Reimbursement

Cost savings are further bolstered by avoiding unnecessary surgeries and achieving lower rates of expensive complications.

Under model, rates paid to a given provider are set so that all third parties pay the same price for services to particular provider.

While some states will see premiums almost double, many states will see very little change at all.

Providers that participate in an advanced payment model can earn up to 5 percent in bonuses for the 2017 performance year.

Incorrect information was found for almost half of the 5,832 doctors listed in directories for 54 Medicare Advantage plans checked last fall.

Agency said it is reviewing its policies for allowing what is called seamless enrollment after some senior citizens were surprised to learn they were enrolled.

System's health plan is offering patients with chronic conditions financial incentives to self-manage their individualized care.

Modern Medicaid Alliance, coalition of 30 organizations including AHIP, will educate policy makers, public on Medicaid's integrated care, services.

Medicare discussions will also include need for collaboration between plans, providers and the government.

Some insurers are seeking to recover money they said was promised in the HHS program for taking on risk of offering products on the exchanges. DOJ argues no deadline was established for HHS to pay risk corridors payments.