Healthcare Finance Staff
On Friday, the Centers for Medicare and Medicaid Services was expected to release its preliminary payment plan for Medicare Advantage in policies to address growth rates, risk adjustment and the star ratings system.
Florida insurance regulators have approved Aetna's acquisition of Humana's affiliates there, but with conditions, according to a consent order issued last week.
Medicare beneficiaries who live in urban areas may save money on their prescription drugs this year because they have better access to pharmacies in drug plan networks that charge lower copayments or coinsurance, according to the federal Centers for Medicare & Medicaid Services.
For the first time, the Centers for Medicare and Medicaid Services and America's Health Insurance Plans have announced standard quality measures among payers, a move designed to reduce confusion and complexity for reporting providers.
Kaiser Foundation Health Plan, Inc., Kaiser Foundation Hospitals and their subsidiaries reported a $1.2 billion decrease in profit year over year, according to their 2015 annual and fourth quarter financial results.
Health insurers who sold plans through the marketplaces in 2015, and who covered high cost individuals can expect to get $7.7 billion this year through the federal reinsurance program established under the Affordable Care Act, the Centers for Medicare and Medicaid Services announced Feb. 12.
McKesson Health Solutions and Health QX on Wednesday announced an alliance designed to help insurers quickly design and scale complex bundled payment models.
Experts say the California exchange uses more of its powers as an "active purchaser" than any other state. That means it can decide which insurers can join the exchange, what plans and benefits are available and at what price.
Though President Barack Obama's proposed 2017 budget died almost as fast as it arrived at Congress on Tuesday, the chief executive's final proposal included millions in healthcare spending to bolster quality programs, improve interoperability and fight rising pharmaceutical prices.
Only a few days remain to submit speaker and session proposals for the Healthcare IT News and HIMSS Pop Health Forum 2016, which will be held in Boston May 19-20.