Author's posts
CMS approves Medicaid work waiver for Wisconsin
Wisconsin becomes the fourth state to require Medicaid beneficiaries to work, get job training or volunteer as a condition of receiving the benefit.
Anthem’s 29 percent earnings increase boosted by MA market
Future growth and savings will come from Medicare Advantage, Medicaid and PBM IngenioRx.
Cigna study shows benefits of integration across medical, behavioral and pharmacy
The study, conducted prior to the insurer getting approval to acquire Express Scripts, shows a 9 percent reduction in high cost medical claims.
Aetna posts $1 billion in income ahead of merger
Humana Foundation invests $1.84 million to address social determinants of health
Health insurers and providers are increasingly addressing the social determinants to bring down costs and to provide better care.
Telehealth from home to be added to Medicare Advantage plan’s benefits under new rule
Enrollment in MA is projected to increase by 11.5 percent, and the number of plans to increase by 600 next year.
Trump Administration proposes new Medicare drug payment model to reduce costs
The International Pricing Index model would reset Medicare payments for physician-administered drugs.
Aetna CVS merger faces one last hurdle in New York
Superintendent Maria Vullo wants guardrails to ensure promised synergies result in cost savings for consumers.
Lawmakers ask CMS to reconsider ACO MSSP overhaul
ACOs in upside-only models need more than two years and the shared savings rate put forward by The Centers for Medicare and Medicaid Services, lawmakers and stakeholders say.
Trump administration to expand use of HRAs to individual marketplace
The health reimbursement arrangements could be used to satisfy the employer mandate to offer coverage.
