MS Awarded 10-Year Extension of 1115 State Medicaid Waiver
How Process, Outcome Measures Contribute to Population Health
Payer, Provider Collaboration Required for Accountable Care Success
DoJ Recovered $2.4B from Healthcare Fraud Schemes in 2017
MI Requests Renewal of “Healthy Behaviors” 1115 Medicaid Waiver
Member Engagement, Medicare Advantage Growth Top 2018 Payer Trends
Medicare Advantage Cost Benchmarks Create Plan Inefficiencies
2018 ACA Open Enrollment Totaled 8.82M Beneficiaries in Last Week
CMS Asked to Bolster Value-Based Payment Models for Providers
BCBS Ohio Plans for Upping Patient ED Visit Costs Raise Concerns
Federal Tax Bill, Individual Mandate Repeal Passes House and Senate
Humana Enters Home Health Market With $800M Provider Purchase
Consumers Support Laws to Limit Payer Prescription Switching
AHIP, BCBS: Association Health Plan Expansion Presents Concerns
ACA Cost Concerns Offer Payers a Member Engagement Opportunity
State Medicaid 1115 Waivers Expand Eligibility, Stabilize Premiums
Aetna to Waive Narcan Co-Pays, Combat Opioid Overprescribing
Senate Hearing Opens Policy Discussion on Prescription Drug Costs
Individual Mandate Repeal Would Lead to Payer Financial Losses
UnitedHealthcare Assists Phoenix Children’s Value-Based Care Goals
Medicare Advantage, Consumer Engagement Top Payer Trends for 2018
How Payers Address the Four Domains of Chronic Disease Prevention
Why Bundled Payments Are a Popular Option for Healthcare Payers
Member Engagement, Payer Spending Lead Top 10 Stories of 2017
2016 Healthcare Spending Growth Slowed, Totaled $3.3 Trillion
Integrated Care Model Lowers Health System Medical Costs
61% of Employees Dissatisfied with Employer Wellness Programs
Optum to Purchase DaVita Medical Group for $4.9B
Prescription Drug Spending Cuts Require Payer Policy Changes
Commercial Payer, Medicare, Medicaid Fraud Cases Top $49.1M
How Provider-Sponsored Health Plans Can Find Consumer Success
CVS Health to Buy Aetna for $69B, Altering Payer Landscape
Ridesharing Benefit May Help Payers Improve Patient Engagement
Senate Passes Tax Bill, Individual Mandate Repeal in 51-49 Vote
Most High-Deductible Health Plan Consumers Lack Financial Management
HHS Pilot Encourages Streamlined Health Plan HIPAA Compliance
CMS Updates Payer Guidelines for 2019 Qualified Health Plans
CVS Caremark Provides Real-Time Benefits Data to Pharmacies
The Pros and Cons of Pharmacy Benefits Managers for Payers
Health Plan Partnership Aims to Boost Care for Native Americans
How Payers Can Improve the Value of Small Business Health Plans
Medicare Advantage Value-Based Insurance Design Updates for 2019
Medicare Advantage, Part D Updates to Shift Control to Health Plans
Ensuring High Out-of-Pocket Spending Won’t Lead to Negative Outcomes
Integrated Medical, Pharmacy Benefits Help Costs, Member Engagement
Employer Health Plans Can Engage Members with Data, Targeting
Medicare Advantage Consumers Seek New Plans as Risk Scores Rise
ACA Individual Mandate Repeal Could Cut Insured Number By 13M
Single-Employee Businesses Experience High, Burdensome Premiums
Humana Adds Former ONC Chief Karen DeSalvo as Board Member
Payer Housing Programs Address Social Determinants of Health
Value-Based Care Outperforms Fee-for-Service Health Plans
AHIP Supports Demo of Medicare Advantage Plans as Advanced APMs
11 Healthcare Payers to Enhance Substance Use Treatment Access
Top 5 Most Common Healthcare Provider Fraud Activities
44% of Employees Don’t Know Value of Health Plan Benefits
Payer Strategies for Improving Member Medication Adherence Rates
