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Maryland Creates State Reinsurance Program to Control Premiums

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Maryland governor Larry Hogan has signed legislation to create a state reinsurance program aimed at stabilizing health plan premium increases. The reinsurance program will use state and federal...

BCBS Association: Use Alternative Pain Therapies Before Opioids

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The BlueCross BlueShield Association (BCBSA) has announced a new professional standard that removes opioid prescriptions as a primary pain treatment in a majority of clinical situations. The...

Proposed Rule Deregulates Medicaid Managed Care, Fee-for-Service

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CMS has proposed a new rule that deregulates certain aspects of Medicaid managed care and Medicaid fee-for-service (FFS) programs in order to reduce regulatory burdens at the state level. The rule...

BCBS of MI Launches Bundled Payments for Hip, Knee Replacements

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BlueCross BlueShield of Michigan has launched a pilot program that will use bundled payments for knee and hip replacements in order to manage costs and improve member outcomes. BCBS data estimates...

Tavenner Steps Down from AHIP, Hands Leadership to Matt Eyles

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The AHIP Board of Directors has appointed Matt Eyles as the organization’s new President and CEO to replace Marilyn Tavenner after she retires on June 1st, 2018.    Eyles was elected...

Cigna, Amazon Alexa Offer Voice Control Beneficiary Education

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Cigna is entering the voice control product space with an Amazon Alexa feature called “Answers by Cigna” that educates beneficiaries about complex health insurance terminology and...

UnitedHealthcare Integrates Apple Watch Into Wellness Incentives

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UnitedHealthcare is integrating the Apple Watch into beneficiary wellness incentives, where members can earn the device and financial rewards by participating in a walking program aimed at improving...

Centene to Acquire Medicaid, Medicare Advantage Provider Group

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Centene signed an agreement to acquire Florida-based Community Medical Holdings Corp (CMG), a community medical group, to expand Centene’s Medicaid, Medicare Advantage (MA), and marketplace...

HCSC Invests $1.5B to Develop Insurance Affordability Solutions

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HCSC is investing $1.5 billion to develop health insurance affordability solutions including employee wellness programs, ways to address social determinants of health, and collaborative care. Dubbed...

Apple to Launch Healthcare, Wellness Clinics for Employees

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Apple is launching a new healthcare venture, called AC Wellness, that will deliver healthcare and wellness services to the company’s employees, according to major news outlets. The health and...

UnitedHealth Offers Data Analytics to CMS Bundled Payment Program

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UnitedHealth Group will help support a new Medicare bundled payment program by offering data and analytics services to participating providers. The payer announced in a press release that it will...

Lawmakers Propose HDHP Coverage for Chronic Disease Prevention

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A new bill introduced into the House and Senate would allow high-deductible health plans (HDHPs) to provide chronic disease prevention services before a patient meets his or her deductible, which could...

House Bill Retains Low-Quality Medicare Advantage Plans until 2027

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Update on 2/12/2018: Presdient Trump signed the spending bill into effect on Feburary 9th, 2018 which funds the government for two years and extends quality deadlines for Medicare Advantage...

Amazon, JP Morgan, Berkshire Hathaway Form Healthcare Company

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Amazon, JP Morgan Chase & Co., and Berkshire Hathaway have announced a long-term partnership to form an independent company that focuses on cost-effective healthcare for employees. The company...

VA, HHS Announce Healthcare Fraud Prevention Partnership

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The Department of Veterans Affairs (VA), HHS, and CMS agreed to participate in a healthcare fraud prevention partnership that leverages data sharing to identify fraud and abuse within healthcare...

VA Awards Accenture $62M Benefits IT Infrastructure Contract

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Accenture received a one-year, $62 million contract by the VA’s Veterans Benefit Administration (VBA) division to improve the VBA’s technology infrastructure for delivering member...

Humana Expands Long-Term Social Health Determinant Investments

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Humana, and its philanthropic arm the Humana Foundation, announced changes to their grant making processes that provide long-term investments into community programs that address the social...

Humana Becomes Latest Payer to End AHIP Membership

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Humana is the latest commercial payer to end its membership in AHIP, the nation’s largest health insurance trade organization. “Humana has not actively participated in AHIP since early...

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

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The American Federation of Government Employees (AFGE) has sent a letter to VA leadership proposing an investigation into $90 million of improper payments made to the third-party contractors of the...

MS Awarded 10-Year Extension of 1115 State Medicaid Waiver

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Mississippi will be the first state to receive a 10-year extension of a 1115 Medicaid waiver, CMS announced.  The waiver originally implemented in 2003, expands eligibility requirements for...