Highmark Health and Abridge Partner to Transform Clinical Documentation and Prior Authorization

Highmark Health has announced a wide-scale collaboration with Abridge, a Pittsburgh-based developer of AI technologies for healthcare, to integrate AI-driven clinical documentation and real-time prior authorization into its payer-provider ecosystem. The agreement spans both Highmark’s insurance division and its care provider network, Allegheny Health Network (AHN), which operates 14 hospitals across multiple states. [Read more…]

Fidelis Care Urges Families to Prepare Kids for a Healthy School Year

As summer wraps up and backpacks start appearing by the door, Fidelis Care is reminding New York families that a smooth start to the school year begins with a focus on health, safety, and emotional readiness. With more than 2.4 million members statewide, the health plan — part of Centene Corporation — is using the back-to-school season to share practical advice that can help set children up for success both inside and outside the classroom. [Read more…]

Health insurance in Northern California might have cost you more than it should have. And now, you might be getting some of it back. [Read more…]

Careington International Corporation has made a significant move this week. The long-running health benefits company, founded in 1979, is now partnering with insurtech firm e123. The goal: make it easier for brokers to offer noninsurance savings plans to their clients, all from one application. [Read more…]

Aetna Better Health of Illinois has teamed up with Summer Health to do something simple but powerful: give families immediate access to pediatricians without the drive, the waiting room, or the out-of-pocket cost. And it’s already rolling out statewide. [Read more…]

Fidelis Care, a New York-based health plan serving over 2.4 million members, has officially opened the application window for its 2025 maternal health grant program. This year’s funding effort is focused on improving postpartum care and maternal mental health, especially in communities where access remains limited. [Read more…]

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A showdown is brewing in Texas over what patients have the right to know before undergoing medical procedures. Kay Van Wey, a top medical malpractice attorney and fierce advocate for patient rights, took the fight straight to state lawmakers. She testified before the Texas House Judiciary and Civil Jurisprudence Committee, urging support for House Bill 923 (HB 923), which could change the way medical risks are disclosed to patients. [Read more…]

Getting health insurance is supposed to provide peace of mind. But for many, it turns into a nightmare when insurers reject claims for critical treatments. Pegasus Legal Capital is stepping in to help, offering financial assistance to patients whose insurers refuse to pay for necessary medical care. [Read more…]

The Bowen Homes community in Atlanta is getting a much-needed revival, thanks to a partnership between Peach State Health Plan, the Centene Foundation, and city leaders. A groundbreaking ceremony on March 5 marked the start of a project that will bring affordable housing, health services, and community resources to the area. [Read more…]

Raintree Systems has made a strategic move by acquiring Yoomi Health, a New York-based leader in AI technologies tailored for rehab therapy. This acquisition strengthens Raintree’s AI Center of Excellence and sharpens its focus on becoming the go-to electronic medical record (EMR) platform for therapy practices. [Read more…]

In a groundbreaking initiative, ‘Ohana Health Plan has teamed up with Hope Services Hawaii to launch a revolutionary residential program in Hilo. This innovative project aims to provide transitional housing and comprehensive healthcare support for some of Hawaii’s most vulnerable residents—those who are homeless and dealing with complex medical and behavioral health needs. [Read more…]

In a major win for consumers, the Consumer Financial Protection Bureau (CFPB) has finalized a rule that will strip an estimated $49 billion in medical debt from the credit reports of approximately 15 million Americans. This move is set to increase privacy protections and put an end to aggressive debt collection practices that have used credit reporting to pressure individuals into paying disputed or erroneous medical bills. [Read more…]

AI-Driven Healthcare: A Billion-Dollar Revolution Saving Lives

The healthcare industry is racing ahead with artificial intelligence (AI) at the wheel, and the results are nothing short of groundbreaking. Recent innovations are revolutionizing patient care, from more accurate diagnoses to cutting-edge treatments. A survey reveals that 90% of healthcare executives report positive returns from generative AI investments, underscoring its role as a key driver of growth. With the AI healthcare market expected to hit $164 billion by 2030, companies like Avant Technologies, Roche, NVIDIA, and Amazon are leading the charge. [Read more…]

