How to Curb Adverse Selection in the Individual Health Plan Market
How Can Accreditation Programs Promote Health Plan Value?
CMS Adds Flexibility to Medicare Part D Formulary Strategies
ACA Health Insurance Tax to Cost $16B, Lead to Higher Premiums
How Capitated Payments Prompt Payer, Provider Innovation
Payers See Cost, Quality Gains with Value-Based Payment Models
Next Generation ACO Model Saved Medicare $62M in 2016
GOP Senators Propose to Reinforce Pre-Existing Condition Protections
Value-Based Care Slashes Per Member Per Month Costs in Kansas
Payers, Providers Create New Medicare Advantage Partnerships
GAO Critiques HHS Actions on ACA Navigator Program Funding
1115 Medicaid Demonstrations Should be Budget-Neutral, CMS Says
How Employers Can Design High-Quality Cancer Care Benefits
Anthem, Walmart Partner for Over-the-Counter Drug Allowance
CMS Tells States to Curb Silver-Loading with Off-Exchange Plans
CMS Provides $8.4M to Stabilize State Insurance Markets
New Jersey Gains CMS Approval for Reinsurance Program
CMS Processes State Medicaid Requests, Approvals 23% Faster
Top 10 Highest Performing Medicare Advantage Health Plans
Google Invests $375M in Oscar Health for Medicare Advantage
OH Medicaid Adopts Pass-Through Model for Managed Care Drugs
Commercial Payers See Promise in Diabetes Prevention Program
Nearly 20% of Employees Have Inpatient Out-of-Network Claims
Managed Care Accounted for 38% of Medicaid Spending in 2012
CMS Proposed Rule Aims to Secure 2018 Risk Adjustment Payments
Medicare Advantage Part B Plans Can Use Drug Step Therapy
AMA: CVS-Aetna Merger Would Reduce PBM Competition, Raise Prices
Only 22% of Medicare Advantage Customers Aware of Star Ratings
Provider Market Concentration Outweighs Payer Concentration
Medicare Part D Premiums Expected to Decline in 2019
CMS Final Rule Extends Short-Term Health Insurance to 3 Year Max
Insurance Coverage Rates Dip by 12% Due to High Premium Costs