Mark Klimek
Aetna gains in-network access to independent practices, health centers and clinics that are part of Aledade's ACOs in three states.
A Medicare Advantage member who is food insecure can have up to 26.6 unhealthy days a month, correlating to 10 hospital admissions per thousand, or $15.64 per member per month in higher medical costs.
Providers in more than 30 states may participate in bundled payments for eight medical procedures.
The joint venture between provider and payer, which launched last year, has grown to about 50 plan sponsors across 15 counties.
Duke Health will provide medical services and population health management programs while Blue Cross NC will handle enrollment, billing and claims services.
The joint venture will offer MA plans under the True Health brand to high-performing providers that are prepared to take delegated risk for MA populations.
CMS should eliminate mandatory mid-year changes and providers should be given more opportunity to give feedback, groups tell Seema Verma, Adam Boehler.
MedPAC's proposed 5 percent cut, coupled with a new payment model, comes at a time when home services are on the rise.
Value-based programs are in Humana's Medicare Advantage business, where insurer had a 17 percent market share last year.