Payers | Healthcare Brew

Innovation, Alternatives, & Emerging Models

Payer Landscape & Market Dynamics

Payer-Led Care Delivery & Population Health

Payment Reimbursement Models

Utilization Management & Prior Authorization

Benjamin Kornitzer, chief medical officer of Aetna

Aetna’s CMO on the plan to win back providers’ trust

Prior authorization is a major source of concern.

Caroline Catherman

A stack of $100 bills tied with a band labeled with "Medicare Advantage"

A look at Medicare Advantage: Why it was created, and how it’s performed

The program has become a hot topic as government spending on it continues to rise.

A stethoscope and pills next to a handwritten note saying "Medicare Advantage."

Study finds cancer patients on Medicare Advantage access fewer providers than Medicare patients

When cancer patients see fewer providers, it’s not clear if MA is optimizing or shrinking care.

Caroline Catherman

Hands over a crystal ball with dollar sign

Payers reflect on the first half of 2026

It’s been a busy H1!

Caroline Catherman

Photo collage showing a doctor with their arms folded leaning against a business person with their arms folded, against a purplish periwinkle backdrop.

How cutting deals with employers saves health systems money

Frustrated by increasing insurer friction, health systems are cutting out the middlemen.

Caroline Catherman, Courtney Vinopal

Two hands reaching for a disappearing Medicare Advantage card

Medicare Advantage organizations are denying some post-acute care at high rates

Medicare Advantage’s prior authorization process is still a “Wild West,” one expert says.

Caroline Catherman

Gyde CEO Will Johnson on how health insurance brokers can benefit from AI

Could AI could be a life raft for brokers drowning in advisory work?

Caroline Catherman