Providers Caught in Medicare Fraud Schemes Topping $200M
Top 4 Consumer Wellness Benefits for Payers to Add to Health Plans
Maine Referendum Expands Medicaid Despite Governor Opposition
More Choices for Federal Health Plans Doesn’t Spread Market Share
CMS Adjusts Medicaid 1115 State Innovation Waiver Processes
Why the Generic Drug Market is a Growing Payer Opportunity
Improving Price Transparency around Generic Drugs for Payers
Reinsurance Changes Payers Can Expect Under the ACA in 2018
Emergency Response Devices Add Value to Medicare Advantage Plan
3 Value-Based Pharmaceutical Contracting Options for Payers
ACA Open Enrollment Rate Expected to Drop Up to 13% in 2018
AHIP Launches Initiative To Combat Nationwide Opioid Crisis
How the Medicare Advantage Market Can Offer Payer Opportunities
Providers Seeing Even Mix of Public, Commercially Insured Patients
Before CSR Cuts, ACA Health Plans Expected Stable Premiums
Mercy Health, Centene Form Medicaid Accountable Care Organization
CBO: Alexander-Murray Healthcare Bill Could Save $3.8B
Only 30% of Employers Get Pharmacy Benefit Manager Contracts
AMA: Payers Operate in Extremely High Concentrated Markets
Alexander-Murray Bill Offers ACA Market Stabilization, Flexibilities
Medicare Consumers Prefer Phone Calls from Health Plans
Iowa Withdraws 1332 Waiver for Insurance Market Stabilization
Anthem Adds Home Meal Delivery to Medicare Advantage Plans
Payer Strategies for Boosting Consumer Engagement, Satisfaction
Michigan MSSP Accountable Care Org Saves $8M for Medicare
Top Commercial Payers Offering Medigap, MA, and Medicaid Plans
Bipartisan Senate Compromise May Reinstate CSRs, Alter 1332 Waivers
States Approve Premium Hikes after Loss of Cost Sharing Reductions
Quality Measures Challenging in Pharmaceutical Value-Based Contracts
Payers Express Concern Following Cost-Sharing Reduction Cuts
Trump Plans to End Cost Sharing Reduction Subsidies for Payers
Executive Order Eases ACA Rules on Association Health Plans
How to Create Balanced Risk Pools that Lower Premiums
CMS Releases 2018 Medicare Advantage Star Ratings for Health Plans
Employer Insurance Enrollment, Member Engagement Stagnated in 2016
High-Deductible Health Plans Reduce Care Costs, Needed Services
Health Plan Consumers Report Insufficient Payer Communications
Medicare Fraud Schemes Bring Jail Time, Admissions, Repayments
Senate to Vote on Funding CHIP for Five Additional Years
80% of Payers Investing in Member Engagement, Satisfaction
HHS Nixes Proposed Rule for Health Plan Compliance Documents
Medicaid Drug Pricing Rule May Inhibit Value-Based Contracts
Blue Shield of CA to Offer Statewide Healthcare Provider Directory
Medical Device Data, UDIs on Claims Impact Costs, Patient Safety
Beneficiary Segmentation, Spending by Healthcare Payer Type
Claims Analytics Help Medicare Identify, Prevent Provider Fraud
Pediatric Data Reveals Private Payer, Medicaid Spending Gaps
Payer Pricing, Partnership Strategies for Population Health
90% Medicare Supplemental Plan Members Report Satisfaction
NB and IA Offer New Individual Market Plan For Open Enrollment
Payers Driving Value by Promoting Connected Care Models
Nevada Blue to Offer Supplemental Medicare Coverage to Members
Large Variations Seen in Consumer Healthcare Spending
6 Ways VA Can Improve Administrative Management of Care Delivery
Medicaid Directors Voice Concerns for Graham-Cassidy Bill
Planning for Individual Insurance Exchange Stabilization in WA
AHIP: Graham-Cassidy Bill a Poor Choice for Payers, Patients
Anthem to Acquire FL Medicare Advantage Organization HealthSun
