Reimbursement
Kim Keck, senior vice president of Aetna, will become the president and chief executive officer of Blue Cross & Blue Shield of Rhode Island in June, the nonprofit insurer announced Thursday.
Humana is partnering with four orthopedic specialty groups in Tennessee, and an additional two in Ohio, on bundled payments for Humana Medicare Advantage members undergoing total hip or knee joint replacement.
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.
SPONSORED
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.
