Healthcare Insurance | Media Room | Newswire

Payer FHIR Interoperability Moves Into Production; Provider Readiness Still the Weak Link, Survey Finds

Thu, 23 Oct 2025 20:15:00 +0000

New Black Book poll of 118 health plan IT professionals finds data sharing success now depends on provider engagement and EHR vendor alignment.

Peek Healthcare Technologies, Inc. ('Peek') Launches Direct-to-Employer and Direct-to-Patient Pricing for IMULDOSA(R) (ustekinumab-srlf) (Stelara(R) Biosimilar)

Wed, 08 Oct 2025 16:00:00 +0000

PeekDirect™ Delivers Transparent and Affordable Pricing for Brand and Specialty Drugs to Reduce Prescription Costs for Employers and Patients

International Citizens Insurance Expands Leadership Team With Key Sales Hire and New Representatives

Thu, 04 Sep 2025 16:00:00 +0000

Amanda Sharon joins as VP of Sales, bringing nearly a decade of sales leadership and customer retention expertise to drive ICI's continued growth.

3 in 4 Payers Already Under Strain as Medicaid Redeterminations Bite

Wed, 27 Aug 2025 13:15:00 +0000

New Black Book™ flash survey of 227 payer leaders (Aug 10-20, 2025; ±5.2%) finds rising churn (68%), call/portal surges (72%), 2026 budget risk (55%), and only 14% reporting high readiness.

AI Tools Cut Disputes and Halve Settlement Times in Value-Based Care

Wed, 20 Aug 2025 13:15:00 +0000

Black Book Q3 flash survey highlights how AI-powered payment integrity is reshaping reconciliation and contract optimization.

Traveler Care Launches Global Medical Dispatch Platform to Help Travel Insurance Companies Cut ER Claims by 80%

Mon, 04 Aug 2025 13:00:00 +0000

Major Health Insurers Slash Prior Authorization Requirements, Transforming the PA Technology Landscape

Sat, 26 Jul 2025 14:45:00 +0000

Black Book Research identifies Cohere Health, Innovaccer, and Waystar among leading vendors rapidly adapting to new industry rules.

New Peer-Reviewed Study Reveals Severe Health and Economic Consequences of 2025 Medicaid Policy Changes

Wed, 16 Jul 2025 15:00:00 +0000

Research published in JAMA Health Forum projects 13-14 excess deaths and over 800 preventable hospitalizations annually per 100,000 people losing Medicaid coverage

Top Payer IT Consulting Priorities for 2025-2026: Health Plans Intensify Focus on AI, Value-Based Care, Compliance, and Digital Transformation

Sun, 13 Jul 2025 18:00:00 +0000

Black Book Survey of 1,200+ Executives Names Top-Rated Advisory Firms for Strategic, ROI-Driven Transformation

Agent Boost Marketing Joins Forces with AmeriLife's Senior Market Advisors

Thu, 10 Jul 2025 15:00:00 +0000

Partnership creates geographic advantages aligned with SMA's strategic growth plan while diversifying the distribution of individual insurance products

Diamond Care Transportation Expands Non-Emergency Medical Transportation (NEMT) Services Across SC, FL, WA, DC & MD

Wed, 18 Jun 2025 09:00:00 +0000

Safe, Reliable Wheelchair Transportation for Seniors and People with Disabilities - Book Your Ride Today

Sagility Named Top-Rated Vendor for Outsourced Claims Adjudication and Payer Customer Service by Black Book Research at AHIP 25

Mon, 16 Jun 2025 15:45:00 +0000

Survey of Health Plan Leaders Recognizes Sagility for Automated Adjudication Accuracy, Claims Integrity, and Integrated Managed Member Support Services

Innovaccer Ranks #1 in AI Agent-Based Health Plan Technology Performance, According to Black Book Survey of Managed Care Leaders

Fri, 13 Jun 2025 15:00:00 +0000

Breakthrough results from early adopters and 18 top-rated KPIs drive Innovaccer to the forefront of payer AI transformation in record time.