In a chilling incident that has shaken the corporate world, Brian Thompson, CEO of UnitedHealthcare, was fatally shot early Wednesday morning outside the Hilton Hotel in Midtown Manhattan. Authorities have described the attack as premeditated, with the masked gunman lying in wait before striking. [Read more…]

Highmark Health has reported significant financial results for the first nine months of 2024, showcasing $22.1 billion in revenue and $529 million in net income. While the organization celebrates growth in revenue and improved operating gains across its diversified portfolio, it is also addressing mounting industry-wide challenges, including rising prescription drug costs and Medicaid redeterminations. [Read more…]

CareMax, Inc. (NASDAQ: CMAX), a Miami-based healthcare provider operating 56 medical centers across Florida, Texas, Tennessee, and New York, has filed for Chapter 11 bankruptcy. Known for serving older patients with value-based care, the company is now working through a restructuring plan to address $693 million in debt, far exceeding its $390 million in assets. [Read more…]

In a standout moment for the healthcare industry, eHealth, Inc. (Nasdaq: EHTH) has been awarded the prestigious 2024 Silver Healthcare Marketing Impact Award for Integrated Campaign of the Year. Recognized by Modern Healthcare and Ad Age, this accolade highlights the company’s innovative approach to Medicare marketing, which prioritizes clarity, trust, and transparency.

The winning campaign, “eHealth, Your Medicare Matchmaker,” broke new ground by featuring real Medicare beneficiaries and their experiences. Instead of scripted sales pitches and overused gimmicks, the campaign leaned into authenticity, showcasing how eHealth empowers users to find Medicare plans that fit their needs without stress or confusion.

Rethinking Medicare Marketing

Traditional Medicare ads often rely on pressure tactics and repetitive spokespeople. According to Michelle Barbeau, eHealth’s Chief Revenue Officer, these methods can overwhelm and alienate consumers.

“We heard loud and clear that people were tired of the same urgent pitches,” said Barbeau. “Our goal was to be the light at the end of the tunnel—a trusted advisor helping beneficiaries make informed decisions without obligation.”

eHealth’s approach shifted the narrative by focusing on what matters most to consumers: unbiased advice, easy-to-use tools, and savings on premiums and out-of-pocket costs.

Real Stories, Real Results

The campaign, developed in collaboration with Shinebox, took a bold step by using real Medicare beneficiaries in unscripted television ads. These ads highlighted authentic interactions with eHealth’s licensed advisors and online tools, showcasing the company’s role as a trusted partner in Medicare plan selection.

The results speak volumes. Over the past year, eHealth has doubled brand awareness, significantly increased website traffic, and lowered customer acquisition costs. The campaign also drove a wave of positive sentiment, breaking away from fear-driven industry norms to focus on helping customers make confident choices.

Revolutionizing the Industry

eHealth’s success has had a ripple effect across the industry. By emphasizing transparency and customer-first principles, the company has redefined what Medicare marketing can look like.

Barbeau summed it up: “We’ve moved the conversation from fear and uncertainty to doing what’s best for customers.”

A Legacy of Trust

For over 25 years, eHealth has connected millions of Americans with health coverage that suits their needs. With access to more than 180 health insurers, the company’s online marketplace offers an extensive range of options, from national brands to regional providers. As an independent advisor, eHealth’s agents are paid equally, no matter which plan customers choose, ensuring unbiased support.

The campaign’s success cements eHealth’s reputation as a leader in healthcare marketing and an advocate for transparency in the Medicare space.

For more information about eHealth, visit ehealth.com.

