Category Healthcare Insurance

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

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

 PeekDirect™ Delivers Transparent and Affordable Pricing for Brand and Specialty Drugs to Reduce Prescription Costs for Employers and Patients Read More
International Citizens Insurance Expands Leadership Team With Key Sales Hire and New Representatives
Press Release

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

 Amanda Sharon joins as VP of Sales, bringing nearly a decade of sales leadership and customer retention expertise to drive ICI's continued growth. Read More
3 in 4 Payers Already Under Strain as Medicaid Redeterminations Bite
Press Release

3 in 4 Payers Already Under Strain as Medicaid Redeterminations Bite

 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. Read More
AI Tools Cut Disputes and Halve Settlement Times in Value-Based Care
Press Release

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

 Black Book Q3 flash survey highlights how AI-powered payment integrity is reshaping reconciliation and contract optimization. Read More
Traveler Care Launches Global Medical Dispatch Platform to Help Travel Insurance Companies Cut ER Claims by 80%
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Traveler Care Launches Global Medical Dispatch Platform to Help Travel Insurance Companies Cut ER Claims by 80%

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

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

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

 Research published in JAMA Health Forum projects 13-14 excess deaths and over 800 preventable hospitalizations annually per 100,000 people losing Medicaid coverage Read More
Top Payer IT Consulting Priorities for 2025-2026: Health Plans Intensify Focus on AI, Value-Based Care, Compliance, and Digital Transformation
Press Release

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

 Black Book Survey of 1,200+ Executives Names Top-Rated Advisory Firms for Strategic, ROI-Driven Transformation Read More
Agent Boost Marketing Joins Forces with AmeriLife's Senior Market Advisors
Press Release

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

 Partnership creates geographic advantages aligned with SMA's strategic growth plan while diversifying the distribution of individual insurance products Read More
Diamond Care Transportation Expands Non-Emergency Medical Transportation (NEMT) Services Across SC, FL, WA, DC & MD
Press Release

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

 Safe, Reliable Wheelchair Transportation for Seniors and People with Disabilities - Book Your Ride Today Read More
Sagility Named Top-Rated Vendor for Outsourced Claims Adjudication and Payer Customer Service by Black Book Research at AHIP 25
Press Release

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

 Survey of Health Plan Leaders Recognizes Sagility for Automated Adjudication Accuracy, Claims Integrity, and Integrated Managed Member Support Services Read More
Innovaccer Ranks #1 in AI Agent-Based Health Plan Technology Performance, According to Black Book Survey of Managed Care Leaders
Press Release

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

 Breakthrough results from early adopters and 18 top-rated KPIs drive Innovaccer to the forefront of payer AI transformation in record time. Read More
40 Top-Rated Payer Technology Vendors Exhibiting at AHIP 2025, Black Book Honors
Press Release

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

 Independent Survey Highlights Leading Vendors Driving Innovation in Managed Care IT Ahead of the AHIP 2025 Conference in Las Vegas Read More
MTM Health Earns Re-Certification From URAC for Health Care Management
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MTM Health Earns Re-Certification From URAC for Health Care Management

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MTM Health Celebrates 30 Years of Improving Health Outcomes Nationwide
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MTM Health Celebrates 30 Years of Improving Health Outcomes Nationwide

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

 2025 Survey Identifies the Vendors and Capabilities Driving FWA Detection, Overpayment Recovery, and Claims Accuracy Across U.S. Payers Read More
Black Book Research Names 2025's Top Vendors in Risk Adjustment & Coding Optimization for Health Plans and Payers
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Black Book Research Names 2025's Top Vendors in Risk Adjustment & Coding Optimization for Health Plans and Payers

 Advanced Analytics, AI, and Automation Become Essential as Payers Face Increased Scrutiny on Risk Adjustment Accuracy and Financial Performance Read More
Black Book Research Names 2025's Top-Rated Utilization Management & Prior Authorization Vendors Across All Payer & Health Plan Segments
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Black Book Research Names 2025's Top-Rated Utilization Management & Prior Authorization Vendors Across All Payer & Health Plan Segments

 AI-Driven and Scalable Solutions Lead the Way as Payers Prioritize Efficiency, Compliance, and Member Satisfaction Read More
Black Book Research Reveals the Digital Playbook Behind 2025's Top Medicare Advantage and Commercial Health Plans
Press Release

