Claims Processing

From October 1, 2019 to April 4, the flu killed from 24,000 to 62,000 Americans and caused at least 410,000 hospitalizations, according to the CDC.

The Energy and Commerce Committee calls for a reporting as AHIP says the next half-year could bring higher costs as the amount of care increases.

The insurer will provide an additional $6 million in financial support to independent primary care physicians and community health centers.

The defendants allegedly used their management companies to take over rural hospitals in financial trouble and then used them to bill for testing.

The collaboration with Health Care Service Corporation, billed as Epic's first such project with a payer organization, will help health plans more easily review data for managing claims and prior authorization.

Insurers need to project the future cost of delayed elective procedures and total expenses of COVID-19 care.

During the pandemic, health plans face a reduced ability to risk-adjust their members and close gaps in care.

America's Health Insurance Plans is also promoting the continued widespread adoption and use of telemedicine.

For each person admitted into intensive care, costs, on average, could exceed $30,000, according to an AHIP study.

Nonprofit insurer is working with two financial-services partners to provide financing guarantees, advance payments and restructuring of contracts.