News
Jump in Uninsured Patients Stings HCA
1+ hour, 52+ min ago (152+ words) Navigating the shift from volume to value in healthcare HCA's headquarters complex in Nashville The number of uninsured patients who sought care at HCA Healthcare Inc. hospitals during the second quarter surprised the company’s executives and has led them to…...
Health Plans Decry California Budget’s Shift From Medicaid Managed Care
1+ week, 6+ day ago (311+ words) HCI Innovation Group Health Plans Decry California Budget’s Shift From Medicaid Managed Care While applauding several aspects of the California state budget recently signed by Gov. Gavin Newsom, health plans expressed concern that the budget moves forward with the 2027 transition…...
Cigna Executives See Little ’26 Movement in Enrollment, Cost Ratio
5+ mon, 1+ week ago (306+ words) Navigating the shift from volume to value in healthcare The leaders of Cigna Inc. say price hikes they’ve pushed through in various parts of the company’s insurance operations, which last year pulled in more than $47 billion in revenue, won’t lower…...
N.C. State Health Plan Contracts With 3 Clinically Integrated Networks
5+ mon, 1+ week ago (274+ words) HCI Innovation Group N.C. State Health Plan Contracts With 3 Clinically Integrated Networks The North Carolina State Health Plan, which provides health benefits to nearly 740,000 teachers, state employees, retirees, and their dependents, has approved contracts with three clinically integrated networks (CINs): Aledade,…...
How Blue Shield of California Is Reimagining Prior Authorization
5+ mon, 1+ week ago (800+ words) Navigating the shift from volume to value in healthcare Alvarez: Plans that haven’t begun planning or implementing the digitization of policies may indeed be pressed to comply by 1/1/27. At Blue Shield of California, our goal is to reduce provider and…...
Medicaid Tech Companies Commit to Saving $600M to Enhance Community Engagement
5+ mon, 2+ week ago (244+ words) Navigating the shift from volume to value in healthcare Today, January 29, the Centers for Medicare & Medicaid Services (CMS) announced that 10 health technology companies, which already have Medicaid eligibility and enrollment contracts with states, have voluntarily committed to helping states prepare…...
Doctors Trade Group: Medicare Advantage Rate Proposal ‘Will Impair’ Care Capacity
5+ mon, 2+ week ago (375+ words) Navigating the shift from volume to value in healthcare Centers for Medicare and Medicaid Services officials have proposed a tiny 2027 payment increase for Medicare Advantage plans, a plan that has caught off guard stakeholders who are warning of care disruptions…...