Medicare & Medicaid

Care consistency is one of the major reasons why value-based models tend to result in better outcomes for MA members.

The average amount is $170,700, with payments ranging from $500 to $43 million.

Along with that growth, the number of plans offering more than one benefit increased 15%, from 175 to 202.

New data submission requirements include information on average monthly premiums and drug spending for patients.

The improper payment rate for claims processed July 1, 2020, to June 30, 2021, is 6.26%, a historic low, CMS says.

CMS attributes the increases in part to rising prices and utilization, as well as the Alzheimer's drug Aduhelm.

The agency will explore other ways to access innovative technology while protecting Medicare beneficiaries.

<p class="MsoNoSpacing">This week's top stories include the U.S. Justice Department charging two suspects in REvil ransomware attacks and Medicare Part D plan consolidation fueling a 23% drop in offerings.</p>

Every member plan added new health benefits, or expanded existing ones, without increasing costs to consumers, report finds.

The acquisition aligns with Anthem's goal of growing its Medicaid business as it hopes to facilitate long-term care services.