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Highmark reaps $260M in savings from value-based payment program
The Pittsburgh-based insurer estimates it saved millions in avoidable care costs through a new primary care focused value-based payment arrangement, continuing the success of such payment models under private insurers.
Azar blames PBMs for ‘broken system’ in Senate Finance hearing dominated by immigration debate
A hearing on the Trump administration’s efforts to lower drug spending was anything but, as lawmakers from both sides were eager to discuss the ongoing immigration situation and HHS’ role in reuniting parents with their children.
Payer Roundup—Walgreens, Humana partner on senior healthcare; LePage open to hospital tax
Walgreens and Humana are teaming up to provide more insurance information to seniors, while in Maine, Gov. Paul LePage is signaling he is opening to raising taxes to pay for mandated Medicaid expansion.
Payer Roundup—Walgreens, Humana partner on senior healthcare; LePage open to hospital tax
Walgreens and Humana are teaming up to provide more insurance information to seniors, while in Maine, Gov. Paul LePage is signaling he is opening to raising taxes to pay for mandated Medicaid expansion.
Kentucky lawsuit won’t decide the fate of Medicaid work requirements in other states
Michigan’s recent decision to expand Medicaid work requirements likely won’t hinge on the outcome of the Kentucky waiver lawsuit, one healthcare attorney tells FierceHealthcare. A judge is expected to issue a decision on the Kentucky lawsuit this week.
Humana lawsuit over denied payments, the first of its kind, moves forward
A federal judge has ruled that Prime Healthcare’s lawsuit against Humana over denied or underpaid MA reimbursement can move forward, in what an attorney says is a first-of-its-kind ruling.
AHIP18: Medicaid overhaul is happening, but it’s not coming from Congress
While there are whispers that congressional Republicans might try to overhaul the Medicaid program, some AHIP18 speakers believe innovation at the state level represents the real overhaul.
Blues administrative spending surged 5.9% in 2017, the highest in years
Spending by 14 Blue Cross and Blue Shield insurers on administrative activities increased by almost 6% last year, the highest since 2013. The findings follow another study that found some Blues saved billions under the GOP tax law.
AHIP18: Coming soon to an MA plan near you—housing, vegetables, church visits
Medicare Advantage plans could soon pay for healthy food, home repairs and transportation to church services if one palliative care specialist gets her way.
Oscar files to expand ACA exchange footprint in 2019
Despite proposed double-digit premium hikes for ACA plans in 2019, one insurer is taking a deeper dive into the marketplace and expanding its footprint to several more states.
