denials
publication date
Payer
Humana Expands Prior Auth. Partnership With Cohere Health
The platform is giving physicians faith in quick prior authorization turnaround.
CEO
How Medicare Advantage Cost Bristol Hospital Its Staff
The Connecticut-based operator cut 60 positions to offset the costs associated with Medicare Advantage delays and denials.
Payer
Gold Carding and Payers: What To Know
Gold Carding is expanding across the country with several states already implementing the legislature in some way.
CFO
3 Reasons CFOs Should Care About CommonSpirit Health's Latest Financials
The not-for-profit recently reported its financial results for the second quarter of its fiscal year 2024, and there are several...
CFO
Inside One CFO's 'Collaborative' Payer Strategy
A strong, collaborative relationship with payer partners is essential for one CFO.
CFO
Why More Organizations are Terminating Medicare Advantage Contracts
The great termination? More organizations are terminating payer contracts amid heated negotiations, and Medicare Advantage is in the hot seat.
Payer
Older Americans Say They Feel Trapped in Medicare Advantage Plans
The private plans serve 30.8 million people despite concerns about aggressive sales tactics and misleading coverage claims.
Payer
Doctors With Histories of Big Malpractice Settlements Have Found a New Home in the Insurance Industry
Doctors working for health insurers can rule on 10,000 or more requests for care a year. At least a dozen...
Payer
Medicare Advantage Increasingly Popular With Seniors — But Not Hospitals and Doctors
Payers have enticed just over half of all Medicare beneficiaries ? or nearly 31 million people ? to their plans...
Payer
Insurance Executives Refused to Pay for the Cancer Treatment That Could Have Saved Him. This Is How They Did It.
A Michigan law requires coverage of cancer drugs. One insurer came up with a 'defensible' way to avoid paying for...
Revenue Cycle
Revenue Cycle Technology Week: One Health System's Quest to Secure More Revenue
For HealthLeaders' Revenue Cycle Technology Week, hear how the VP of finance and revenue cycle at PMHA worked to secure...