Susan Morse
Kentucky Indiana and Arkansas have also received ACA waivers for work requirements under policies adopted by the Trump Administration in November.
Recent survey shows 71 percent of ACOs would likely leave Medicare Shared Savings Program if required to move to a two-sided model.
Faced with the lack of the individual mandate, insurers are narrowing networks, raising deductibles and out-of-pocket costs to keep rates from going even higher.
The move is to adapt to a changing healthcare environment as insurers and providers increasingly share financial risk, Partners spokesperson says.
Judge dismisses a contract dispute over billing practices that is now expected to head to arbitration.
Both states are struggling over whether or not to broaden Medicaid programs to insure more citizens.
Pharmacy benefit manager alignments will help control the big expense of prescription drugs, Cigna and Aetna executives said in latest round of earnings calls.
Finance execs at the big payers all say the Medicare Advantage market will only get bigger, and more lucrative, as baby boomers retire and CMS adjusts payment rules.
Lower court's decision about disproportionate share hospital payments undermines the ability HHS has to administer Medicare reimbursement, Azar says.
The Congressional Budget Office has projected that repeal would increase premiums by 10 percent.