Susan Morse
The Centers for Medicare and Medicaid Services is lifting former restrictions and will allow the struggling Affordable Care Act co-ops to obtain needed private capital.
Presenters will describe strategies around consumer engagement, provider contracting, and care coordination models tailored by population data, said Kevin Counihan, CEO of the Health Insurance Marketplace.
Medicaid managed care programs remains vulnerable to improper payments to providers, according to a recent Government Accountability Report to a Senate Committee on Homeland Security and Governmental Affairs, since the information needed to screen providers for inclusion in the program is often fragmented and unavailable.
Department of Health and Human Services Secretary Sylvia M. Burwell on Monday formally challenged the healthcare industry to finally fix issues with confusing medical bills, and the U.S. government is putting a cash prize behind the effort.
The delay will give CMS additional time to conduct focused consumer testing of how the star ratings are displayed on Healthcare.gov.
The Centers for Medicare and Medicaid Services on Thursday released updated data on close to 1 million healthcare providers who collectively received $91 billion from Medicare in 2014.
Humana may become the second major insurer to exit the exchange business in certain states, as it reported losses Wednesday stemming from that market.
Gallina succeeds Wayne S. DeVeydt, who, after more than a decade of service to Anthem, including 9 years in the executive vice president and chief financial officer role, decided to step down from the position effective May 31, citing family commitments and philanthropic work.
These errors cause 250,000 deaths per year, falling behind cancer and the number one killer, heart disease, according to Johns Hopkins' researchers, Martin Makary and Michael Daniel in the report published Tuesday in the medical journal, The BMJ.
Insurers are picking up more of the cost of prescription pain drugs, according to a study linking that trend with the rise in opioid-related deaths.