Popular

In a world of nearly instantaneous money transfers, digitized enrollment data, and complex insurer core admin systems, it’s surprising that benefits billing causes significant headaches to [...]

The 2022 Medicare Advantage open enrollment period recently ended. In early March, the Chartis Group released an in-depth examination of the Medicare Advantage market. Among the findings: [...]

The healthcare industry continues to consolidate. Several mergers, acquisitions, joint ventures, and pilot programs occurred in the past two years. Below we examine that activity, the strategy, [...]

In late December, the US Department of Health and Human Services (HHS) released a hefty 408 page proposed Notice of Benefit Payment Parameters for 2023. As evidenced by its length, the proposed [...]

Over the past decade, Medicaid has transitioned to a managed care model where states pay a monthly premium, called a capitation payment, to Medicaid managed care plans who then take on the [...]

As the COVID-19 pandemic raged, many consumers got their first taste of virtual health. And apparently, they enjoyed the experience. A recent survey from Press Ganey found that more than 1/3 of [...]

According to an analysis published in the Harvard Business Review, the customer experience has a significant impact on revenue. For a subscription business, a member who gives the lowest score [...]

We recently wrote a health insurance CIO’s guide to emerging technology that covered topics from chatbots and augmented reality to robotic process automation and the Internet of Things. But [...]

The Consolidated Appropriations Act was signed into law in late December of 2020 and included the No Surprises Act. Congress designed the act to bring more transparency to health care. Congress [...]

According to a McKinsey survey, seniors are extremely loyal. The survey found 81% of Medicare customers 75 or older said they renewed their plans without shopping for a new one. 76% of 71 to [...]