Author's posts
Former Anthem executive Brad Smith named CMMI director
Smith co-founded Aspire Health, which Anthem acquired in 2018.
CMS releases 2021 Medicare Advantage risk adjustment payment changes
Risk scores will be calculated using 75% encounter data, an increase of 25% over this year.
20 Democratic states ask Supreme Court to review ACA decision
The petition asks the Court to review the case before the end of the current term in June.
Omnicare and parent company CVS Health accused of prescription drug fraud
Lawsuit alleges Omnicare pushed invalid drugs out the door as quickly as possible to make more money.
Surprise billing, drug prices left to 2020
Insurers got repeal of the Cadillac tax, HIT and an extension of silver loading in year-end spending package.
Affordable Care Act numbers stabilize at enrollment deadline
CMS gave consumers two extra days to sign up, as not all of the half a million people who wanted to enroll were able to do so by December 15.
Legislators question insurers about surprise billing practices
House Energy and Commerce Committee also sends letters to physician staffing firms.
Sutter Health settles antitrust case for $575 million
The antitrust case could have nationwide implications for how health systems negotiate with insurers.
CMS final rule requires ACA insurers to collect separate payment for abortions
Rule would pertain to 18 states that have health plans that offer coverage of non-Hyde abortion services.
PillPack, BCBS of Massachusetts, offer direct integration for drug delivery
A digital option allows members to switch to PillPack directly from their Blue Cross MyBlue member app or website.
