Reimbursement
MA star ratings improvements can help plans expand their share of an increasingly saturated market.
Paying hospitals a fixed global budget reduced their prices but individual physicians continued to be paid on a fee-for-service basis.
The number remained high even as the agency cut costs for the most cost effective and successful open enrollment to date, CMS says.
The integrated provider-payer network is expected to grow as Lumeris builds a network of physicians and hospitals outside of the BayCare system.
VA facilities understand the needs of the population while the private healthcare system could struggle to serve veterans, says CIO of Beth Israel Deaconess Medical Center.
Deal has been long speculated since the announced $69 billion merger between CVS Health and Aetna.
AHA and three of its member hospitals had sued HHS due to the long delay in processing claims appeals.
The Centers for Medicare and Medicaid Services should update its county benchmark calculation in the 2019 final notice being published Monday, April 2, AHIP says.
Greater transparency is needed in the pharmaceutical supply chain in response to the nearly 25 percent increase in drug prices between 2012 and 2016, insurer says.
The at-risk model has grown, but for some accountable care organizations obtaining financial benchmarks remains elusive. ACOs that have exited the program in the past said metrics are too high.