Publix Pharmacy customers now have a new tool in their corner when it comes to navigating Medicare plans. Healthpilot, an AI-powered Medicare shopping platform, has teamed up with Publix, one of the nation’s largest supermarket chains, to provide an easy way for customers to find, compare, and enroll in Medicare plans online. [Read more…]

Health insurance can feel like a maze, but Inland Empire Health Plan (IEHP) is making it easier—and cheaper—for residents of San Bernardino and Riverside counties. As they kick off their second year on the Covered California health exchange, IEHP is once again offering the most affordable Silver plan in these regions. Open enrollment for new members starts November 1, but current plan holders can make changes now. [Read more…]

Great news for Louisiana residents—affordable healthcare coverage just got easier to access. Ambetter from Louisiana Healthcare Connections has announced its expansion into 22 parishes for 2025, making it possible for more people to find the coverage they need during open enrollment starting on November 1. [Read more…]

Starting November 1, Arizona residents across nine counties will have more affordable health insurance options, thanks to Ambetter from Arizona Complete Health. The open enrollment period for the Health Insurance Marketplace® will run until January 15, 2025, giving people the chance to sign up for coverage that kicks in as early as January 1. [Read more…]

Superior HealthPlan has rolled out a new tool aimed at tackling the barriers that keep Texans from accessing vital services like healthcare, food, and housing. This fresh approach comes with a screening tool that connects individuals to local community resources, helping them get the help they need beyond the doctor’s office. [Read more…]

What do college and university employees really value in a job? According to a new report from the TIAA Institute and CUPA-HR, the answer might surprise you. While salary is important, retirement savings plans, health insurance, and paid time off top the list of the most valued benefits among higher education employees. But what makes the results even more interesting is how these priorities shift depending on the employee’s role and age. [Read more…]

A new alliance between Open Mind Health and NeuroFlow is set to shake up the mental health care scene. In an industry that’s long been ready for a tech boost, this partnership aims to change how mental health support is delivered, giving patients a more personalized, proactive approach to care. [Read more…]

A groundbreaking new study has uncovered a surprising trend in healthcare: physician practices tied to private equity firms are driving down Medicare costs and keeping patients out of the hospital more than their hospital-affiliated counterparts. [Read more…]

In a major boost for brokers, Remodel Health has just announced the launch of ICHRA Academy™—a unique training program designed to help brokers take charge of the growing Individual Coverage Health Reimbursement Arrangement (ICHRA) space. This first-of-its-kind course is packed with tools to help brokers sharpen their expertise and offer more value to clients, all while boosting their own business. [Read more…]

In an impactful move to address critical health and wellness issues in underserved areas, Sun Life U.S. has awarded $350,000 in Health Access Grants to six community health organizations across the country. These grants are designed to help tackle pressing health concerns, such as dental care shortages and diabetes management, in regions where access to care is often limited. [Read more…]

In a major breakthrough for men’s health, Ohh-Med Medical has announced a significant milestone for its flagship product, Vertica, which helps improve erectile function. The cutting-edge device recently achieved full reimbursement approval from a major national insurance company in Germany, marking a crucial step toward broader accessibility for men seeking effective treatment for erectile dysfunction (ED). Additionally, the company has received approval from Australia’s Therapeutic Goods Administration (TGA), allowing Vertica to enter the Australian market. [Read more…]

With Medicare’s Annual Enrollment Period just around the corner, eHealth, Inc. has secured a major win, receiving several prestigious awards for its best-in-class quality and customer retention from four leading health insurance carriers. These accolades further solidify eHealth’s role as a top-tier provider in matching Medicare beneficiaries with the right healthcare plans. [Read more…]

In a move that promises to improve how Americans access health insurance, Big Wave Systems has been awarded a prime contract by the Centers for Medicare & Medicaid Services (CMS). The contract focuses on enhancing the support provided to consumers navigating the complex world of healthcare plans, marking a significant step in improving the overall insurance experience. [Read more…]

