Payer Systems

Rethinking Co-Payments to Ensure Access to Gene Therapies
Management & Administration Rethinking Co-Payments to Ensure Access to Gene Therapies

Value-Based Insurance Design suggests that eliminating co-payments for high-value therapies can improve health equity without increasing the risk of inappropriate utilization. This principle serves as the cornerstone for a necessary evolution in American healthcare as the industry navigates the

Suze Orman Warns Workers of Rising Health Insurance Costs
Management & Administration Suze Orman Warns Workers of Rising Health Insurance Costs

Relying on a High-Deductible Health Plan can lead to financial havoc if a family does not have enough emergency savings for a medical crisis. As American workers approach the 2027 open enrollment period, the landscape of employer-sponsored coverage is shifting toward significantly higher costs for

New York Leaders Propose Bill to Restore Essential Healthcare
Management & Administration New York Leaders Propose Bill to Restore Essential Healthcare

House Democratic Leader Hakeem Jeffries and other New York representatives have formed a unified front to defend the healthcare security of their constituents. This strategic legislative response, titled the Restoring Essential Plan Coverage Act, addresses the fallout from the One Big Beautiful

How to Measure the Healthcare Digital Subscription Journey
Tech & Innovation How to Measure the Healthcare Digital Subscription Journey

Centralizing data into a warehouse like Google BigQuery allows healthcare providers to reconcile incompatible fields and standardize the user experience. As the healthcare industry shifts toward comprehensive digital subscription models in 2026, the primary obstacle remains the significant friction

Florida Medicaid Annual Open Enrollment Begins October 1
Management & Administration Florida Medicaid Annual Open Enrollment Begins October 1

Beneficiaries across the state of Florida must act between October 1 and November 30 if they wish to transition to a different managed care provider for the upcoming calendar year. This sixty-day window serves as the primary opportunity for individuals already enrolled in the Statewide Medicaid

South Korea Reforms Health Insurance to Fix Regional Care Gaps
Management & Administration South Korea Reforms Health Insurance to Fix Regional Care Gaps

New multidisciplinary teams are being established to provide comprehensive health management and psychological support for families dealing with Lou Gehrig's disease. This specific initiative serves as a cornerstone for a much larger architectural overhaul of the South Korean National Health

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