A federally backed drive to create a value-based healthcare delivery system in partnership with providers and payers is under way nationwide. Three years ago, an unprecedented financial crisis prompted Arkansas "to bet the farm" on a similar value-based healthcare model...
Despite an official prediction that MA health plan payment rates will be essentially unchanged in 2015, Cigna, Aetna, and Humana expect payments to fall next year.
The federal Centers for Medicare & Medicaid Services released a potential treasure trove of 2012 Medicare physician claim information. The release, which makes the data public for the first time since 1979, is "a huge step to making the Medicare system more transparent...
The American Medical Association says the public should exercise caution when interpreting the 2012 Medicare payment data for physicians, saying "the manner in which CMS is broadly releasing physician claims data, without context, can lead to inaccuracies,...
A startup health plan draws its customer service approach from the Ritz-Carlton and L.L Bean. The call center answers by the third ring, and reps have authority and information to fix problems.
Federal officials unexpectedly announced a projected 0.4% increase in the 2015 payment rate for Medicare Advantage health plans. A cut had been proposed in February.
The most significant change on tap to the ratings system is expected to be an increase in the star threshold for bonus payments to health plans, based on a wide array of quality standards.
Healthcare payers and providers are bracing for a payment rate cut to Medicare Advantage health plans next year. The 2015 rate is expected to be announced Monday by CMS.
With half of states embracing federally financed Medicaid expansion and the other half slow to follow suit, hospitals are key players in one of the hottest healthcare policy clashes in the country.
