Included Health to offer Carrum specialty care for alternative plan members
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. Carrum’s Centers of Excellence network for specialty care will be embedded directly into Included Health’s Alternative Health Plan to help connect members to high-quality specialty care […]
Epic Launches Essential Instant Prior Authorization Now
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. Ochsner Health, Froedtert ThedaCare Health, Denver Health and Summit Health are debuting the application programming interface, which Epic says should speed up preapprovals for medical items […]
Kaiser Permanente Appoints New Essential Fresno Leader
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. Tracy Bertagnole was appointed senior vice president and area manager of Oakland, Calif.-based Kaiser Permanente’s Fresno service area, according to an Aug. 18 news release shared […]
AMA Celebrates Powerful New CMS Prior Authorization Rules
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. The organization said the agency responded to its concerns about payers’ implementation of the transparency provisions of the 2024 final rule. Read Full Article on Source […]
Conduit Re appoints Mark Pickering as its new CFO
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. Bermuda-based multi-line reinsurer Conduit Re’s ultimate parent company, Conduit Holdings, has announced the appointment of Mark Pickering, formerly of Aspen Insurance Holdings, to serve as its […]
Powerful Ways Papa and eternalHealth Expand Plus Platform
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. Papa is expanding its relationship with eternalHealth, with the Boston-based insurer signing on for three core services from its Papa Plus platform. Read Full Article on […]
Epic Real-Time Authorization: Essential Health Update
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. UnitedHealthcare, Network Health and Aetna are among the first group of health plans to go live with the API, while Ochsner Health, Froedtert ThedaCare Health, Denver […]
Essential Strategies for Improving Star Ratings Now
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. Why leading Medicare Advantage plans are rethinking care transitions. Read Full Article on Source → 💡 What This Means For You Health coverage decisions are shaped […]
Reliable Insights: Insurers Deny 18% of Prior Authorizations
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. KFF found that insurers denied 12%-18% of standard prior authorization requests in 2025, with significant variation among insurers and gaps in transparency. The post KFF: Insurers […]
Reliable PERILS Update: Nils Insured Loss Drops to €695m
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. PERILS, a Zurich-based catastrophe insurance data provider, has disclosed a reduced loss estimate for extratropical windstorm Nils, also known as Ulrike, of EUR 695 million, which […]