Top-Rated Health Insurance Plans for Companies With Remote Employees
Remote work reshapes how companies recruit, retain and support talent, and benefits have to keep up.
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From Claims Payer to Care Partner: What AI Really Changes in Health Insurance, and What It Doesn’t
AI can help health plans reduce friction, speed revenue-cycle throughput, and improve member experience, but only when it is deployed with strong data discipline, modern integration patterns, and a governance model that treats AI as “augmented intelligence,” meaning powerful, assistive, and accountable.
Beyond Analytics: How Sellers Dorsey is Hard-Coding Value into Medicaid Policy [Video]
How to turn analytics into actual policy outcomes.
Individual Coverage Is Reshaping Health Insurance. Agents Are the Key to Making It Work
As individual enrollment grows, agents must evolve to meet a more complex, consumer-driven market.
Open Enrollment: Why Rising Premiums Are Forcing Healthcare Organizations to Bet on AI and Automation
Open enrollment 2026 marks a turning point in U.S. healthcare. The cost pressures are no longer cyclical; they are structural. For payers and providers alike, the challenge is clear: we must modernize operations, not just manage costs.
Centene CEO: ICHRA Is the Future of Individual Health Insurance
During a Monday session at the HLTH Conference in Las Vegas, Centene CEO Sarah London shared her thoughts on ICHRA, calling it the “future of individual health insurance.”
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Shop and Compare: Online Health Insurance Options in California
Here are some of the top online health insurance options worth exploring — each designed to simplify coverage decisions while meeting California’s high standards for accessibility and compliance.
The Hidden Administrative Tasks Draining Small Practices
Small practices play a critical role in healthcare delivery, but they cannot continue to absorb ever-increasing administrative demands without consequences.
A 2,100% Markup: My Battle with a Vastly Overpriced Knee Brace — and U.S. Healthcare
I asked if I could purchase the brace myself and bring it to the surgery. The answer was an unequivocal no: the health insurer’s contracted rate required me to purchase the brace from the hospital as part of the procedure.
How High is Too High? The Crippling Cost of Denial Rates
Patients should know exactly what's covered and what it costs before receiving care. Doctors should be empowered to make medical decisions without interference from insurance companies. And the entire process should be designed to facilitate care, not obstruct it.
How a Bipartisan Program Can Help You Avoid Costly Health Insurance Renewals
The status quo is simply untenable for many companies as health insurance costs spiral. From family-owned businesses to large enterprises, employers are taking advantage of an alternative designed by politicians on both sides of the aisle.
Insurers Turn Payment and Compliance Headaches Into Competitive Advantage With Sales Performance Management
Sales performance management (SPM) solutions, also known as distribution management systems, continue to be a competitive differentiator and vital to insurers’ top and bottom lines.
The New Blueprint: How Clever Care Health Plan is Scaling Its Member Experience [Video]
MedCity News was at the Vive conference and spoke with executives who shared their insights for the healthcare industry.
Report: How Does Medicaid Perform Compared To Other Forms of Coverage?
A higher share of Medicaid beneficiaries rate their physical and mental health as fair or poor compared to adults with Medicare, employer-sponsored insurance or Marketplace coverage, according to a new KFF report. However, 83% of Medicaid enrollees gave their health insurance a positive rating.
How the Millions of Americans Losing Medicaid Can Stay Insured
In all, up to 18 million Americans could lose Medicaid coverage through June 2024. Fortunately, the vast majority of these folks have a number of options for obtaining affordable coverage. They just have to know where to look.
Integrating Workers’ Comp and Medical Benefits Makes So Much Sense
The current dual-system model is inefficient, wasteful, and inconvenient. There is a clear need to integrate workers’ comp and medical benefits programs to cut down on costs and alleviate the hassle of dealing with separate care silos. It’s possible, and its time has come.
Have Insurtechs Truly Disrupted the Mainstream Health Insurance Industry?
Insurtechs like Bright Health Group, Clover Health and Oscar Health set out to disrupt health insurance — but have they actually done so? Not in a positive way, several experts say.
Survey: 58% Of Americans Had at Least 1 Issue With Health Coverage In the Last Year
Many insured Americans reported challenges with their insurance coverage in the last year, especially those in poorer health and those with mental health conditions, a KFF survey found.