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

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

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

 Client Rankings Guide Health Plans to Advanced IT Solutions for Superior Compliance, Performance, and Member Outcomes for 2026 & Beyond Read More
CMS Audit Crackdown Triggers Data Intelligence Race: Black Book Reintroduces 2025's Top-Rated Payer IT Vendors
Press Release

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

 New rules ignite a surge in payer demand for data platforms that support RADV readiness, Stars forecasting, and member retention analytics. Read More
Payer IT Vendors Enter 'AI Gold Rush' as Health Plans Race to Build Infrastructure for Trusted Automation, Black Book Survey
Press Release

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

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

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

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

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

 Poll of 273 Healthcare Leaders Uncovers Escalating Challenges in Prior Authorization, Data Exchange, and Value-Based Contracting. Read More
Serve You Rx Announces Strategic Collaboration With Amazon Pharmacy for Home Delivery Services
Press Release

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

 New Collaboration Delivers Improved Convenience, Cost Savings and 24/7 Support for Prescription Medications Read More
AmeriLife Marketing Group and Senior Health Insurance Direct Partner to Serve the Next Generation of Licensed Medicare Agents
Press Release

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

 Partnership signifies continued expansion for AmeriLife's Health Distribution network Read More
Christian Care Ministry (Medi-Share) Appoints Abel Pomar as Chief Executive Officer
Press Release

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

 Seasoned Fiduciary Joins Nation's Leading Health Care Sharing Ministry Read More
Press Release

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

 New partnership will expand access to community-based care for Medicaid members in Richmond and Hampton Roads communities Read More
Black Book Research Announces 2025 Top-Rated Payer Enterprise Analytics Vendors Based on Client Satisfaction Scores
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Black Book Research Announces 2025 Top-Rated Payer Enterprise Analytics Vendors Based on Client Satisfaction Scores

 Independent Healthcare IT Market Research Firm Recognizes Veradigm as Overall #1 Payer Analytics Vendor for Second Consecutive Year Read More
Productive Edge Appoints Seth Oster as Chief Delivery Officer
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Productive Edge Appoints Seth Oster as Chief Delivery Officer

 Veteran Healthcare Delivery Leader Joins Company to Strengthen AI-Driven Transformation Initiatives Read More
Serve You Rx Partners With Waltz Health to Transform Specialty Pharmacy
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Serve You Rx Partners With Waltz Health to Transform Specialty Pharmacy

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

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AmeriLife Finalizes Acquisition of Crump Life Insurance Services
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AmeriLife Finalizes Acquisition of Crump Life Insurance Services

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

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

 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 Read More
MTM Health Names Chad Nolan as First Chief Data Analytics Officer
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MTM Health Names Chad Nolan as First Chief Data Analytics Officer

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

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Press Release

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

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Press Release

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

 Investing in our customers through leadership and expanded ecosystem Read More
Onyx Ranked #1 for Client Satisfaction in FHIR-Based Prior Authorization Solutions
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Onyx Ranked #1 for Client Satisfaction in FHIR-Based Prior Authorization Solutions

 Onyx Leads the 2025 Healthcare Interoperability Market with OnyxOS Platform Read More
AffordaCare Insurance Announces Partnership With ADP to Offer CHAMP, an Innovative Healthcare Solution
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AffordaCare Insurance Announces Partnership With ADP to Offer CHAMP, an Innovative Healthcare Solution

 Partnership to Enhance Employee Health Benefits and Reduce Employer Costs for Businesses of All Sizes Read More
Integra Partners Expands Partnership With DMEscripts
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Integra Partners Expands Partnership With DMEscripts

 Integra Partners today announced the expansion of their relationship with DMEscripts through the Integra Partners Group Purchasing Organization (GPO). Read More
TransFigure Partners With Trainwell to Offer Comprehensive Weight Loss Program 
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TransFigure Partners With Trainwell to Offer Comprehensive Weight Loss Program 

 Unique Partnership Enables Clients to Reach Sustainable Weight Goals Through Integrated, Personalized Fitness and GLP-1 Support Read More
Overcharged, Overdiagnosed, and Overwhelmed? Quizzify Teaches Patients to Take Control of Healthcare Spending
Press Release

