Medicare & Medicaid
The lack of common terminology, unbundled cost reporting and listing of non-negotiated rates limits the information's value.
UnitedHealthcare reported its strongest enrollment ever for Medicare Advantage plans in 2020.
Spending on cancer drugs was 2% to 5% higher than that of non-participants, and 1% to 7% higher than physician offices -- a modest effect on consumers.
Among her duties at CMS, Goodrich has been responsible for the value-based incentives programs and developing collaborations with other stakeholders.
Valuable reforms designed to improve healthcare and lower cost hang in limbo, AHA says.
In all, 19 of 22 models predicted net savings in the first year after implementation, averaging 3.5% of total healthcare spending.
Every year, an estimated 1.3 million U.S. adults with heart disease may qualify for cardiac rehabilitation.
Over $2.1 billion arose from lawsuits filed by whistleblowers under the qui tam provisions of the False Claims Act.
The numbers for MSSP participation starting this month are an important measure of ACO willingness to take downside risk.
The deal will allow Molina to serve 50,000 new Medicaid and Managed Long-Term Services and Supports members in Cook County.