New & Notable
House committee pushes through Medicaid work requirements
The legislative language enacting Medicaid work requirements awaits full discussion on the House floor.
Bill aims to restore appropriate use criteria for imaging
The Radiology Outpatient Ordering Transmission (ROOT) Act aims to modernize Medicare's imaging oversight process and bring back its appropriate use criteria program.
UnitedHealth CEO Andrew Witty steps down
UnitedHealth Group announced the appointment of Stephen J. Hemsley as the company's CEO after Andrew Witty stepped down due to personal reasons.
Limited payer prescription drug coverage pinches patients
As payers limit prescription drug coverage, they are increasingly setting up restrictions like prior authorizations and step therapy.
Insights
Insights is research conducted by and for TechTarget Xtelligent Healthcare. Our work aims to leverage Xtelligent’s diverse readership of healthcare professionals across various sectors of the industry to understand real-world challenges and identify effective solutions.
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A podcast for healthcare professionals seeking solutions to today's and tomorrow's top challenges. Hosted by the editors of Xtelligent Healthcare Media, this podcast series focuses on real-world use cases that are leading to tangible improvements in care quality, outcomes, and cost.
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Latest News
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DOJ sues Aetna, other major MA insurers over alleged kickbacks
The Department of Justice accuses MA insurers Aetna, Elevance Health and Humana of paying kickbacks to brokers for enrollments and discrimination against disabled beneficiaries.
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Medicaid work requirements slated to cost the U.S. jobs
National Medicaid work requirements could cost the U.S. up to 449,000 jobs and billions in GDP.
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States with consumer protections see higher Medigap premiums
Medigap premiums were higher and fewer plan options were offered in states that passed Medigap consumer protection policies, researchers found.
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Why member experience, healthcare costs are key for payers
Healthcare payers need to focus on broad issues like benefit design, engagement and digital strategies as they tailor a better member experience.
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Gutting ACA no-cost coverage to affect millions, mostly women
Nearly 1 in 3 adults with employer-sponsored health insurance received ACA no-cost coverage of preventive services threatened by a pending legal challenge, according to a study.
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Digital member experience, app use low among health plans
Digital member experience trails other service sectors as health plan beneficiaries flag problems like poor navigation and information access.
Features
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How employers can promote preventive healthcare for members
Employers should examine their benefits, including those they don’t use, to assess how they can promote preventive healthcare access among employees.
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How companies find solutions to employer GLP-1 coverage
Employer GLP-1 coverage has serious cost barriers, but some companies are turning to technology vendors to provide a comprehensive approach to access.
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Employers seek healthcare price transparency to control costs
Navigate rising costs by leveraging healthcare price transparency, direct provider contracts and data access, despite ongoing challenges for employers.
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What does member experience mean for health payers?
A better member experience is key for health payers working to improve consumer loyalty and support their financial bottom lines.