In a significant move aimed at improving the lives of North Carolina’s youth impacted by domestic violence, WellCare of North Carolina has announced a $100,000 donation to Camp HOPE America. This initiative, which supports children affected by domestic violence and trauma, comes as part of WellCare’s ongoing efforts to foster healthier, safer communities across the state. [Read more…]

Discover how AXA’s new insurance series prioritizes early detection and comprehensive support to safeguard your health

In a groundbreaking move to elevate health protection, AXA Hong Kong and Macau have launched the TotalAssure Critical Illness Series. This innovative insurance product aims to provide extensive coverage for 135 illnesses, emphasizing early detection and intervention for conditions linked to colorectal cancer, breast cancer, and heart disease. By offering proactive care, the new series promises to enhance the overall well-being of its insured members. [Read more…]

Cone Health, a leading healthcare network in North Carolina, is set to join Risant Health, a nonprofit organization established by Kaiser Foundation Hospitals. This strategic move aims to significantly enhance the delivery of value-based care, expanding access and improving health outcomes for millions of people. [Read more…]

In a monumental step towards supporting victims of domestic violence, WellCare of North Carolina and the Centene Foundation have announced a $1.95 million investment in The Umbrella Center, a new family justice center in Charlotte. This three-year investment will aid in developing the center at 4822 Albemarle Road, which is set to open in the summer of 2026, and provide essential services to those impacted by domestic violence, sexual assault, elder abuse, human trafficking, and child abuse. [Read more…]

The Employers’ Forum of Indiana has unveiled a significant upgrade to its innovative hospital price and quality dashboard, Sage Transparency™. Launched at the National Healthcare Price Transparency Conference, Sage Transparency™ 2.0 introduces an array of new features, backed by the latest data from the RAND Employer Hospital Price Transparency study, designed to empower employers, policymakers, and the public with unprecedented insights into healthcare costs. [Read more…]

In a heartwarming celebration of motherhood, the Inland Empire Health Plan (IEHP) launched the first of its three-part Maternal Wellness Event series on May 9 at the Riverside Community Wellness Center (CWC). This inaugural event, designed to support and educate moms and moms-to-be, kicked off a month-long focus on maternal health, coinciding with Maternal Health Awareness Month. [Read more…]

In a heartwarming display of solidarity and inclusivity, eleven schools across Texas joined forces with Superior HealthPlan and the Centene Foundation to champion No One Eats Alone® Day for the eighth consecutive year. This transformative initiative, dedicated to combating social isolation among students, has emerged as a beacon of hope, fostering a culture of belonging and acceptance in schools statewide. [Read more…]

In a groundbreaking move, QBE has just rolled out its latest digital home insurance offering in Macau, and it’s a game-changer! The Home Plus Protection Package (HPPP) isn’t just your run-of-the-mill insurance – it’s an all-in-one solution for homeowners, tenants, and landlords, and yes, it includes coverage for your beloved pets! [Read more…]

UNITED STATES OF AMERICA
Before the
SECURITIES AND EXCHANGE COMMISSION

ADMINISTRATIVE PROCEEDING
File No. 3-20932

In the Matter of Health Insurance Innovations, Inc., now named Benefytt Technologies, Inc., and Gavin D. Southwell, Respondents.

PLAN NOTICE OF HEALTH INSURANCE INNOVATIONS, INC. FAIR FUND

TO: Individuals and entities, or their lawful successors, who purchased and/or acquired shares of Health Insurance Innovations, Inc. under the symbol HIIQ (“HIIQ” or “Security”) during the period from March 2, 2017 through March 12, 2019, inclusive (the “Relevant Period”). [Read more…]

Inland Empire Health Plan (IEHP) is on a mission to help individuals discover their “Best Self” in the year 2024 with the launch of an exciting and free wellness program – “Healthy Living: My Best Self.” [Read more…]

As the Medicare Open Enrollment period approaches, the New York StateWide Senior Action Council (StateWide) is on a mission to protect seniors from potential scams. The organization, dedicated to advocating for the rights of seniors in New York State, has named “Medicare Open Enrollment Scams” as their October Medicare Fraud of the Month. [Read more…]

