Chris Anderson
After months of contentious debate, the final MLR recommendations have been sent to Health and Human Services Secretary Kathleen Sebelius.
New York-based Empire BlueCross BlueShield is launching a patient-centered medical home pilot in an effort to improve access to personalized and coordinated healthcare services.
Six Fortune 500 companies and Massachusetts have launched Catalyst for Payment Reform, a non-profit organization focused on helping large employers use their leverage to accelerate healthcare payment reforms.
Anthem Blue Cross has been recognized for a diabetes pilot designed to improve access to high quality, safe and affordable healthcare for Hispanics and African Americans, both of which have high incidence rates of contracting the disease.
In what U.S. government officials are calling the largest Medicare fraud scheme to come to light, 73 people were indicted Wednesday and charged with a variety of healthcare fraud-related crimes that involve more than $163 million in fraudulent billing.
The AARP's "Decide, Create, Share" campaign aims to help women understand how they will pay for care, as well as offering steps on how to plan for future long-term care needs.
Virginia Health Information's "Compare HMOs" report contains five years of data to help consumers see which plans do a better job of delivering care, along with overall member satisfaction.
The Centers for Medicare & Medicaid Services announced last month that the average premium for Medicare Advantage plans will be 1 percent lower in 2011.
Innovent Oncology, a division of US Oncology, has engaged the actuarial and consulting firm Milliman to help develop risk contracting methodologies - including episode rates, bundled payments and capitation - to help identify potential areas where oncologists can improve quality of care while lowering health costs.
Cigna and the Piedmont Physicians Group, part of Atlanta-based Piedmont Healthcare, have launched an accountable care organization pilot program, designed to provide a comprehensive, accountable and collaborative approach to medical care.