Compliance & Legal / Payer
Biden-era rule curbing Medicare Advantage marketing incentives overturned
August 22, 2025
PAYERS
Formerly Healthcare Payer NewsChange comes to health insurance
Policy changes and new value-based reimbursement models aren't just disrupting healthcare providers.
Insurers and government payers are having to make major adjustments as well.
This section highlights Healthcare Finance’s coverage on topics including benefit design, Medicare and Medicaid, risk management,
payer contracting, analytics, compliance, insurance exchanges, provider-sponsored health plans and merger and acquisition activity among top U.S. insurers.
Compliance & Legal / Payer
Health systems advocate for 5-year hospital-at-home extension
An extension would give providers predictability, which they need to expand capacity and invest in staff and tech, groups say.
September 05, 2025
Business Intelligence / Payer
Elevance loses lawsuit over Medicare Advantage star ratings
August 21, 2025
Accounting & Financial Management / Payer
ACOs saved $2.4 billion in 2024, data shows
2024 had the highest share of ACOs receiving performance payments and most savings for ACOs and Medicare.
September 03, 2025
KEY PAYER TOPICS
MEDICARE & MEDICAID / Payer
SCAN Health Plan expanding Medicare Advantage footprint into Washington
The move bucks a current trend of MA providers exiting certain markets, such as Centene and UnitedHealthcare.
September 05, 2025
ANALYTICS / Payer
Health plans missing opportunities for data and AI
Efforts to apply agentic or generative AI will fall short without a unified data foundation, report finds.
August 25, 2025