Pharmaceutical Industry Slow to Embrace Value-Based Contracts
Top 10 Healthcare Spending Categories in the United States
How Pharmacy Benefit Managers Lower Prescription Drug Prices
Arkansas Slips Up on Supplemental Medicaid Payments
More Payers, More Providers Increase Price Negotiation Power
Pharmacy Benefit Manager Accountability is Key for Employers
Veterans Gained Coverage under ACA, but May Lose Big from Repeal
Medicaid Analytics Support Social Determinant Incentive Payments
Healthcare Coverage, Access Disparities Remain Even After ACA
AARP: Congress Must Take Action on ACA Market Stabilization Solutions
State Medicaid Orgs Struggle to Provide Behavioral Health Services
NY Medicaid Inspector General Assists in $125M Fraud Takedown
AHIP: Permanently Renew Medicare Advantage Special Needs Plans
Narrow Provider Networks are 16% Cheaper for ACA Plans
AHIP, AMA, AHA to Congress: Fund Cost Sharing Reductions to 2019
Cost of Implementing Quality Measures Key for Value-Based Care
GAO: Veterans Affairs Insurance Enrollment Standards Lacking
Governors Propose Health Insurance Market Stabilization Plan
HHS to Spend $10M on Affordable Care Act Navigator Program
20.5 Million More Insured Since Start of Affordable Care Act
Medicare Shared Savings Program ACOs Cut Spending by $1 Billion
MS Medicaid Recovers $8.6M in Fraud, Improper Payments
Competitive Bidding Curbs Medicare Durable Medical Equipment Costs
How Preventive Healthcare Services Reduce Spending for Payers
ACA Risk Adjustment Leads Northwell to Shutter Insurance Plan
Employers Must Prepare Retirees for $275K in Expected Care Costs
Pre-Authorizations, Rx Limits Cut Opioid Abuse by 30% Nationwide
Small Employer Health Plan Quality on Par with Larger Groups
Employer Reference Pricing Lowers Prescription Drug Expenses
Medicaid Reform Requires Outcomes-Based Innovation, Better Data
Tufts Health Plan Launches Four Medicaid ACO Partnerships
Stop-Loss Insurance a Growing Market Opportunity for Healthcare
CMS: Payers Will Have More Time to File 2018 Health Plan Rates
Explaining Out-of-Pocket Costs May Ease Cancer Care Stress
As ACA Debate Lingers, Non-Marketplace Members Present Risks
Payers May Be Neglecting a Growing Medicare Advantage Market
Can Healthcare Price Transparency Tools Cut Costs for Payers?
BCBS Minnesota Launches Prediabetes Prevention Campaign
Employers Expect 2018 Benefit Costs to Rise $14K Per Employee
Anthem to Withdraw from ACA Individual Market Exchanges in NV
Low Medicaid Payment Rates Decrease Residential Care Quality
Payers, Providers Highlight the Pros of Cost-Sharing Reductions
Latest Earnings Reports Show State of Health Payers in 2017
CMS Approves State Capitated Medicaid Program in Florida
Medicaid Tops Private Insurance in Consumer Satisfaction KPIs
Employer Cost Management Strategies Combat High Insurance Costs
Socioeconomic Data Improves Public Health, Payer Programs
Anthem Blue Cross Engages in Medicare Advantage Risk-Sharing
Payer Collaboration Can Address Social Determinants of Health
Amerigroup Creates Risk-Based Partnerships for Medicare Advantage
KPMG: Cybersecurity Breaches on the Rise for Healthcare Payers
Effective Steps for Health Insurance Marketing, Consumer Engagement
Boston Children’s, Cleveland Clinic Partner for Pediatric Care
How Can Health Savings Accounts Help, Hinder Patients and Payers?
ACA “Skinny Repeal” Dies in Senate, Leaving Next Steps Uncertain
Large Employers Aim to DRIVE the Expansion of Value-Based Care
Can Healthcare Payers Inspire ACOs to Take on Two-Sided Risk?
