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Policy and Legislation

By Susan Morse | 11:55 am | October 25, 2018
ACOs in upside-only models need more than two years and the shared savings rate put forward by The Centers for Medicare and Medicaid Services, lawmakers and stakeholders say.
By Susan Morse | 05:01 pm | October 24, 2018
The health reimbursement arrangements could be used to satisfy the employer mandate to offer coverage.
By Jeff Lagasse | 04:13 pm | October 24, 2018
In contrast, 41 percent of payments were based on volume rather than quality and efficiency, two hallmarks of value-based care.
By Susan Morse | 03:41 pm | October 23, 2018
Anthem set a policy to deny coverage if it is determined through the discharge diagnosis that the visit was unnecessary.
By Susan Morse | 03:53 pm | October 22, 2018
States will have the ability to allow individuals to use ACA subsidies when buying short-term limited duration plans.
By Jeff Lagasse | 04:03 pm | October 19, 2018
Even with the 1.5 percent decline in silver plan rates for 2019, consumers have been dealt a net rate increase of 69.2 percent from 2016 to 2019.
By Susan Morse | 01:51 pm | October 19, 2018
Repeal would end the ACA's most popular provision, to cover those with preexisting conditions.
By Jeff Lagasse | 12:11 pm | October 19, 2018
Democrats have apparently noticed that healthcare remains a major issue, and have spent about half of their political advertising on healthcare-centric advertising.
By Susan Morse | 01:00 pm | October 17, 2018
Cigna's Healthspring, KelseyCare's Kelsey-Seybold plan, Humana's CarePlus Health Plan, Florida Blue and Martin's Point are also on the list.
By Jeff Lagasse | 04:05 pm | October 16, 2018
Respondents also showed concern about the security of their medical information, and their plan's ability to help them avoid scams.