Preventive screenings are now shifting to the in-home setting through in-home screening kits, as payers like Humana innovate ways to carry on primary care and chronic disease prevention services...
Consumers are willing to pay more for broader provider networks and many, including women, also place high priority on maintaining coverage for providers to whom they are already connected when...
Walmart has started offering health plan options, the retailer confirmed to CNBC.
The company has been somewhat enigmatic about its newest venture. It did not put out a press release, but rather...
Humana’s subsidiary Partners in Primary Care is entering a joint venture with Welsh, Carson, Anderson and Stowe (WCAS) to give Medicare Advantage members access to care through value-based...
Enrollment and primary care provider density may have more impact on rural healthcare premiums than market concentration, a recent study published in the December issue of Health Affairs...
Primary care services were reimbursed 23.8 percent more than behavioral healthcare in 2017, which indicates that among commercial payers the payment parity issue between physical and behavioral...
As both the managing director of behavioral health at Blue Cross Blue Shield Rhode Island (BCBSRI) and a licensed clinical social worker, Rena Sheehan knows the challenges parents face when searching...
Blue Cross and Blue Shield of Texas (BCBSTX) opened the first of ten medical centers with Sanitas Medical Center (Sanitas), the payer announced last week, with an emphasis on their pursuit of...
Studies have found that primary care physicians (PCPs) play a role in increasing low-value care (LVC) expenditures, indicating that payers, policymakers, and healthcare organizations should...
CMS and HHS have announced the CMS Primary Cares Initiative, a new set of value-based care payment models that will strengthen primary care and deliver better value for patients.
The CMS Primary Cares...
Primary care providers (PCPs) and psychiatrists are among the least likely professionals to accept Medicaid, leaving patients without some of the most fundamental resources for preventing or managing...
Payers can expand primary care access in Delaware by progressively increasing primary care spending until it accounts for 12 percent of all healthcare investment, according to a report from...
On February 1, House Representative Tom Price, R-Ga., was officially nominated as the Secretary for the Department of Health & Human Services (HHS), according to the US News & World Report. The...
Only about 15 percent of primary care providers favored a complete repeal of the Affordable Care Act, a recent New England Journal of Medicine study stated.
While some of the 426 primary care...
How can health insurance companies improve their relationship with primary care practices? How can payers work with primary care providers to expand value-based care reimbursement?
For answers...
Dr. Patrick Conway, Principal Deputy Administrator and Chief Medical Officer at the Centers for Medicare & Medicaid Services (CMS), announced in The CMS Blog that 95 percent of all primary care...
The Centers for Medicare & Medicaid Services (CMS) has selected Anthem Blue Cross and Blue Shield in Colorado as a participant for their Comprehensive Primary Care Plus (CPC+) initiative, according...
Within the new value-based care payment strategies being developed among healthcare providers, payers, and government agencies, accountable care organizations (ACOs) continue playing an important role...
