speculation of a Humana merger
The majority of proceeds from the sale of its Medicare businesses will be used for share repurchase, Cigna says.
November 11, 2024
Reimbursement / Payer
Elevance latest insurer to sue over Medicare Advantage star ratings
November 06, 2024
Privacy & Security / Payer
Majority of cyberattacks are through third-party vendors
Hospitals didn't have Change Healthcare on their radar as a risk when the ransomware attack affected them, says John Riggi.
November 04, 2024
KEY PAYER TOPICS
MEDICARE & MEDICAID / Payer
Home health agencies get half a percent pay increase
Providers have gotten a nearly 9% permanent cut to home health payment since 2023, says LeadingAge.
Susan Morse
November 05, 2024 
ANALYTICS / Payer
Medicaid insurers 'missing opportunities' to improve maternal care
The U.S. is experiencing a maternal health crisis, and has worse outcomes than in any other high-income country, according to OIG.
October 08, 2024
REVENUE CYCLE MANAGEMENT / Payer
Survey: Claims denials on the rise
Denial rates have steadily increased, with providers seeing rejection rates as high as 10% to 15%.
September 30, 2024