In an era where holistic wellness and sustainable health solutions take the center stage, Elite Health Online meticulously curates products that effortlessly blend efficacy with convenience. Today, we delve into the dynamics of our latest offering, the Elite Thermogenic Formula, a potent blend designed to fortify your weight loss and wellness journey, crafted to cater to your unique health aspirations. [Read more…]

Miami-based HealthBird, a pioneering InsurTech startup renowned for its side-by-side health insurance plan comparisons, is embarking on a strategic expansion into Latin America (LATAM). The company is set to launch its successful application in three LATAM countries—Ecuador, Colombia, and Peru—in the fourth quarter of this year. [Read more…]

Papa, a platform specializing in companionship and support, has teamed up with HealthTeam Advantage (HTA), the business entity of Care N’ Care Insurance Company of North Carolina, LLC. This partnership aims to provide essential social support to older adults, including those dealing with heart failure and diabetes, across North Carolina. The collaboration will enhance the level of care and personalized assistance available to members enrolled in traditional Medicare Advantage, as well as those with heart failure and diabetes participating in HealthTeam Advantage’s Chronic Condition Special Needs Plan (C-SNP). [Read more…]

IMG (International Medical Group), a globally recognized insurance benefits and assistance services company, is pleased to unveil the recipients of the seventh annual Leave Your Mark Grant. This year’s grant program awarded two organizations and five individuals for their outstanding contributions to global charitable missions. [Read more…]

Health Plan News – In a significant move to improve maternal health care and address systemic inequities in the healthcare system, Point32Health, the parent company of Harvard Pilgrim Health Care and Tufts Health Plan, is teaming up with Ariadne Labs to expand TeamBirth, a clinically proven care process innovation. The expansion comes on the heels of a successful pilot program conducted at UMass Memorial Medical Center. Ariadne Labs, a joint center for health systems innovation at Brigham and Women’s Hospital and the Harvard T.H. Chan School of Public Health, is a key partner in this initiative. [Read more…]

Allina Health | Aetna has unveiled an array of significant updates to its Medicare Advantage (MA) plans for 2024. These enhancements aim to provide increased value, additional cost savings, and flexible fitness benefits to beneficiaries, including those who qualify for Extra Help. [Read more…]

In a bid to revolutionize the Medicare plan shopping experience, eHealth, Inc. (Nasdaq: EHTH) (eHealth.com), a prominent online private health insurance marketplace, has announced an ambitious rebrand. The company has collaborated with Shinebox, a Minneapolis-based agency, to bring this transformative change to fruition.

eHealth’s rebrand initiative goes beyond superficial website updates. It’s driven by valuable feedback from Medicare beneficiaries who expressed frustration with aggressive sales tactics. The new brand, crafted in collaboration with Shinebox, includes a fresh logo and color scheme, a user-friendly omni-channel interface, revamped consumer messaging, and a suite of television, direct mail, print, radio, and online advertisements aimed at distinguishing eHealth in the eyes of beneficiaries. [Read more…]

Canadians are dedicating increasingly more time to navigating the complexities of accessing healthcare and benefits. From the time spent in doctor’s offices to completing benefit-related paperwork and waiting at pharmacies, a recent survey conducted by GreenShield has revealed that Canadians are spending 2.5 times more time managing their healthcare and benefits compared to the actual time spent during a doctor’s appointment. [Read more…]

The Better Outcomes Registry & Network (BORN) Ontario issued a comprehensive update today regarding a cybersecurity incident that occurred on May 31, 2023. [Read more…]

Gravie (one of the fastest-growing innovators in health benefits) has annonced that Andrew Reeves has been hired as Gravie’s first senior vice president and General Manager of Gravie ICHRA. Reeves was appointed at a time that the HRA Council reported that ICHRA adoption had tripled since 2020. [Read more…]

