News Archive for January 2018

2018 Best in KLAS Taps Vendors for Claims Admin, Price Transparency

Member Incentives for Lower Cost Health Services Saved Payer $3.2M

Amazon, JP Morgan, Berkshire Hathaway Form Healthcare Company

Consumer-Directed Care, High Deductibles Popular for Employees

DE Shifts Managed Medicaid Contracts to Value-Based Agreements

Health Insurance Costs Placing Stress on Majority of Americans

Academy of Actuaries Reaffirms Association Health Plan Risks

ACA Implementation Led to Varied Out-of-Pocket, Premium Spending

VA, HHS Announce Healthcare Fraud Prevention Partnership

High Care Costs Driving Employer-Sponsored Insurance Spending

Healthcare Orgs Commend Vote to Fund CHIP for 6 Years

GAO: CMS Needs More Data to Manage Medicare Opioid Risks

VA Awards Accenture $62M Benefits IT Infrastructure Contract

Humana Expands Long-Term Social Health Determinant Investments

Aetna Agrees to $17M Settlement in HIV Privacy Data Breach

AHA Makes Suggestions for In-State Insurance Market Stabilization

Payers, Providers Pledge to Improve Prior Authorizations

AMGA: Align Quality, Performance across Medicare Advantage, ACOs

GAO: Medicaid Home, Community Care Create Financial Conflicts

Provider Health Insurance Fraud Schemes, Settlements Top $310M

Payers Leverage Data, Wellness Benefits to Address Opioid Abuse

KY Gets Approval for 1115 Medicaid Waiver with Work Requirements

Payers Support Integrated Care Services for NC Medicaid Patients

Humana Becomes Latest Payer to End AHIP Membership

VA Updates Emergency Care Reimbursement, Payment Activities

CMS to Test Medicaid Waiver “Community Engagement” Incentives

VA Union: Investigate $90M in Third-Party Contractor Payments

Outcomes-Based Contracts Offer Payers New Pharmaceutical Options

Top 10 Highest Performing Commercial Health Plans

IT Investment to Help VA Speed Claims Administration, Payment

Considerations for Designing Consumer-Directed Health Plans

Expanding Air Ambulance Service May Help Payers Control Costs

How Payers Can Build a Successful Bundled Payment Strategy

Proposed Rule Details Association Health Plan Expansion Guidelines

Wellness, Preventive Care to Drive Employer Health Plans in 2018

Healthcare Insurance Market Profits May Hold Steady in 2018

Affordable Care Act Changes May Bring a Rocky 2018 for Payers

All-Payer Claims Databases Offer Insights into Healthcare Spending

How Payers Can Streamline Prior Authorization for Prescriptions