Medicare & Medicaid
Those results add to evidence showing support for social service programs can improve community health outcomes and reduce healthcare spending.
As the 2019 transition approaches, finding expertise to support changing payment models will become more difficult, and likely expensive.
Specialists say legislation is needed to grow workforce and hold pharmacy benefit managers accountable for driving prices up for consumers.
CMS existing policy requires plan sponsors to ensure enrollees pay the lesser of the Part D negotiated price or copay.
More than 44 million American adults have a diagnosable mental health condition, and rates of severe depression are worsening among young people.
"The future of accountable care depends on scale," says Lynn Barr, CEO of Caravan Health.
Medicaid waivers will not include lifetime limits, says CMS Administrator Seema Verma.
New research suggests members shifting out of Affordable Care Act marketplaces would drive ACA claims upward.
Memorial Hermann allegedly billed for inpatient services for Medicare beneficiaries that could have been treated on outpatient basis, the DOJ said.
Medicare Advantage insurer Clover paired its data and care management with YouScript's genomic testing to reduce adverse drug interactions.