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

 ful. Health and Quizzify give patients the tools to ask smarter questions, make better choices, and save money. Read More
Supporting Part-Time Employees Just Got Easier: A Non-Insurance Benefit You Can Implement Anytime
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Supporting Part-Time Employees Just Got Easier: A Non-Insurance Benefit You Can Implement Anytime

 ful. Health's ful. CashPay addresses a critical gap, helping HR leaders offer affordable healthcare solution to uninsured, part-time employees  Read More
Press Release

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

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

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

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PES Benefits Acquires Benefits Administration Business From Clarity Benefit Solutions
Press Release

PES Benefits Acquires Benefits Administration Business From Clarity Benefit Solutions

 Acquisition Expands PES Benefits' Technology Capabilities and Service Offerings, Enhancing Benefits Administration for Clients Nationwide. Read More
ful. CashPay Welcomes BeneStream to Its Healthcare Ecosystem, Providing Medicaid, Medicare, CHIP, and ACA Assistance to Essential Workers
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ful. CashPay Welcomes BeneStream to Its Healthcare Ecosystem, Providing Medicaid, Medicare, CHIP, and ACA Assistance to Essential Workers

 BeneStream simplifies the complexities of public healthcare programs for users, adding even more expert help for the uninsured. Read More
MTM Finalizes Acquisition of Access2Care, Expanding Market Leadership in NEMT Sector
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MTM Finalizes Acquisition of Access2Care, Expanding Market Leadership in NEMT Sector

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GenHealth.ai Unveils Large Medical Model, Surpassing Industry Benchmarks by Over 14% in Healthcare Cost and Risk Prediction
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GenHealth.ai Unveils Large Medical Model, Surpassing Industry Benchmarks by Over 14% in Healthcare Cost and Risk Prediction

 Revolutionizing Healthcare with Generative AI: A New Standard for Precision in Patient Care Forecasting Read More
ful. CashPay: Revolutionizing Healthcare Access for Employers With Uninsured Team Members
Press Release

ful. CashPay: Revolutionizing Healthcare Access for Employers With Uninsured Team Members

 ful. Health's New App Harnesses Innovation, Data and Technology to Deliver Affordable, Easy-to-Use Healthcare Solutions for Part-Time Workers Read More
myphysician360 Appoints Dr. Akash Parekh as Chief Medical Officer
Press Release

myphysician360 Appoints Dr. Akash Parekh as Chief Medical Officer

 Former FDA Medical Officer and Healthcare Innovator Brings Expertise in Health Tech and Underserved Patient Care Read More
Significant Updates to WCH Re-Credentialing Service Contracts
Press Release

Significant Updates to WCH Re-Credentialing Service Contracts

 WCH aims to minimize your involvement in administrative tasks while guaranteeing your credentials remain compliant and up to date. By streamlining processes, improving communication with insurance companies, and providing proactive monitoring of critical certifications, WCH is committed to delivering a hassle-free credentialing experience. Read More
AffordaCare Insurance and ReminderMedia Partner to Enhance Employee Health Benefits
Press Release

AffordaCare Insurance and ReminderMedia Partner to Enhance Employee Health Benefits

 The CHAMP Plan Offers Comprehensive Coverage and Cost Savings for Businesses of All Sizes Read More
Press Release

Clarity Benefit Solutions Founder and CEO Bill Catuzzi Honored With the 2024 NJBIZ ICON Award

 Clarity Benefit Solutions proudly announces that Founder and CEO Bill Catuzzi has been honored with the 2024 NJBIZ ICON Award, recognizing his decades of leadership, innovation, and impact in the employee benefits industry and New Jersey's broader business community. Read More
First Stop Health Recognized Again on Inc. Magazine’s 5000 Fastest-Growing Companies List
Press Release

First Stop Health Recognized Again on Inc. Magazine’s 5000 Fastest-Growing Companies List

 For 7 consecutive years, virtual care company has made Inc.'s List of Fastest-Growing Companies. Read More
Arrow Benefits Group Women Leading the Insurance Industry
Press Release

Arrow Benefits Group Women Leading the Insurance Industry

 Mariah Shields Honored With NBBJ Influential Woman Award Read More
Press Release

MTM to Expand Reach With Acquisition of Access2Care's NEMT Business

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