CMS Proposes Medicare Home Health Agency Payment Changes
Senate Nixes Better Care Reconciliation Act, But Isn’t Done Yet
Tiebreaker Vote in Senate Opens ACA Repeal, Replacement Debate
Opioid Use Fell 32% in CA BCBS Prescription Drug Safety Program
CMS to Host Summit on Behavioral Health Payment, Care Delivery
UnitedHealthcare of WI Grants $100K to Community Disability Groups
DoJ Charges 412 in Medicare Fraud Schemes Totaling $1.3B
Increasing Competition Can Reduce Prescription Drug Prices
GAO: CMS Erroneously Paid $16B to Medicare Advantage Orgs
Humana Foundation Awards $735K To Improve Community Health
Humana, Oscar Health to Deliver Small Business Insurance
What to Look for in Health Insurance Enrollment Technology
Medicare Hospital Insurance Trust Fund Depleted by 2029
AHA to CMS: Continue Funding ACA Cost-Sharing Reductions
Medicaid Beneficiaries Satisfied with Coverage and Access
HHS Approves Alaska 1332 Waiver for State Reinsurance Program
Guides Help Employers Decide on Accountable Care Organization Use
BCBS of Louisiana Offers Online Consumer Price Comparison Portal
Member Engagement for Payers Should Focus on Simplicity
Sick Members More Likely to Leave Medicare Advantage Plans
Narrow Insurance Networks Can Limit Options for Cancer Care
Kaiser Permanente Health Plan Falls Short on Behavioral Health
CMS: Reinsurance, Risk Adjustment Programs Worked Well in 2016
Spike in Late Stage Cancer Diagnosis Related to Medicaid Cut
Healthcare Payers See Promise in Private Exchange Successes
Employees Like Wellness Programs, But Don’t Use Them Much
4 Ways Payers Can Stay Competitive with Medicare Advantage Plans
Commercial Payer Prices Outpace Medicare, Medicare Advantage
Texas Requests Medicaid Waiver Extension for $6.2 Billion
Retail Clinics Offer Member Satisfaction, Savings for Payers
Employers See Consumer Directed Healthcare as the Future
CBO Score Finds 22 Million People Will Lose Health Coverage
Consumers Voice Opinions on Effective Healthcare Marketing
Managed Care Plays Key Role in Expanding Long Term Services
CMS Uses Gender, Race For Quality of Care Medicare Study
New Insurers Enter Health Insurance Exchanges for 2018
Senate Has Released Bill to Revise ACA Repeal Legislation
Healthcare Spending Growing at Slower Than Expected Rate
Balance Billing Hits Patients with Surprise Healthcare Costs
Medica Will Stay in NE and IA Health Insurance Exchanges
Anthem BCBS Expands Value-Based Care Options with Premier Health
Cigna Re-enters Medicare Advantage Market With CMS Approval
Flexibility and Innovation Needed to Control Medicaid Costs
CMS Outlines Special Enrollment Period Rules for ACA Exchanges
Aetna, Oscar Health Create Provider-Based Health Insurance Plans
AMA, AHA Call for Stronger Patient Insurance Protections
Cigna, CVS MinuteClinics Partner for Expanded Healthcare Access
Facing an Empty Exchange, Iowa Suggests Statewide Insurance Plan
Medicaid Enrollment a “Lifeline” for Rural Residents, Children
Centene Will Enter Health Insurance Exchanges in 3 New States
Employer Health Plans See Spike In Out-of-Pocket Costs
3 Whistleblower Suits Net over $60 Million in Medicare Fraud
High Costs, Little Return are Hurting Health Insurers under ACA
ACA Medicaid Expansion Boosted Care Access, Patient Outcomes
Payers Leaving Affordable Care Act Insurance Exchanges in 2017
PA Payer Market Stable, but OH Loses ACA Exchange Participants
Nevada Legislature: All Residents Should Have Medicaid Access
Payers, Providers Differ in Value Based Care, Health IT Opinions
Two Payers Liable for $32.5M in Medicare Advantage Fraud Suit
BCBS Georgia Plan to Charge for Unnecessary ER Visits Draws Ire
$18M Claimant Case Challenges Affordable Care Act Payers
