Susan Morse

Insurers can offer premium discounts or other incentives to engage in healthy activities, but questions remain as to whether wellness programs work.

CMS is proposing that hospitals make public their payer-specific negotiated charges for a limited set of "shoppable" services or face civil monetary penalties, in a rule to go into effect on January 1, 2020.

Medicaid serves the population most adversely impacted by the social determinants of health.

America's Essential Hospitals said it is working with lawmakers to stop $4 billion in cuts for 2020 from taking effect November 22.

MOBE works with the 5% of the commercial population that spends 20% of insurer dollars.

An estimated 80% of the homeless population has at least one chronic health condition.

Plans are hampered by current CMS policy and provider coding that often does not reflect social needs, Urban Institute report says.

The expansion into the ACA for Cigna and other insurers comes at a time when CMS reports declining unsubsidized enrollment.

The maximum price that could be set is 1.2 times the average international market price.

The decision saves hospitals from a $760 million rate cut in 2020.