To help reduce the cost of care for their frailest members, payers are increasingly focusing on prevention and disease management. It is estimated that these patients drive 35% to 50% of total healthcare costs.
After concerns about delays, the federal data services hub, an integral part of health insurance exchanges, is ready to be deployed, federal officials say. But members of the House Subcommittee on Cyber Security are skeptical.
An OIG review of recovery audit contractor files covering a two-year span identified improper payments in about 50% of them, totaling $1.3 billion. Unless CMS takes action to develop additional performance evaluation metrics, high amounts of improper payment will...
Under the guise of better "understanding the work" health insurance exchange navigators will perform, a request from some GOP members of the House Energy & Commerce Committee carries the whiff of political motivation.
Survey data released by a national business group of large employers shows that while they do not have active plans to make a shift, members view the exchanges as a cost-effective option for certain population groups.