Healthcare Costs Vary Widely Across Geographic Regions
AHIP: Congress Must Stabilize Payer Market, Consider Reforms
Harvard Pilgrim Enters Outcomes-Based Pharmaceutical Contracts
NC Payer Raises Health Insurance Rates Due to CSR Lawsuit
Care Coordination is Tops for Health Insurance Satisfaction
BCBS of Kansas City Will Leave ACA Health Insurance Exchange
AHCA CBO Score Predicts 23M Uninsured, Higher Out-of-Pocket Costs
Single-Payer Healthcare Plan May Cost California $400 Billion
WA Health Insurance Exchange In Flux With CSR Confusion
Understanding the Basics of Accountable Care Organizations
DOJ Sues UnitedHealth over Alleged $1B Medicare Fraud
WI Medicaid Waiver Adds Drug Testing, Behavior Incentives
Employers Seek Clarity, Stability in Health Insurance Market
CMS to Shutter Small Business Health Options Program Website
650 Medical Groups Sign On to Abolish Medicare Budget Panel
Kaiser Permanente Will Stay in ACA Health Insurance Exchange
CMS Offers Resources for High-Risk Pools, Reinsurance Waivers
KY Medicaid Awarded for Exceeding Quality, Patient Care
CMS Adds Stricter Health Insurance Exchange Enrollment Rules
Two-Thirds of Physicians Disapprove of American Health Care Act
Anthem Terminates Cigna Merger, but Refuses to Pay Out $1.8B
Cardiologists: Senate Must Ensure “Meaningful Insurance Coverage”
Maine Medicaid Waiver Would Increase Patient Responsibility
Aetna Will Abandon All Health Insurance Exchanges for 2018
Humana Expands Orthopedic Bundled Payment Program to NC, VA
BCBS Moves into Vacant TN Health Insurance Exchange
Patient Incentives from Payers Encourage Preventive Care Visits
Medicaid Waiver Adds More Beds For Drug Addiction Treatment
MD Health Insurance Exchange Rates Up Double-Digits for 2018
Are Health Insurance Subsidies Enough for Low-Income Patients?
Healthcare Orgs React to House Vote on American Health Care Act
Anthem Pursues Cigna Merger Up to the Supreme Court
Pharmacy Benefit Managers Help Reduce Payer Drug Spending
House Passes AHCA To Repeal and Replace ACA By 1 Vote Margin
Aetna Posts Q1 Loss After ACA Withdrawal, Merger Collapse
AHIP Sees 28% Increase in Medigap Enrollment Among Seniors
Chronic Care Management Fund Aids Underinsured Patients
Payers Offer 10 Ways to Improve Cost, Quality of Long-Term Care
Aetna to Offer New HMO Option for Delaware State Employees
Tufts Health Plan Sees Opportunities as New RI Medicaid Option
Court Upholds Antitrust Ruling Against Anthem-Cigna Merger
Patient-Centered Medical Home Benefits Payers, Providers, Patients
Medicaid Service Equals or Surpasses Private Health Payers
Provider-Owned Health Plans Adopt Interoperability Standards
Population Health Approach to Prenatal Care Cuts Payer Costs
PA Seeks Increased Payer Coverage of Emergency Air Ambulances
Senator Calls for Scrutiny of Health Payers, Medicare Fraud
Health Insurance Actuaries Propose Ways to Stabilize Market
OR May Cut ACA Medicaid Expansion Funds to Favor State Budget
Humana Expands Medicare Orthopedic Bundled Payment Programs
Affordable Care Act Cuts Uninsured Rate by 6.4% Since 2013
Payer Groups Urge Congress to Keep ACA Cost Sharing Reductions
UnitedHealth Grows by 11.8% Despite ACA Marketplace Withdrawal
NY Senate Considers Proposal for Single Payer Healthcare
CMS Issues ACA Health Insurance Exchange Stabilization Rule
Payers, Providers Collaborate to Combat Opioid Abuse, Addiction
Healthcare Payers Seek Passage of Bill to Lower Drug Costs
Independence Blue Cross, UPenn Partner to Enhance Care Delivery
OK Legislature Keeps Interstate Health Insurance Bill Viable
Proposed MA State Budget Targets Medicaid Program Funding
Medicare Fee-for-Service Program Improperly Paid $41.1B
House GOP Renewing Interest in American Health Care Act
