Medicare Advantage
publication date
Finance
Value-Based Care Leads to Reductions in ER Visits and Admissions
Humana's fifth annual value-based care study found that patients seen by physicians in value-based agreements had a 7% drop in...
Finance
Positive MA Growth Leads Humana to Boost Year-End Guidance
Just as in Q2, Louisville-based Humana bolstered its year-end guidance thanks to strong performance in its Medicare Advantage pool.
Innovation
Telehealth to Gain Ground in 2020 Under Medicare Advantage Proposal
Enrollees would have access to telehealth benefits regardless of whether they live in rural or urban areas, unlike the current...
Innovation
Alternative Payment Model Adoption Increases
The Health Care Payment Learning & Action Network study shows that the percentage of healthcare payments tied to APMs have...
Clinical Care
Medicare Advantage Plans Shift Their Financial Risk To Doctors
The 'global risk' model is increasingly used by Medicare plans such as Humana and UnitedHealthcare to shift their financial exposure...
Finance
Humana and Heritage Announce Medicare Advantage Collaboration
The insurer is teaming up with the physician-led value-based care organization to serve Medicare Advantage patients in southern and central...
Finance
Medicare Advantage Overpayment Rule Vacated. Now What?
While UnitedHealth celebrates a win in court, CMS will have to figure out how to achieve 'actuarial equivalence' in its...
Finance
Judge Vacates Medicare Advantage 2014 Overpayment Final Rule
UnitedHealth and other insurers had filed suit against HHS, claiming the overpayment rule 'failed to satisfy a statutory mandate of...
Innovation
Medicare Advantage Plans Given Negotiating Power on Part B Drug Prices
The plan does not expand negotiating powers directly to the federal government and Part D drugs, which prompted one critic...
Clinical Care
How Medicare Advantage Fuels Innovation in Care of Seriously Ill
The federal program's financial incentives have encouraged the development of care models that help keep frail patients out of emergency...
Clinical Care
4 Ways to Help Healthcare Organizations Improve Housing
Housing is increasingly considered as an essential element of health, and healthcare organizations could do more to improve housing with...
Strategy
Humana, Private Equity Consortium Finalize $4.1B Kindred Purchase
The acquisition comes as the consortium finalizes the $1.4 billion acquisition of Curo Health Services. Humana will have a 40%...