New & Notable
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.
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.
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.
Medicaid work requirements might spur 5M in coverage losses
Experts say complex documentation requirements might cause those meeting Medicaid work requirement criteria to lose their coverage.
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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Sponsored Sites
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Revenue Cycle Management
Greenway Health
Improving healthcare through innovation is at the heart of Greenway Health’s work. We provide electronic health records (EHR), practice management, and revenue cycle management solutions that help practices in multiple specialties grow profitably, remain compliant, work more efficiently, and improve patient outcomes.
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Revenue Cycle Management
Brault
Brault is a revenue cycle and practice management organization that partners with hospitals and independent physician groups. Their intelligent practice solutions include coding and billing, MIPS optimization, provider documentation training, and practice management.
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Specialty Drug Management
Optum Specialty Fusion
At Optum, we’re evolving health care so everyone can have the opportunity to live their healthiest life. It’s why we put your unique needs at the heart of everything we do, making it easy and affordable to manage health and well-being. Together, for better health.
Healthcare Strategies: A Podcast
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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.
Guests from leading provider, payer, government, and other organizations share their approaches to transforming healthcare in a meaningful and lasting way.
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Latest News
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KLAS: Top data analytics platforms for payers
Payer organizations are increasingly relying on data analytics platforms to drive better member outcomes.
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CMS ends federal funding for state Medicaid DSHPs, DSIPs
CMS indicated that DHSPs and DSIPs go beyond the scope of Medicaid services and therefore do not warrant federal funding.
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CMS releases CY 2026 Medicare Advantage payment policies
The CY 2026 Rate Announcement included higher-than-expected Medicare Advantage payments to plans next year and continued the phase-in of risk adjustment model changes.
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CMS: Medicare Part D will not cover GLP-1s for weight loss
CMS did not provide many details about its decision to reverse proposed Medicare Part D coverage for GLP-1s for weight loss.
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ACA Marketplace enrollment hits record-high 24.3M enrollees
ACA Marketplace enrollment soared in 2024 in large part due to enhanced subsidies making premiums less costly for consumers.
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Average monthly Medicare Part D premiums jump 24%
Medicare Part D premiums and deductibles rose significantly during a particularly disruptive annual enrollment period, eHealth found.
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.