MSSP ACOs Taking on Downside Risk See Smaller Savings
WellCare Buys Meridian for $2.5B to Grow Medicaid Footprint
GAO Appoints Public Policy, Payment Experts to MedPAC
Short-Term Wellness Interventions Improve Employee Well-Being
Preventing Provider Fraud through Health IT, Data Analytics
NYCHH Seeks $11.5M from UnitedHealthcare for Denied Claims
How Can Payers Get Providers to Use Electronic Payment Systems?
First Steps for Payers Developing Value-Based Care Initiatives
Pros and Cons of High Cost Sharing for Employer Health Plans
Medicaid Plans More Cost Effective, Stable than Exchange Plans
GAO: Medicare DME Prior Authorization Programs are Effective
How Payers Identify, Succeed in Health Plan Market Opportunities
MN Law Allows Some Patients to Override Payers on Step Therapy
CMS: Medicare Part D Gag Clauses are “Unacceptable”
Commercial, Public Payer Healthcare Fraud Cases Total $21.6M
Assessing Providers for Participation in Value-Based Care Contracts
Cigna Files with SEC to Begin $67B Express Scripts Acquisition
Adding Telehealth, Remote Care Benefits into Health Plan Options
CMS Highlights Drug Price Transparency Data Dashboards
MD Extends All-Payer Model, Targets $1B in Medicare Savings
Payers Express Enthusiasm for Prescription Drug Pricing Reforms
More Competition May Benefit Medicare Advantage Bidding Process
Managing Payer Challenges in the ACA Risk Adjustment Program
Commercial Health Plan Customer Satisfaction Remains Steady
CMS Increases Payments for Durable Medical Equipment
Improving Health Plan Customer Service Through Technology
How Payers Can Address Food Insecurity among Plan Beneficiaries
CMS Approves Medicaid Work Requirements in New Hampshire
Using Social Determinants of Health for Risk Stratification
Verma: Patient Care, Payment Design Need Value-Based Reforms
86% of Employers Use Financial Incentives in Wellness Programs
Former CMS Employee Found Guilty in Insider Trading Scheme
Harvard Pilgrim, Partners HealthCare Discuss Possible Merger
Supplemental Insurance is a Value-Add Opportunity for Employers
Medicaid Spending Drops When Members Transition to Community Care
How Payers Can Effectively Scale Value-Based Care Networks
Medicare Diabetes Prevention Program Offers Model for Chronic Care
64% of Employees Say Financial Incentives Boost Member Engagement
Uninsured Rate among Working Adults Rises to 15.5% in 2018
Medicare Advantage Data Transparency Can Enhance Insights