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 ...

M Health Fairview says over 100,000 patients with commercial plans from UnitedHealthcare may find themselves out of network come Jan. 1, 2026.

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 ...

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 ...

Members’ overall satisfaction with their commercial health plans fell 13 points year over year, according to a new study by J.D. Power. The decline was driven by dissatisfaction with customer service, ...

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 the U.S. labor market remains competitive in 2025, employers are focused on how to differentiate themselves to attract and retain top talent. Considering 90% of commercial health plan members have ...

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 ...

The average amount billed to commercial payers each year by individual physicians varies greatly from specialty to specialty, with general surgery at the high end and pediatrics at the low end. A ...

Fifth Third Bancorp has agreed to purchase Big Data Healthcare, a fintech whose software streamlines health care payments coming to and from providers. The move comes as many banks ramp up investments ...

Today, Health Affairs is pleased to launch a new Forefront series, Provider Prices in the Commercial Sector, featuring analysis and discussion of physician, hospital, and other health care provider ...