Author's posts
AMA and others ask CMS not to finalize proposed ACO quality changes
Groups say CMS should get more feedback as proposals change the way ACO quality is assessed, reported and scored.
COVID-19 has resulted in low utilization rates for children’s services
House bill extends repayment of hospital loans for accelerated and advance relief funds
Accolade and Ginger team for integrated physical and mental healthcare
Solution expands access to on-demand mental health coaching, virtual therapy and virtual psychiatry.
Insurer projections, ‘rolling hotspots’ and vaccines get Advisory Board attention
The larger, national insurers and Blues plans are in a better position than the smaller insurers in large part due to their Medicare Advantage plans.
Death of Supreme Court Justice Ruth Bader Ginsburg could have ramifications for Affordable Care Act
A new conservative appointee could be the deciding vote in the constitutionality of the ACA.
Private insurers pay 240% of what Medicare pays for hospital services
The American Hospital Association criticized the report as making broad claims about pricing based on a cherry-picked and limited data set.
Hospitals ask appeals court for a rehearing on 340B decision
At stake is $1.6 billion in payments per year to thousands of 340B hospitals that serve vulnerable populations, the AHA said.
Cigna launches Evernorth, in a rebrand of its health services portfolio
CMS proposes using only encounter data for Medicare Advantage risk adjustment and payment
The proposal is being released early for plans to better address estimating 2022 costs, in light of the uncertainty with the COVID-19 pandemic.