Texas Wrongly Claimed $3.8M in Medicaid Reimbursements
Minn. Healthcare Payers Reported $687M in Financial Losses
Aetna Will Exit Iowa ACA Health Insurance Exchange in 2018
ACA Risk Adjustment, Reinsurance Improved Payer Financials
House Committee Passes Bill with Healthcare Merger Implications
CMS: Payers May See 2.95% Rise in Medicare Advantage Revenue
CHIP Funding Cuts Would Leave 8M Low-Income Kids Uninsured
Wellmark BCBS Latest to Exit ACA Health Insurance Exchanges
MA Medicaid Wrongly Paid $193M in Fee-for-Service Claims
BCBS of Minn. Cites Risk Pools for $322.4M in 2016 Losses
AHA Condemns CMS Rule for Medicaid Third-Party DSH Payments
California Legislature to Review Single-Payer Healthcare Bill
Prescription Drugs Account for 22% of Payer Premium Spending
WI Improperly Claimed $3M in Medicaid Drug Reimbursement
CMS Extends Pediatric Alternative Payment Model Comment Period
Kansas Lawmakers Vote for Medicaid Expansion Under the ACA
GAO Report: VA Benefits Appeals Process in Need of Reform
Medicare Limitations on Diabetes Supplies Endanger Patients
Anthem Appeals Cigna Merger with Cost, Quality Arguments
House Votes to Boost Health Insurance Options for Businesses
House GOP Leaders Pull American Health Care Act Before Vote
Can Value-Based Purchasing Work with Pharmaceutical Companies?
Payers Face 9.6% Underwriting Loss on Health Insurance Exchange
House Reps Add Amendments to the American Health Care Act
APMs, Health Data Exchange among Top Payer Reform Goals
Out-Of-Pocket Healthcare Spending on the Decline Since 2000
HHS Launches Webpage Detailing ACA Repeal Actions
HFPP Provides New Resource for Payers to Combat Opioid Abuse
AHA Urges D.C Appeals Court to “Uphold Cigna-Anthem Ruling”
Healthcare Leaders Air Concerns about NQF SDS Trial Period
Emergency Coverage Top Healthcare Consumer Demand For Payers
Patient Satisfaction Key for Payer Measurement of ACO Quality
2017 ACA Open Enrollment Data Shows 12.2M Marketplace Signups
Price, Verma Push for Better State Control of Medicaid Programs
Tom Price: American Health Care Act CBO Score is Inaccurate
CBO Score Confirms Industry’s American Health Care Act Concerns
HHS Offers Waivers for Health Insurance Exchange Stability
Aetna, Cigna Join 300 Organizations in CAQH CORE Phase III
Doctors Provide 5 Alternative Payment Model Improvements
Wait Times Still High for Veterans in VA Choice Program
Industry Groups Express Concerns Over Proposed ACA Repeal Bills
Medicaid Fraud Control Units Recovered $1.8 Billion in 2016
HHS Secretary Price Voices Support for House ACA Repeal
House Republicans Propose Two New Bills to Replace ACA
Org Offers 25-Point Plan for NJ Medicaid Program Improvement
AHA Questions CMS Medicare Advantage Risk Score Calculation
Experts Lay Out Strategy for Achieving Universal Coverage
Bill Would Make Health Insurance Liable for Antitrust Laws
Researchers Expect ACA Repeal Adverse Effects on Uninsured
ACA Consumers Dissatisfied After Private Payer Exchange Exit
CMS Seeking Feedback on Pediatric Alternative Payment Model
Impact of Wage Level Variation on Employer-Sponsored Plans
Social Determinant Data Key to Successful Risk-Based Contracts
CMS Continues Extension of Transitional Coverage into 2018
Market Monopoly Cause of Court Blocking Cigna-Anthem Merger
CMS Solicits Payer Participation to Next Phase of CPC+
Single-Payer Reform Purported to Save Estimated $504 Billion
GAO: Erroneous Medicaid Claims Data Pose Fraud Risk at CMS
GOP Leaders Unveil Proposed ACA Repeal, Replacement Plans
After Terminated Merger, Cigna Demands $13B from Anthem
CMS Proposes New Rule to Stabilize Health Insurance Exchanges
Humana to Leave ACA Health Insurance Exchanges by 2018
Does Tiered Cost-Sharing Promote Appropriate Medication Use?
