Search Payer Trends
-
Blue Cross Blue Shield Of North Dakota To Join Cambia Health Solutions As Newest Affiliated Single-State Blue Plan
Cambia Health Solutions (Cambia) and Blue Cross Blue Shield of North Dakota (BCBSND) announced a strategic affiliation, making BCBSND the newest single-state Blue plan to affiliate with Cambia. The affiliation […]
-
CMS Issues Preliminary Guidance For Medicaid Managed Care State-Directed Payments
On September 9, 2025, the Centers for Medicare & Medicaid Services (CMS) issued preliminary guidance to states on implementing new federal payment limits for state-directed payments (SDPs) in Medicaid managed […]
-
11 Plans Achieve A 5-Star NCQA Health Plan Ranking In 2025
In 2025, 11 health plans received a 5-star rating from the National Committee for Quality Assurance (NCQA), and another 55 plans received a 4.5-star rating in the annual health plan […]
-
Priority Health Expands Substance Use Disorder Support With Boulder Care Partnership
Priority Health, a nationally recognized nonprofit health plan serving more than 1.3 million members, has added Boulder Care, a high-quality value-based telehealth addiction medicine provider organization, to its extensive provider […]
-
Innovaccer Acquires Story Health To Pioneer AI Agents That Augment Specialty Care Teams
Innovaccer Inc., a health care artificial intelligence (AI) company, announced that it acquired Story Health, a pioneering AI-powered, tech-enabled cardiovascular care platform focused on transforming specialty care from episodic to […]
-
Technology’s Role In Advancing Outcomes & Reducing The Cost Of Care For The SMI Population
This webinar examined the intersection of digital health solutions, improved care coordination, and cost containment strategies for high-acuity populations.
-
Bespoke Concierge MD Launches Corporate Health Plans, Redefining Employee Wellness & Preventive Care
Bespoke Concierge MD, a leader in precision and concierge medicine, announced the launch of its new Corporate Health Plans—an employer-based model designed to bring proactive health care into the workplace […]
-
Magellan Health’s Collaborative Care Model In Pediatric Primary Care Improves Children’s Access To Behavioral Health Treatment
Magellan Health, Inc., announced that pediatric primary care provider organizations that integrate its collaborative care model (CoCM) directly into their care setting reduce barriers to access, improve provider organization satisfaction, […]
-
Bayvrio Launches First-Of-Its-Kind Marketplace That Provides Health Care Payers With Greater Choice, Flexibility & Control
Bayvrio, which offers advanced technology and innovative, curated solutions to health care payers, announced the launch of the Bayvrio Marketplace, a first-of-its-kind model that will change the way the industry […]
-
The Federal Budget Reconciliation Bill Affects Eligibility & Enrollment In ACA Health Insurance Marketplace Plans
The federal budget reconciliation bill, House Resolution (HR) 1, which was signed into law on July 4, 2025, includes provisions that affect Affordable Care Act (ACA) health Insurance Marketplace plans, […]