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CMS will delay updates to hospital star ratings until 2021

A few stakeholders recommended removing or suspending the overall star ratings from Hospital Compare until changes are made.

St. Elizabeth Healthcare, Anthem Blue Cross and Blue Shield target high cost claims

St. Elizabeth’s five hospitals are the first in the state to participate in the voluntary agreement to reduce charges by as much as 45 percent.

CMS to display the star ratings for Affordable Care Act exchange plans

The price of plans will be included to create competition in the market that opens for 2020 starting November 1.

Insurers’ collective premium rate increases are less than 1% for 2020 ACA plans

Numerous states reported requested rate decreases and only three have double-digit increases.

Tufts and Harvard Pilgrim to merge, creating large nonprofit insurer

The new organization, yet to be named, will be one of the largest nonprofit health organizations in Massachusetts and the surrounding region.

Pharmacy benefit managers keep less than 1% percent of rebates for Medicare Part D drugs, GAO says

Part D plan sponsors mainly used five PBMs in 2016: CVS Caremark, OptumRx, Express Scripts, Medimpact and Argus.

Bright Health to expand its health plan model to 13 new markets for 2020

The expansion marks a nearly 300% increase in product offerings compared to 2019.

Blue Cross Blue Shield of Arizona, Sempre Health, partner to influence prescription drug behavior

Medication adherence and refilling on time rewards members through copay discounts.

More than half of rural hospitals could close under a public health option

The demand for telemedicine – seen as an elixir for rural health accessibility – has put extreme demands on limited program funding, FCC says.

Medical devices pose cybersecurity and patient threat

Security breaches can happen outside of the four walls of a hospital.