Susan Morse

The episode payment models and the cardiac rehab incentive models were designed as mandatory payment models to test the effects of bundling cardiac and orthopedic care beginning in 2018.

The Medicaid waiver is credit positive for Florida's not-for-profit and public hospitals because it helps them defray uncompensated care costs, Moody's says.

The new bundled payment model for cardiac care coordination and cardiac rehabilitation may be on the chopping block, along with unspecified changes to the joint replacement model, according to a proposed rule published August 10 in the Office of Management and Budget.

CMS is modifying the risk adjustment methodology for states where insurers have increased their silver metal plan rates based on an end to cost-sharing reduction payments.

Allegheny County Employees' Retirement Fund said exits were retaliation for federal government blocking $37 billion merger with Humana.

Insurers assuming CSRs will end have factored in rate increases of an additional 2 to 23 percent, says a Kaiser Family Foundation report.

Claims processing solution helps payers speed up dental reimbursement.

Just 11 percent of members age 60-plus in the J.D. Power survey said they had received communication from their health plan to move from current coverage to a Medicare Advantage plan.

Investor-owned health system divested of Houston hospitals on August 1, and leaves open possibility of more divestitures.

Northwell Health President and CEO Michael J. Dowling begins two-year term as board chair of IHI.