Evernorth Care Group, a nationally recognized provider of medical services, is now in-network for Devoted Health’s 13,000 Medicare (MA) members. Devoted Health MA Members can access Evernorth Care Group primary, specialty, and virtual care at 20 health centers throughout the Valley. They also have access to its onsite pharmacies and labs, vision and hearing centres, urgent care centers, and outpatient surgery centers. [Read more…]

Findhelp has been given a contract by the Tennessee Medicaid Agency (TennCare), as part of Health Starts Initiative, to assist Tennesseans in finding the non-medical care they require. Findhelp, a technology firm, connects people in need of social care with providers through a closed-loop referral system (CLRS) that is easy to use and efficient. [Read more…]

EmpiRx Health applauds Blue Shield of California, a leading value-based PBM, for implementing the same model of pharmacy care. EmpiRx Health, the pioneer of value-based PBMs, announced a Four Point PBM Revolution Plan. The new plan aims to transform the PBM sector by placing the needs of the plan sponsors and members first, with value-driven pharmacy services. [Read more…]

Integrity Marketing Group, LLC (Integrity), a leading distributor and provider of retirement and wealth management solutions, has announced that the Integrity Foundation completed the first in a series of community legacy initiatives and support projects to come – building a modern playground for Norfolk, Nebraska, which will benefit future generations of families and children. The playground, located in Norfolk’s Liberty Bell Park was designed for several months, then built on a single day in partnership with KABOOM! Premier Marketing, WealthFirm, and the City of Norfolk. Integrity’s revitalization of this beloved community park will have a positive and long-lasting impact on the health of children and their families. [Read more…]

EmblemHealth has announced the results of its study on the awareness level of value-based payments by employers and consumers. Both groups were unsure of the differences between value-based payment and fee-for service payments. However, when given a definition, they strongly preferred this model to deliver the highest-quality care while also reducing costs. [Read more…]

Charity Navigator’s 2023 Community Choice Award has been nominated by The HealthWell Foundation (r), a nonprofit organization that offers financial assistance to Americans who are not adequately insured. Charity Navigator is the largest and most influential nonprofit evaluation agency in the country. The HealthWell Foundation was nominated in the super-sized organizations category on National Nonprofit Day 2023. [Read more…]

After a thorough review by federal and state regulatory agencies, Health Alliance Plan (HAP), an Ohio-based nonprofit managed-care health plan and CareSource, a Michigan nonprofit health plan have received regulatory approval for their joint venture. The entities will operate as “HAP-CareSource” and develop new products and programs to better serve Michigan residents and provide them with a higher level of health care. [Read more…]

Venteur, a digital health startup that helps companies offer personalized health insurance to their employees has closed a $7.6-million seed funding round. GSR Ventures is the lead investor, with Headwater VC and Revelry Venture Partners as well as Plug and Play and Techstars participating. [Read more…]

Inland Empire Health Plan celebrated the first graduating class from its Community Health Worker Residency (CHW) Program at its Rancho Cucamonga headquarters. [Read more…]

Lamoille Health Partners entered into a contract to purchase Family Practice Associates. This independent primary care provider is located at 272 North Main Street, Cambridge, Vermont. The transaction, pending final regulatory approvals, will add a third location of a family medicine practice to the growing Lamoille Quality Care Network. [Read more…]

Health Care Service Corporation (HCSC) intends to offer Medicare plans in 99 additional counties across Illinois, Montana, New Mexico, Oklahoma and Texas next year. [Read more…]

Elite Health Online is thrilled to announce the addition of Rapamycin to its product line. This revolutionary product is set to redefine the boundaries of longevity and vitality, offering consumers the opportunity to tap into the proverbial fountain of youth. [Read more…]

In its continuing commitment to “Improving Lives,” Elite Health Online has chosen to support Remnant Church with a donation exceeding $12,000. This contribution is part of the healthcare organization’s ongoing initiative to contribute a percentage of its gross revenue each quarter to a faith-based ministry that aligns with its mission. [Read more…]