40 Top-Rated Payer Technology Vendors Exhibiting at AHIP 2025, Black Book Honors

Thu, 12 Jun 2025 15:30:00 +0000

Independent Survey Highlights Leading Vendors Driving Innovation in Managed Care IT Ahead of the AHIP 2025 Conference in Las Vegas

MTM Health Earns Re-Certification From URAC for Health Care Management

Thu, 12 Jun 2025 15:00:00 +0000

MTM Health Celebrates 30 Years of Improving Health Outcomes Nationwide

Tue, 03 Jun 2025 15:00:00 +0000

Black Book Research: Health Plans Double Down on AI-Powered Fraud and Claims Integrity Solutions Amid Rising Audit Pressures

Mon, 02 Jun 2025 15:15:00 +0000

2025 Survey Identifies the Vendors and Capabilities Driving FWA Detection, Overpayment Recovery, and Claims Accuracy Across U.S. Payers

Black Book Research Names 2025's Top Vendors in Risk Adjustment & Coding Optimization for Health Plans and Payers

Sun, 01 Jun 2025 20:00:00 +0000

Advanced Analytics, AI, and Automation Become Essential as Payers Face Increased Scrutiny on Risk Adjustment Accuracy and Financial Performance

Black Book Research Names 2025's Top-Rated Utilization Management & Prior Authorization Vendors Across All Payer & Health Plan Segments

Sun, 01 Jun 2025 17:00:00 +0000

AI-Driven and Scalable Solutions Lead the Way as Payers Prioritize Efficiency, Compliance, and Member Satisfaction

Black Book Research Reveals the Digital Playbook Behind 2025's Top Medicare Advantage and Commercial Health Plans

Sun, 01 Jun 2025 15:00:00 +0000

With Star Ratings Plummeting, New Report Uncovers the Health IT Strategies Used by Elite Plans-and How All Payers Are Leveraging Them to Drive Quality, Retention, and Regulatory Success

Technology Driving Performance: How Elite MA Plans Leverage Data, Care Coordination, and Advanced Analytics to Thrive Amid CMS’s Rigorous 2025 Standards, Black Book

Tue, 27 May 2025 12:00:00 +0000

May 30, 2025 - Article has been updated to reflect company name change from “Inovalon (QSI-XL)” to “Inovalon Converged Quality”

Identifying Top Vendors Empowering Population Health, Chronic Disease Management, and Quality Analytics

Black Book Reveals 50 Elite Technology Vendors Driving Medicare Advantage 5-Star Ratings Amid Heightened CMS Audit Standards

Sun, 25 May 2025 17:45:00 +0000

Client Rankings Guide Health Plans to Advanced IT Solutions for Superior Compliance, Performance, and Member Outcomes for 2026 & Beyond

CMS Audit Crackdown Triggers Data Intelligence Race: Black Book Reintroduces 2025's Top-Rated Payer IT Vendors

Fri, 23 May 2025 15:45:00 +0000

New rules ignite a surge in payer demand for data platforms that support RADV readiness, Stars forecasting, and member retention analytics.

Payer IT Vendors Enter 'AI Gold Rush' as Health Plans Race to Build Infrastructure for Trusted Automation, Black Book Survey

Thu, 22 May 2025 14:45:00 +0000

Seventy-nine Percent of Health Plans Remain Unprepared for Scaled AI as Record Investments Signal a Tipping Point for Payer IT Modernization

Vault Cares Network Partners With PlacidWay to Expand Global Access to Affordable, High-Quality Healthcare

Thu, 08 May 2025 15:00:00 +0000

Payer-Provider Collaboration Breakdown: Black Book Survey Reveals Critical Challenges in Healthcare Alignment

Mon, 05 May 2025 19:30:00 +0000

Poll of 273 Healthcare Leaders Uncovers Escalating Challenges in Prior Authorization, Data Exchange, and Value-Based Contracting.

Serve You Rx Announces Strategic Collaboration With Amazon Pharmacy for Home Delivery Services

Thu, 01 May 2025 14:00:00 +0000

New Collaboration Delivers Improved Convenience, Cost Savings and 24/7 Support for Prescription Medications

AmeriLife Marketing Group and Senior Health Insurance Direct Partner to Serve the Next Generation of Licensed Medicare Agents

Tue, 29 Apr 2025 13:00:00 +0000

Partnership signifies continued expansion for AmeriLife's Health Distribution network

Christian Care Ministry (Medi-Share) Appoints Abel Pomar as Chief Executive Officer

Mon, 28 Apr 2025 16:00:00 +0000

Seasoned Fiduciary Joins Nation's Leading Health Care Sharing Ministry

Waymark Announces Partnership With Sentara Health Plans to Improve Medicaid Care Delivery in Virginia

Thu, 24 Apr 2025 13:00:00 +0000

New partnership will expand access to community-based care for Medicaid members in Richmond and Hampton Roads communities

Black Book Research Announces 2025 Top-Rated Payer Enterprise Analytics Vendors Based on Client Satisfaction Scores

Thu, 10 Apr 2025 13:30:00 +0000

Independent Healthcare IT Market Research Firm Recognizes Veradigm as Overall #1 Payer Analytics Vendor for Second Consecutive Year

Productive Edge Appoints Seth Oster as Chief Delivery Officer

Wed, 02 Apr 2025 14:00:00 +0000

Veteran Healthcare Delivery Leader Joins Company to Strengthen AI-Driven Transformation Initiatives

Serve You Rx Partners With Waltz Health to Transform Specialty Pharmacy

Tue, 01 Apr 2025 14:00:00 +0000

Flexible PBM implements an AI-powered platform to reduce specialty drug costs while improving patient care.

