CMS Extends Medicare Advantage Audit Program in 2019 Rule
Can Payers Reduce Stress of Alternative Payment Models for Physicians?
Cigna: Integrated Pharmacy, Medical Benefits Improve Overall Health
60% of Employers Fail to Address Healthcare Spending Waste
CMS Grants NC 1115 Medicaid Waiver to Implement Managed Care System
New Drug Pricing Model Could Save Medicare Part B $17.2 Billion
PBMs, Specialized Formularies Reduce Managed Care Prescription Costs
Venture-Funded Medicare Advantage Plans Launch into 2019 Market
Engagement, Data Analytics Cut Opioid Dependency in Managed Care
Employer Wellness Programs Reduce Costs by Targeting Chronic Diseases
Proposed Rule Alters HRAs to Allow Direct Reimbursement to Employees
Physical Therapy, Chiropractic Back Care Cut Opioid Use, Costs
CMS Broadens ACA Waiver Scope for State Insurance Programs
Medicare Advantage Plans Proliferate in 2019, Raising Competition
Insured Critical Illness Beneficiaries Face High Treatment Costs
Administrative Plan Costs for Managed Care Payers Jumped 5.7% in 2017
BCBS of TN Defrauded $2M in $2B Telemedicine Insurance Scheme
Medicare Diabetes Prevention Program May Have Cost Concerns
IL Payers File Pharma Lawsuit Over Opioid Prescription Costs, Safety
$36.9M in Medicare Fraud Leads to Federal Convictions, Sentencing
CMS Proposes Drug Price Transparency in Television Ads
PA Expands Access to Medication Assisted Treatment for SUD
Medicare Deductibles, Premiums to Increase Slightly in 2019
Medicaid Beneficiaries Face Significant Food Insecurity Challenges
CMS: ACA Premiums to Decline in 2019 for Silver Plan Consumers
CMS Releases 2019 Medicare Advantage Health Plan Star Ratings
AMA, Industry Orgs Object to Short-Term Health Plan Expansion
CVS-Aetna Merger Gets DOJ Nod as Aetna Sheds Medicare Part D
Spending, Prescription Histories Identify Future High Cost Members
Payers Partner with Trade Orgs to Roll Out Association Health Plans
Private Insurance Spending Has Outpaced Public Spending Since 2016
Managed Care Payers Struggle to Staff Long Term Support Services
How Payers Can Develop a Medication Therapy Management Program
Payers Can Leverage Telehealth for Chronic Disease Management
DaVita Medical to Pay $270M for Improper Medicare Advantage Payments
Cigna’s Digital Diabetes Prevention Program Cuts Costs, Ups Outcomes
How Managed Care Payers Can Improve Substance Use Treatment
OIG Finds Profits to Blame for Denied Medicare Advantage Claims