Reimbursement
Cigna has teamed up with Integrated Independent Physicians Network in Florida for an accountable care organization model that rewards doctors for having a healthier population and saving money.
Payers have until June 6 to submit documents for Medicare's Annual Election Period materials including the Annual Notification of Change, Evidence of Coverage and Summary of Benefits documents.
The stakes are high for the companies and CalPERS, which is struggling along with many employers nationwide to contain fast-rising drug costs.
Proposed Medicare Part B drug payment models threaten medical practices and patients who are already financially strained due to the price of needed treatment, physicians told a House Energy and Commerce Committee Tuesday.
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Payers can combine analytics and personal outreach to effectively engage patients and achieve population health goals.
Insurance rates in Washington State set to increase by an average of 13.5 percent, a figure that the insurance commissioner says comes as no surprise.
The U.S. Supreme Court has sent a case on controversial contraception coverage back to the lower courts for a solution, based on an agreement between the federal government and the religiously-affiliated nonprofit organizations during oral arguments.
During 2014, the first full year of the law's implementation, 91 percent of children who were eligible for Medicaid or the Children's Health Insurance Program were enrolled, according to the study by researchers at the Urban Institute. In 2013, that figure was 88.7 percent and only 81.7 percent in 2008.
The study sought to measure whether having access to such a tool, and with it more price information, was associated with a reduction in annual outpatient spending in the first 12 months after the tool was introduced.
California's health insurance exchange estimates that its Obamacare premiums may rise 8 percent on average next year, which would end two consecutive years of more modest 4 percent increases.