Blue Cross and Blue Shield is calling on payers to bolster vaccination rates by expanding access to care, connecting with members through digital platforms, hosting free flu vaccine clinics, and...
To streamline care and improve quality monitoring, a new AHIP report calls for the expansion of states that contract with managed care organizations (MCO) to deliver Medicaid long-term services and...
Blue Cross and Blue Shield of Illinois (BCBSIL) has distributed $480,000 in preventative care funding to help organizations across the state to increase vaccination and immunization access.
BCBSIL...
A new relationship between Blue Cross Blue Shield’s Regence health plans and Best Buy Health leverages health IT to address caregiver wellbeing and Medicare members.
Eligible members enrolled in...
In an assessment of American employers across industries, three payers stood out as performing excellently in their corporate coronavirus response, according to a ranking by Forbes and...
CMS has introduced a new Medicare value-based contracting model that encourages greater care coordination and requires participants to take full risk for Medicare fee-for-service beneficiaries based on...
States may need to re-evaluate their Medicaid managed care organization payment rates as trends of increased enrollment and low care utilization continue into fiscal year 2021, according to a Kaiser...
Same-sex couples are increasingly gaining access to employer-sponsored same-sex spousal coverage, but benefits remain less accessible than for heterosexual couples, a recent Kaiser Family Foundation...
CMS does not anticipate coronavirus-related expenditures including deferred care to impact 2022 healthcare spending, but the pandemic might impact Medicare Advantage risk scores in contract year 2023,...
CMS has issued a final rule to regulate the Affordable Care Act risk adjustment data validation program.
The risk adjustment data validation program, run by HHS, certifies the integrity of data that...
CMS has proposed diminishing federal exchange fees in order to lower Affordable Care Act premiums on the federal exchange platform. This proposal comes as part of the 2022 payment...
Ambetter, a health insurance product from Centene Corporation, has reduced out-of-pocket healthcare spending by collectively giving members millions of dollars in rewards through their My Health...
With rising employer-sponsored health plan costs, limited options under the Affordable Care Act (ACA), and millions of people losing employer-sponsored health coverage since the onset of COVID-19,...
Copayments and coinsurance can impact care utilization in employer-sponsored health plans depending on the service, a recent study published by Employee Benefit Research Institute (EBRI)...
Healthcare coverage remains out of reach for many low-income Americans due to cost, but three innovative solutions for Connecticut might shed light on how to bolster payer coverage affordability, a...
New CMS regulations around Medicaid managed care include several major changes regarding network adequacy, beneficiary protection, quality, and payment, according to the Kaiser Family Foundation...
Employers are gravitating toward integrated health care benefits to improve member engagement and patient experience as well as lower healthcare spending, according to a report commissioned by...
Over three-quarters of Affordable Care Act marketplace enrollees will have three or more payer options in 2021, a Kaiser Family Foundation (KFF) report found.
That represents an 11 percent increase...
The Department of Health and Human Services has released its finalized rebate rule which changes safe harbors around prescription drug pricing, impacting Medicare Part D plans and certain Medicaid...
The Alliance of Community Health Plans (ACHP) urged Congress to take steps toward making telehealth flexibilities permanent and to ensure that coronavirus testing is available to consumers without...
