5 days ago · Payer/provider relationships As M&A intensifies and companies embrace more holistic and value-based care models, partnerships have become more closely intertwined. By Healthcare Dive staff

Oct 1, 2024 · Here are notable events hospital, payer and tech executives should consider attending in the second half of the year, running the gamut from digital health to financial management to medical ...

May 7, 2025 · Health insurers see signs of life in Q1 Payer profits fell in 2024 as Americans, especially older ones, utilized more medical care. But efforts to resuscitate margins appear to be working for most.

Dec 2, 2024 · Discover how real-time clinical data exchange enhances payer operations, care quality and efficiency.

Nov 25, 2024 · AI could be ‘transformational’ for payers, experts say Insurers could save 20% in administrative costs and 10% in medical costs by harnessing technology, experts said during a …

May 19, 2025 · The payer’s crucial role in advancing value-based care Payers are uniquely positioned to lead the charge toward value-based care.

Sep 10, 2025 · AHEAD, which builds on existing all-payer models in certain states, gives participating states up to $12 million to implement the model. In return, states agree to be accountable for cost …

Sep 10, 2025 · Providers say claims denials are increasing: survey Nearly three in four providers surveyed by Experian Health said the number of claims denied by payers shot up between 2022 and …

Jan 17, 2024 · Payers have new deadlines to issue prior authorization decisions — 72 hours for urgent requests and seven days for non-urgent ones — that should cut back coverage determination limbo …

Jul 21, 2025 · The hidden costs of workflow inefficiencies Outdated administrative models slow down payer-provider collaboration and create bottlenecks that delay critical care decisions. Consider these ...