As Medicare Advantage plans prepare to expand their benefits in 2021, CMS expects premiums to drop 34.2 percent from 2017 levels in the new year.
“The Medicare Advantage average monthly premium...
Since the passing of late Supreme Court Justice Ruth Bader Ginsburg, many have questioned whether the Affordable Care Act is at risk of being overturned, a potentiality that would be extremely...
Update 11/5/2020: This article has been corrected to state that the Supreme Court will hear the oral arguments regarding the Affordable Care Act’s constitutionality on November 10, 2020. A...
A misalignment between payers and providers on their definitions of value, frequency of communication, and trust in their partnership is impeding value-based care efforts, according to research from...
Home healthcare and remote monitoring are increasingly critical to providing value-based care, improving quality while keeping costs low.
Experts have discovered that, in some cases, remote patient...
Healthcare improvements through the Affordable Care Act marketplaces had stalled before the coronavirus pandemic struck the US and COVID-19 has only further exposed the system’s weaknesses, the...
Low income and minority seniors as well as those who are almost of age to become Medicare beneficiaries require greater financial and coverage support from the Medicare program, researchers from...
Temporary Medicaid coronavirus flexibilities and funding may be about to expire and CMS needs to be clearer about transition guidelines in order to help states be prepared, Kaiser Family Foundation...
The House of Representatives has passed HR 1418, the “Competitive Health Insurance Reform Act,” reintroducing questions about whether healthcare payers should be allowed to fall under an...
The Core Quality Measure Collaborative (CQMC), a partnership between America’s Health Insurance Plans, CMS, and the National Quality Forum (NQF) that establishes quality measures to promote...
Employer-sponsored healthcare coverage dropped nearly two percent between late-April 2020 and mid-July 2020, according to a Robert Wood Johnson Foundation (RWJF) report that corroborates a couple...
Private payers are paying hospitals 2.5 times more than the Medicare reimbursement rate and employers have a role to play in rectifying the negotiating process, a recent RAND Corporation (RAND) study...
Major payers are beginning to send out individual and small group rebate checks for 2019, providing some financial relief for members, as the Tennessee Department of Commerce and Insurance...
Going into what would be a tumultuous year for Medicare, twelve Medicare Advantage payers proved to be leaders in their field with five-star Medicare Advantage Star Ratings.
In a recent post, Matt...
Minorities may see a sharper loss in employer-sponsored health insurance than White populations in America, which would drive racial coverage and health disparities even deeper, a recent report from...
CMS has issued a letter to Medicaid directors regarding how states can accelerate their Medicaid value-based care adoption, based largely on lessons learned in CMS efforts toward value-based care in...
In the first part of its Advance Notice for calendar year 2022, CMS has proposed completely phasing in the CMS-Hierarchical Condition Categories (HCC) for Medicare Advantage risk adjustment, finalizing...
CVS Health’s Aetna is using home healthcare to address chronic disease management for those with multiple chronic diseases, the payer announced.
Aetna will partner with Landmark Health...
Concerns over provisions of the Medicaid Fiscal Accountability Rule (MFAR) have compelled CMS to rescind the rule proposed last November.
In a tweet late Monday, CMS Administrator Seema Verma...
Horizon Blue Cross Blue Shield of New Jersey and Anthem Blue Cross and Blue Shield are joining forces with leading providers to offer new health plans.
Horizon BCBSNJ announced a new Medicare...
