Reimbursement
Home health agencies that do not submit quality measure data to CMS will see a 2 percent reduction in their annual payment.
The partnership builds upon the success of Aetna and Banner's five-year accountable care organization relationship formed in 2011.
Facilities that do not meet total performance scores will see up to a 2 percent reduction in the quality incentive program.
Premium assistance programs have come under fire from insurers.
Patient factors must weigh equally under Hospital Readmissions Reduction Program to avoid crippling penalties for safety-net facilities, study says.
Federal spending would rise by $47 billion over the next 10 years if tax credits make up difference for insurer cost-sharing, court filing says.
Only about a third of plans available are silver, another third are bronze offering 60 percent coverage, 25 percent are gold or platinum plans offering 90 percent.
Insurers can transfer customers who have purchased policies through an ACA insurance exchange, other commercial plans when they become eligible.
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.