Reimbursement
Health plans will be responsible for data sharing and patient access in a way they're not used to. "A lot will have to go into meeting that deadline," one expert says.
Under strict proposals, in-network negotiated hospital prices could be cut by 31% to 40%, saving up to $124 billion annually.
CMS has provided flexibility to Medicare Advantage and Part D plans on testing, treatment and prevention.
Insurer will cover rapid and ultra-rapid whole genome sequencing done by Rady Children's Institute for Genomic Medicine.
The program has increased vaccination rates, decreased vaccine-preventable illnesses and reduced social and racial disparities.
Cigna and Aetna said they are waiving consumer co-pays, cost sharing and other out-of-pocket costs.
In California, providers are expected to manage a population without reimbursement outside of medical care, expert says.
Ambulance care teams will have greater flexibility to address the emergency needs of Medicare fee-for-service beneficiaries following a 911 call.
States where it operates Medicaid plans have asked for quality coverage while containing rising healthcare costs, insurer says.
Proposed surprise medical bill legislation has coincided with a significant number of insurance contract terminations.