HeyJaredPayer Perspectives
We cover the managed care industry with unique angles on big stories, original interviews, and analysis you won’t find anywhere else.
- Indexed issues, last 90 days
- 2
- Latest publication
- Jul 31, 2026
- Audience
- Checking…
- Earliest in this view
- Jul 3, 2026
Latest issues
UHC’s HouseCalls Report Shows Medical Record Support but Ignores Central Question (opens the original)
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by Lauren Flynn KellyA recent UnitedHealth Group report attempted to demonstrate the appropriateness of diagnoses collected during home visits and submitted for risk adjustment purposes in Medicare Advantage. But researchers say the report does nothing to address ongoing concerns about MA insurers’ aggressive coding behavior and failed to address an important question: What happens after the home visit?The report was prepared by FTI Consulting and focused o
Don’t Think 340B Is a Payer Problem? Think Again (opens the original)
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by Angela MaasWhile some people have characterized the current state of the 340B Drug Discount Program as a fight between pharma manufacturers and hospitals, payers and employers are increasingly impacted by the situation, maintained longtime industry expert Adam J. Fein, Ph.D., president of Drug Channels Institute (DCI), an HMP Global company, during a June 12 webinar on 340B. And a recent report found that commercial payers and Medicare payers essentially equally funded the bulk of covered ent
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