The Affordable Care Act (ACA) requires health insurance issuers to provide information on the proportion of premium revenues spent on clinical services and quality improvement, also known as the Medical Loss Ratio (MLR).

Health insurance is a constantly evolving and complicated industry that continues to change with the needs of the people, and it's only getting more complicated by the day. With new regulations and guidelines, new technology for data management, and emerging preferences for user experiences, it's easy to feel lost as you navigate this evolving landscape with your business.

A federal judge on Monday ordered that all employees entering California prisons be vaccinated or have a religious or medical exemption, as he tries to head off another coronavirus outbreak like the one that killed 28 inmates and a correctional officer at San Quentin State Prison last year. Inmates who want in-person visits or who ...

In the past 18 months, the healthcare industry has been defined by a time of sustained innovation and continuing technology investment. Health plans recognize the opportunity to collaborate with providers to deliver more patient-centric care and remove cost from the system. As government regulations and market forces converge around these initiatives, now is the time ...

The American Dental Association is mobilizing its 162,000 members to fight a proposal to include dental coverage for all Medicare recipients, opposition that could prove pivotal as Democrats look to make cuts in their $3.5 trillion domestic policy agenda. Giving dental, vision and hearing benefits to the 60 million older and disabled Americans covered by Medicare will provide ...

Out-of-pocket spending for hearing and dental care far outpaced spending for vision care among Medicare beneficiaries, a new analysis found. The analysis, released Tuesday by the Kaiser Family Foundation, examines out-of-pocket spending in 2018 and 2019 on traditional Medicare and Medicare Advantage on the three benefits. It comes as Congress is contemplating adding the three benefits ...