While digital health still holds plenty of promise in healthcare, the lack of cohesion between Medicare, Medicaid and commercial health plans about just what digital services should be covered is a ...

Banner Health lifts operating margin to 2.8% through Q3 2025, driven by volume growth and higher Medicaid payments in Phoenix-based system.

Despite an industry-wide transition to value-based payment models that incentivize preventive care and proactive communication between health plans and members, commercial health plans are missing the ...

M Health Fairview says over 100,000 patients with commercial plans from UnitedHealthcare may find themselves out of network ...

Hospital prices negotiated by insurers for their commercial plans are two- to three-times higher than Medicare Advantage plan prices at the same location for the same services, according to a new ...

Jan 25 (Reuters) - Elevance Health Inc (ELV.N), opens new tab said on Wednesday that the growth in the insurer's commercial business is expected to keep concerns over attrition in Medicaid membership ...

There's a lack of alignment across commercial, Medicare and Medicaid plans regarding coverage of digital medicine, and this is throwing a wrench into the progression of digitally enabled care, ...

As major contract talks continue between UnitedHealthcare and WakeMed, one plan has expired — leaving some North Carolinians without coverage should they choose to go ...

This article is the latest in the Health Affairs Forefront series, Provider Prices in the Commercial Sector, featuring analysis and discussion of physician, hospital, and other health care provider ...

Minnesota-based health insurance nonprofit UCare is shutting down. The organization said it will transfer health care plans ...