PAYERS
Formerly Healthcare Payer News
Change comes to health insurance
Policy changes and new value-based reimbursement models aren’t just disrupting healthcare providers.
Insurers and government payers are having to make major adjustments as well.
This section highlights Healthcare Finance’s coverage on topics including benefit design, Medicare and Medicaid, risk management,
payer contracting, analytics, compliance, insurance exchanges, provider-sponsored health plans and merger and acquisition activity among top U.S. insurers.
Business Intelligence / Payer
Aetna sued by Kraft Heinz for allegedly mishandling data
July 06, 2023
Compliance & Legal / Payer
Florida men plead guilty to $67 million Medicare fraud scheme
The scheme involved genetic testing and durable medical equipment that patients did not need, which the defendants procured with kickbacks.
July 19, 2023
Community Benefit / Payer
HHS issues proposed rule to improve childcare access
The rule would cap copayments for all families to no more than 7% of their income, along with other measures.
July 13, 2023
KEY PAYER TOPICS
MEDICARE & MEDICAID / Payer
Behavioral health access targeted in CMS proposals
CMS is proposing to update OPPS payment rates for CY 2024 for hospitals that meet applicable quality reporting requirements by 2.8%.
Jeff Lagasse
July 14, 2023 
ANALYTICS / Payer
Top Stories: CMS seeks to lower Rx drug costs
The rule would allow CMS to have more insight into what the most expensive drugs on the market actually cost to manufacture and distribute.
May 30, 2023
REVENUE CYCLE MANAGEMENT / Payer
AI's automation can transform the revenue cycle
It's important to have IT and operations work together and to get employees onboard, say experts speaking at HFMA.
July 05, 2023