Aetna, Humana Terminate Merger Deal After Court Defeat
Joint Replacement Bundled Payment Cut Costs, Maintained Volume
Two-Sided Financial Risk Model Reduces Socioeconomic Disparities
Federal Judge Strikes Down Cigna-Anthem Health Insurance Merger
Payers with Larger Market Share Have More Negotiating Power
Medicaid Expansion Boosts Coverage, Quality at Health Centers
Proposed ACA Replacement Moves Coverage Choices to the States
Shareholder Class Action Lawsuit Filed Against Aetna
Bundled Payment Model Attracts More Oncologists than Expected
State Medicaid Programs Invest in Accountable Care Organizations
Congress Votes to Nominate Tom Price as HHS Secretary
Top 4 Ways Payers Could Improve Patient Health Outcomes
Anthem Cut ER Costs by 3% with Value-Based Care Reimbursement
How to Develop HEDIS Quality Measures for Pediatric Care
Stakeholders Offer Key Principles for Alternative Payment Models
Are Bundled Payment Models or Capitation the Better Choice?
Should Accountable Care Organizations Include Social Services?
74% of PCPs Prefer Affordable Care Act Changes Over Repeal
CMS Bundled Payment Models Lead to Greater Patient Selectivity
Vermont Blue Cross Plan Reaches Highest Member Satisfaction
Key Best Practices for Success on the Health Insurance Exchanges
How Payers Could Assist Primary Care Docs with Value-Based Care
84% of Physicians Unsure of Quality Payment Program Conditions
How CMS Alternative Payment Programs Impact Healthcare
Highmark Partners with Aledade’s Accountable Care Organizations
Why a Court Stopped the Aetna-Humana Health Insurance Merger
Federal Court Blocks Aetna-Humana Health Insurance Merger
Key Challenges and Solutions of Healthcare Payment Reform
Health Information Technology Allows Payers to Share Data
UnitedHealthcare Partners with Accountable Care Organizations
Top 3 Reasons to Partner with Accountable Care Organizations
How to Reduce Obesity Rates, Increase HEDIS Quality Scores
UnitedHealthcare Adopts Bundled Payment Model for Surgeries
Value-Based Care Drives Progress in Population Health Management
Aetna, Humana, Harvard Pilgrim Target Patient Health Outcomes
Why Payers Should Reduce Cost Sharing for High-Value Care
How 3 Healthcare Insurers Expand Value-Based Care Payment
3 Ways Bundled Payment Models Brought Hospital Cost Savings
Humana Advances Population Health Management, Value-Based Care
20% of Surveyed Physicians Familiar with MACRA Regulations
Cigna Partners with Scripps Health in Pay-for-Performance Model
Prospective vs. Retrospective Healthcare Bundled Payment Models
Cigna’s Key Principles for Healthcare Quality Measures
5 Best Practices to Advance Value-Based Care Reimbursement
Key Steps for Payers to Improve Population Health Management
Medical Organizations Advise Changes for Quality Payment Program
Why Healthcare Bundled Payment Models May Expand in 2017
Humana, Aetna, Cigna Invest in Value-Based Care Payment Models
Accountable Care Organizations May Improve Diabetes Management
70% of Medical Groups Concerned About MACRA Regulations
How Payers, Providers Could Streamline Medical Claims Management
Blue Cross Health Plans Expand Value-Based Care Reimbursement
5 Solutions for Conquering Challenges of Bundled Payment Models
How Blue Cross Health Plans Affect Anthem-Cigna Merger Lawsuit
Communication Key for Transition to Alternative Payment Models