Payer Systems

Spain's Healthcare Model Offers Key Lessons for the US
Management & Administration Spain's Healthcare Model Offers Key Lessons for the US

In a world where healthcare systems often reflect national values, the contrast between Spain and the United States reveals profound differences in philosophy and practice that demand attention from policymakers and citizens alike. Spain’s approach, rooted in the belief that health is a public

How Is Empath Health Redefining Senior Care Nationwide?
Management & Administration How Is Empath Health Redefining Senior Care Nationwide?

As the aging population in the United States continues to grow at an unprecedented rate, the demand for innovative and sustainable senior care solutions has never been more critical, with millions seeking services that balance quality, accessibility, and cost. Enter Empath Health, a Florida-based

How Can AI Transform Value-Based Care Administration?
Management & Administration How Can AI Transform Value-Based Care Administration?

The healthcare landscape is undergoing a profound transformation with the advent of Value-Based Care (VBC), a model designed to prioritize quality, efficiency, and patient outcomes over the outdated fee-for-service framework that often rewarded volume over value. Despite its potential to

Health Insurers Struggle with Losses in Government Programs
Management & Administration Health Insurers Struggle with Losses in Government Programs

The health insurance industry finds itself in a precarious position as major players report staggering financial losses within government-funded programs such as Medicare Advantage (MA), Medicaid, and the Affordable Care Act (ACA) exchanges. Once considered stable revenue streams, these programs

HCTTF Welcomes Cigna Healthcare and NueHealth as New Members
Management & Administration HCTTF Welcomes Cigna Healthcare and NueHealth as New Members

In a significant stride toward reshaping the landscape of American health care, the Health Care Transformation Task Force (HCTTF) has recently expanded its roster by adding two prominent organizations to its membership, marking a pivotal moment for the collaborative group. This development

Why Are Medicare Advantage Patients Delayed in SNF Transfers?
Management & Administration Why Are Medicare Advantage Patients Delayed in SNF Transfers?

In the intricate web of modern healthcare, a pressing issue has emerged that impacts countless patients and providers alike: the delayed transfer of Medicare Advantage (MA) patients from hospitals to skilled nursing facilities (SNFs). These delays, often extending several days beyond what

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