smorse

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Duke Health and BCBS of North Carolina launch Medicare Advantage company

Duke Health will provide medical services and population health management programs while Blue Cross NC will handle enrollment, billing and claims services.

Anthem finds competitive edge in offering employers integrated health benefits

Large employers are increasingly interested in integrating dental, vision, pharmacy, other benefits, due to better outcomes, lower costs and employee satisfaction, survey finds.

Insurers, hospitals, physicians united in stance on ACA lawsuit

Texas court battle will put Medicare for all on back burner in 2020 general election, veteran legislator and attorney says.

CMS rule gives Medicare Advantage plans an edge over traditional Medicare

MA plans may offer non-health benefits such as transportation to grocery shopping for those with chronic conditions.

GlobalHealth, Evolent partner to deliver Medicare Advantage plans

The joint venture will offer MA plans under the True Health brand to high-performing providers that are prepared to take delegated risk for MA populations.

BCBS Institute and Solera partner, pay SDoH organizations through outcomes-based medical claims

The collaboration allows health plans to pay for healthcare-related social services delivered by community benefit organizations.

Hospital revenue cycle: Ripe for modernization but facing big challenges

Declining margins and growing demands are forcing hospitals to rethink their rev cycle for the era of value-based care and patient experience.

Seema Verma under fire for allegedly spending millions on outside GOP consultants

Energy and Commerce Chairman calls for OIG investigation into taxpayer spending for outside communications, including money spent to promote her brand.

Healthcare providers call for greater clarity and stability from CMMI

CMS should eliminate mandatory mid-year changes and providers should be given more opportunity to give feedback, groups tell Seema Verma, Adam Boehler.

Gender pay gap for physicians is narrowing, but work stills needs to be done

New report shows male physician pay remained flat in 2018, while female physician pay increased