Prostate Cancer Advocacy Organization Teams Up With Governor Healey and Lawmakers to Recognize Prostate Cancer as a Public Health Priority and to Work to Reduce Healthcare Disparity

Mon, 24 Mar 2025 12:15:00 +0000

AmeriLife Finalizes Acquisition of Crump Life Insurance Services

Mon, 03 Mar 2025 14:00:00 +0000

Liife, Inc. Appoints Former Amazon Healthcare Executive Elizabeth Boudreau to Advisory Board

Tue, 18 Feb 2025 15:00:00 +0000

Former Executive Advisor for U.S. Non-Profit, Federal, and Defense Customers at AWS Joins Liife to Strengthen Identification Verification Management and Fraud Prevention Efforts

AmeriLife Says Help Your Heart "HIP" a Beat During Heart Health Awareness Month

Wed, 12 Feb 2025 14:30:00 +0000

National insurance distribution company expresses the importance of fixed cash benefits from hospital indemnity plans to help seniors manage out-of-pocket costs and focus on recovery

MTM Health Names Chad Nolan as First Chief Data Analytics Officer

Wed, 05 Feb 2025 16:00:00 +0000

New Study Published in JAMA Network Open Finds Procedural Prescription Denials Can Increase Acute Care Utilization and Spending in Medicaid

Thu, 30 Jan 2025 16:15:00 +0000

MTM Welcomes Julie Kulawiec and Meg Meurer as Vice Presidents of Business Development

Tue, 07 Jan 2025 16:00:00 +0000

ParetoHealth Appoints Heather Underhill as Chief Customer Officer to Advance Customer Success Initiatives

Tue, 07 Jan 2025 13:00:00 +0000

Investing in our customers through leadership and expanded ecosystem

Onyx Ranked #1 for Client Satisfaction in FHIR-Based Prior Authorization Solutions

Tue, 17 Dec 2024 21:30:00 +0000

Onyx Leads the 2025 Healthcare Interoperability Market with OnyxOS Platform

AffordaCare Insurance Announces Partnership With ADP to Offer CHAMP, an Innovative Healthcare Solution

Tue, 17 Dec 2024 14:15:00 +0000

Partnership to Enhance Employee Health Benefits and Reduce Employer Costs for Businesses of All Sizes

Integra Partners Expands Partnership With DMEscripts

Thu, 12 Dec 2024 15:30:00 +0000

Integra Partners today announced the expansion of their relationship with DMEscripts through the Integra Partners Group Purchasing Organization (GPO).

TransFigure Partners With Trainwell to Offer Comprehensive Weight Loss Program

Tue, 03 Dec 2024 15:00:00 +0000

Unique Partnership Enables Clients to Reach Sustainable Weight Goals Through Integrated, Personalized Fitness and GLP-1 Support

Overcharged, Overdiagnosed, and Overwhelmed? Quizzify Teaches Patients to Take Control of Healthcare Spending

Wed, 20 Nov 2024 14:01:06 +0000

ful. Health and Quizzify give patients the tools to ask smarter questions, make better choices, and save money.

Supporting Part-Time Employees Just Got Easier: A Non-Insurance Benefit You Can Implement Anytime

Thu, 14 Nov 2024 20:28:22 +0000

ful. Health’s ful. CashPay addresses a critical gap, helping HR leaders offer affordable healthcare solution to uninsured, part-time employees

AMC Health Receives Expanded FDA Clearance for Advanced Virtual Care and Risk Prediction Technology

Tue, 05 Nov 2024 14:00:10 +0000

Predicated on an unrivaled trove of millions of data points amassed over 20 years, these AI tools accurately predict near-term risk of ED, all-cause hospitalization, or death sans mitigation.

Prism Foundation’s Film 'Could Doorstep Healthcare Reduce Inequality?' Selected for Screening at the APHA 2024 Film Festival

Tue, 29 Oct 2024 16:08:55 +0000

PES Benefits Acquires Benefits Administration Business From Clarity Benefit Solutions

Tue, 29 Oct 2024 16:00:03 +0000

Acquisition Expands PES Benefits' Technology Capabilities and Service Offerings, Enhancing Benefits Administration for Clients Nationwide.