Healthcare Insurance

HCA’s Q1 was not about volume. It was about coverage and collecting cash

HCA kept 2026 volume guidance, but exchange attrition and uninsured growth are turning payer mix and denials into the operational battleground.

Scan.com’s $220M round makes imaging an API contract for plans and employers

Scan.com says it has 900,000 patients served and a $165M run rate. The operational shift is imaging purchased and governed like a network service.

ADA endorsement puts Weave on the shortlist for dental front-office tech

Weave’s ADA endorsement and its Practice Analytics release tighten the spec for phone, texting, scheduling, and insurance workflows.

Interchangeable biosimilars cut drug spend only when pharmacies can actually switch them

FDA interchangeable biosimilars are expanding beyond insulin, pushing payer and pharmacy ops teams to tighten substitution rules, EHR signals, and inventory pla

Navigating Payer Denials: A Physician Advisor’s Perspective #2

A physician advisor recently described a case that should unsettle anyone who cares about fair, clinically grounded coverage decisions: a Medicaid patient arrived comatose from an overdose, was emergently intubated, developed aspiration pneumonia, and stayed through three midnights before leaving against medical advice. By any bedside standard, this is acute, unstable care—exactly what…

Inside ERISA Denials: Why Employers May Be the Real Decision-Makers Behind Your Insurance Card

Insurance denials aren’t new, but they’re hitting a breaking point right now. As prior authorizations surge and patients face longer delays for everything from imaging to specialty drugs, more providers are realizing that the “payer” on the card often isn’t the one truly holding the reins. A growing share of Americans are covered…

Employer-Built Healthcare Plans: Controlling Costs and Transforming Care

Companies are designing their own healthcare systems to cut costs and improve employee outcomes faster than traditional insurance models allow

Fighting for Fair Healthcare Access Means Overcoming Certain Challenges

Closing the gap between healthcare costs and accessibility requires addressing systemic barriers that leave millions without adequate coverage

Demystifying Self-Funded Benefits Can Forge a New Path for Employers

Employers seeking cost control are discovering how self-funded models can reduce premiums while maintaining employee health coverage

Health Plans are Now Covering New Weight Loss Drugs. This Can Help Fix the Obesity Epidemic

Widespread insurance coverage of breakthrough weight loss medications could redirect billions in healthcare spending from treating obesity-related diseases to p

Merging Risk Management with Employee Well-Being is the Secret to Unlocking Workplace Potential

Companies that align safety protocols with employee wellness initiatives see measurable gains in productivity and retention rates

FinFit: The Evolution of Employer-Sponsored Health Benefits

Employers are reimagining health benefits to address soaring deductibles and protect workers from rising out-of-pocket costs