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By Susan Morse | 12:35 pm | May 26, 2023
There are no assurances CVS will improve its star ratings as CMS makes it harder to achieve four or more stars. CVS says.
By Jeff Lagasse | 04:31 pm | May 25, 2023
The highest levels of severe illness were reported by patients with a non-COVID-19-related diagnosis, with 41.7% presenting with a major illness.
By Jeff Lagasse | 01:21 pm | May 25, 2023
A full two-thirds of enrollees aren't sure if states can now remove people from Medicaid if they no longer meet eligibility.
By Susan Morse | 11:44 am | May 25, 2023
The executive committee will commence a national search for Eyles' replacement, AHIP says. 
By Jeff Lagasse | 04:31 pm | May 24, 2023
The campaign will focus on a number of strategic areas, including safe staffing, working conditions and attracting bedside workers.
By Jeff Lagasse | 01:15 pm | May 24, 2023
While the acquisition is a boon for the new startup, Bright Health hopes the sale will bolster its uncertain financial position.
By Susan Morse | 12:33 pm | May 24, 2023
Contracts with managed care plans would include a report on spread pricing, CMS says. 
By Jeff Lagasse | 04:50 pm | May 23, 2023
Thirty-one percent of inpatient claims submitted to commercial payers weren't paid for more than three months, data shows.
By Jeff Lagasse | 12:57 pm | May 23, 2023
Patient demand could result in expanded coverage, but it could cost the federal program between $13.6 and $26.8 billion annually.
By Susan Morse | 12:03 pm | May 23, 2023
More than half of members in the state now receive care from providers participating in equity-focused payment contracts, Blue Cross says.