Caralyn Davis

Biography for Caralyn Davis

Caralyn Davis is the editor-in-chief of FierceHealthFinance and FierceHealthPayer. She is a veteran healthcare journalist and has spent more than 15 years reporting on clinical, management and financial issues for the healthcare industry, tracking the trends and issues that impact everyone from front-line nurses and physicians to the CEOs of multi-million-dollar healthcare corporations. Her subject expertise spans revenue cycle management, RAC audits, managed care and EMRs. She serves on the editorial advisory board of the American Association of Nurse Assessment Coordinators and is the author of FierceHealthFinance's RAC Audit Survival Guide. She holds a Bachelor of Arts in Journalism from the University of Georgia. Caralyn lives in the mountains of western North Carolina. In her spare time, she writes fiction and gets excited by "mountainy" things like sourwood honey, apples, daylilies, and, uh, mountains. You can Caralyn at [email protected]; follow her on Twitter @FierceHealth or find her on LinkedIn.

Articles by Caralyn Davis

SeeChange believes plan flexibility will set apart its value-based insurance

The value-based SeeChange Health insurance company in San Francisco could be excused for waving the white flag given the current health insurance market. Many industry watchers question whether

Physician profiling: Check your mail for letters from mad docs

The American Medical Association (AMA) and 47 state medical societies have fired off a letter to some of the nation's largest health insurers, asking them to improve their physician cost profiling

MLR ratio wrangling heats up as Dems try to resurrect public insurance

Officials with the National Association of Insurance Commissioners (NAIC) have told CQ HealthBeat that the U.S. Department of Health and Human Services likely will see by mid-August the NAIC's final

UnitedHealth Group to grow health services, create in-house TTO

UnitedHealth Group kicked off the second-quarter earnings season for 2010 with a bang, posting net income of $1.1 billion on consolidated revenues of $23.3 billion. That represents a a 7 percent

Service experience beats out cost in employer satisfaction with health plans

These days, most employers are paying attention to the affordability (i.e., managing total costs) of their health insurance. However, health insurers that don't offer rock-bottom pricing compared to

Virginia Anthem Blues combines high-tech, low-tech to cut avoidable ER use

With the average total cost of an emergency room visit ($441) 4.5 times higher than the average total cost of an urgent-care center visit ($98) and almost 8.5 times higher than a retail-care clinic

Internal and external appeals: Health plans face quick turnaround in urgent cases

The federal government has issued interim final rules giving guaranteed appeal rights to health plan members whose claims have been denied, setting standards for internal claims and appeals, as well

Seven of 10 BCBS plans have over three times required minimum surplus

A healthy surplus (i.e., excess of assets over liabilities) gives health insurers and their customers the security of knowing they can pay the bills come what may, as well as make the investments

Preventive care requirements: The ins and outs

Last week the departments of Health and Human Services, Treasury and Labor issued interim final rules explaining the preventive care requirements that non-grandfathered group health plans and

Maine seeks waiver from medical-loss ratio requirements

While the health insurance industry still is waiting to learn exactly what components will comprise the federally mandated medical-loss ratios under health reform, the state of Maine has already