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Insurance By Bob Herman

Biden administration funnels one of the largest-ever pay increases to Medicare Advantage insurers

UnitedHealth

Insurance By Bob Herman and Tara Bannow

UnitedHealth’s deal with LHC highlights broader interest in home health industry

First Opinion By Amol Navathe, Risa Lavizzo-Mourey and Joshua Liao

How to fix the two-tier U.S. health payment system

Health By Usha Lee McFarling

She was told ‘girls don’t do that.’ Now Margaret-Mary Wilson is a top executive at UnitedHealth Group

Business By Bob Herman

The biggest PBMs are handling more and more of the country’s drug price negotiations

First Opinion By Dallas Ducar

Giving gender-affirming care: ‘gender dysphoria’ diagnosis should not be required

Business By Bob Herman

Even as it struggles, startup insurer Bright Health deepens its ties to Cigna

copay assistance programs

First Opinion By Kollet Koulianos and Keri Norris

Copay assistance should count as part of patients’ cost sharing for medications

All Coverage

Out of network

Business By Bob Herman

The doctor who is trying to bring back surprise billing

Lactated Ringer's solution

Hospitals By Bob Herman

Nation’s top cancer hospitals slap hefty markups on drugs, study says

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UnitedHealth Group

Insurance By Bob Herman

Omicron’s speedy retreat helped bolster UnitedHealth Group’s bottom line

Insurance By Bob Herman

‘Completely unsustainable’: Small employers brace for giant health insurance price hikes

vr headset

Health Tech By Mohana Ravindranath and Mario Aguilar

Virtual reality in the health care space heats up

an oscar health ad displayed on a bus stop on an empty street

Health Tech By Mohana Ravindranath

Health insurance tech companies, struggling to turn profits, bet on software to turn business around

health care data security

Health Tech By Mohana Ravindranath

As data sharing ramps up, health insurers wade into patient privacy debate

Medical bill

First Opinion By Jackson Williams

Hospitals’ cash prices for services offer a new look at health care pricing

Katie-file-transfer 1

Health Tech By Katie Palmer

As internet access limits telehealth’s reach, insurers are starting to cover the bill

Rx Phone

Health Tech By Mario Aguilar

Prescription apps to treat disease face uncertainty as they fight for insurance coverage

red & yellow pill chart drug price controls

Pharmalot By Ed Silverman

Just how many barriers do health insurers create to fair access to medicines?

health plans addressing health inequity

First Opinion By Andrew Dreyfus and Sandhya Rao

Health plans, insurers need to make addressing racial inequities in health care part of their core work

Clarksdale, Mississippi

First Opinion By Vangela M. Wade

People in states without Medicaid expansion can’t wait any longer to build back better

home oxygen concentrator

First Opinion By Christopher M. Worsham and Peter A. Kahn

Insurers should cover energy costs for prescribed medical equipment

virtual appointment

Health Tech By Mario Aguilar

UnitedHealthcare launches a virtual-first health insurance plan as hybrid care gains steam

PrEP for HIV

First Opinion By Carl Schmid

Hold insurers accountable for covering HIV prevention drugs at no cost to patients

holding vaccination card

First Opinion By James Kwak, John Aloysius Cogan Jr. and Peter Siegelman

Two insurance-based ways to get more Americans vaccinated

accountable care organizations cost saving

First Opinion By Kip Sullivan and James G. Kahn

Accountable care organizations don’t cut costs. It’s time to stop the managed care experiment

emergency care doors

First Opinion By Laura Specker Sullivan

The ethical implications of who judges what’s ‘necessary’ when it comes to emergency care

long line illo

Health By Andrew Joseph and Rachel Cohrs

Alzheimer’s patients are in limbo as hospitals, insurers grapple with whether to offer Aduhelm

home oxygen machine

First Opinion By Josh Marx

Outdated Medicare rules threaten older Americans’ access to home medical equipment

expanding claims databases

Opinions+ By John Freedman

The many benefits of expanding the reach of state all-payer claims databases

Dialysis clinic

First Opinion By Erin E. Trish, Eugene Lin and Matthew Fiedler

Congress should end dialysis companies’ third-party games with insurance coverage

mental health psychologist

First Opinion By Abigail Hardin

Fee or free? The services hospital-based psychologists provide are ‘priceless’

Health insurance application public option

First Opinion By Sheldon Whitehouse and Sherrod Brown

Covid-19 makes ‘brutally clear’ why we need to add a public option for health insurance