Insurance & Payor Strategy
Expert articles and analysis related to insurance & payor strategy.
AI Summary — Last 30 Days
In the past 30 days, payor strategy has been marked by structural tensions in value-based care (VBC) and notable shifts in Medicare Advantage (MA) policy. The Trump administration’s recent increase in MA payments sent insurer stocks surging but drew scrutiny for favoring MA plan margins over delivery reform, with [ongoing criticism](https://www.statnews.com/2026/04/09/medicare-advantage-rates-latest-trump-policy-helps-health
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As artificial intelligence embeds itself into health care, some physicians and patient advocates worry it could be used by insurance companies to refuse payment for care. Maryland passed one law banni...
Data highlights gaps in finding in-network mental health coverage
Data highlights gaps in finding in-network mental health coverage American Hospital Association
Elevance Health stock (US2855211023): Why does its managed care dominance matter more now for U.S. i
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STAT+: Trump goes soft on insurance, and a medical underwriting chart
President Trump vowed to take on health insurers, but his policies tell a different story.
Trump promised to clamp down on health insurers. His policies are enriching them - statnews.com
Trump promised to clamp down on health insurers. His policies are enriching them statnews.com
CommonSpirit, Cigna go out of network in Tennessee, Georgia
CommonSpirit, Cigna go out of network in Tennessee, Georgia Becker's Hospital Review
Elevance expands out-of-network referral penalties to New York
Elevance expands out-of-network referral penalties to New York Modern Healthcare
FTC files suit over telemarketing scheme selling fake PPO plans
FTC files suit over telemarketing scheme selling fake PPO plans Fierce Healthcare
Are Health Insurance Companies the Reason for Our Health System’s Ills?
In this JAMA Health Forum column, KFF's Larry Levitt examines the criticism that health insurance companies are facing from political leaders, and explores the industry's role in both causing and addr...
Out-of-network pricing lawsuits test MultiPlan, Zelis business models
Antitrust lawsuits brought by healthcare providers against insurers and two of their contracted platforms are proceeding with high stakes, although the road to a final outcome will be long. Billions o...