Looking to capitalize on California’s decision to expand Medicaid, Blue Shield of California has purchased Care 1st of Monterey Park, which will add 473,000 Medicaid managed-care members to its rolls.
Now that the ACA has eliminated pre-existing conditions, payers have taken on many unknowns when evaluating the massive population of new members coming in from the state and federal exchanges.
The industry is challenged by a number of issues in 2015 including cost control, technology threats, and the emerging consumer market.
In at least 37 states, the three largest insures account for 80% of total health plan enrollment, according to a new study by the U.S. Government Accountability Office (GAO).
Providing first-call resolution through a healthcare plan's call center is critical to customer satisfaction.
The three giants driving America’s $3 trillion healthcare economy–health insurers, hospital systems, and pharmaceutical companies–all face the same dilemma: how to effectively engage customers to earn trust and improve the consumer healthcare experience.
National insurers won't be able to compete on price
While 4.2 million have signed up for private plans, quite a few of them also have a sense of humor
Pushback from members has caused regulators to take notice.