CMS
publication date
CMO
Prisma Health Boosts Accountable Care in Partnership with CVS Health Division
The South Carolina-based health system's ACO is working in collaboration with CVS Accountable Care.
Payer
Humana Expands Prior Auth. Partnership With Cohere Health
The platform is giving physicians faith in quick prior authorization turnaround.
Revenue Cycle
From Layoffs to Closure: The Fate of One California Hospital After Medicare Contract Termination
CMS found Stanislaus Surgical Hospital to be out of compliance with Medicare and Medicaid program requirements.
Payer
3 Health Systems Sue Aetna for Breach of Contract
One of the biggest insurers is in trouble again.
Payer
The Wrong Way to Do Medicaid: Enrollment Disparity
Medicaid unwinding left millions uninsured, particularly children, Black, Hispanic and lower income communities.
Payer
Infographic: A Brief History of Medicare Advantage
Medicare Advantage has gone through numerous changes and hurdles since its creation.
Payer
After Public Push, CMS Curbs Health Insurance Agents' Access to Consumer SSNs
The access to policyholders' personal information was one of the problems cited by KFF Health News.
Payer
MA Cuts Will Hurt These Smaller Groups, Not Big Payers
The new rate cut will have a strong impact, but not on big payers.
Payer
CMS Cuts Medicare Advantage Rates, Payers Stocks Plummet
CMS announced it will continue with its 0.16% rate cut for Medicare Advantage plans insurers.
Payer
New Report Targets Payer Pain Points for Digital Therapeutics Integration
The Digital Therapeutics Alliance is helping outline integrated digital product workflows that identify gaps for payers, clinicians, and patients.
Payer
Medicare Advantage Is Still Going Strong
A new report shows strong potential for the Medicare Advantage market.
Payer
How Independence Blue Cross Combines CAHPS, Age-Friendly Models and Benefits Navigation For Caregiver Support
The payer?s partnership with Carallel addresses multiple industry pressures.