Category: FierceHealthPayer

Public health law protections at risk with Kavanaugh on Supreme Court

Another anti-regulation justice on the nation’s highest court threatens laws that promote health equity, a panel of legal experts said at the Public Health Law Conference. Experts pointed to potential legal decisions around the ACA and Medicaid as caus…

Payer Roundup—Democrats look to investigate Trump’s healthcare policies; Senators ask CBO to redo ACA estimates

Should they manage to retake the House, Democrats want to launch an investigation of the Trump administration’s health policy. Plus, GOP senators are asking the CBO to re-estimate ACA figures using a new model and other news from the health payer world.

MGMA18: Physicians frustrated over lack of advanced APMs

There’s a big problem with advanced alternative payment models (APMs): There aren’t enough of them.

MGMA18: The top 5 regulatory burdens faced by physician practices

The federal government has made it a top priority to decrease the regulatory burden on physician practices. But just what are the regulatory issues that medical groups see as most burdensome?

Analysis: Cancer type can make a difference in performance of ‘bundled’ care models

Providers participating in a bundled payment model for cancer care may perform better based on the type of cancer they’re treating, according to a new report. 

Humana expands Medicare Advantage network through new partnership with Heritage

Humana’s Medicare Advantage HMO base in southern California will be able to spend more time with providers and receive more robust preventive care as a result of a collaboration with Heritage, the insurer said.

Verma: CMS is exploring ways to expand site-neutral payments

CMS Administrator Seema Verma said the agency is looking at site-neutral payments “across the board,” adding that she is “very interested” in exploring the post-acute space where payment differentials are quite large.

Verma: CMS is exploring ways to expand site-neutral payments

CMS Administrator Seema Verma said the agency is looking at site-neutral payments “across the board,” adding that she is “very interested” in exploring the post-acute space where payment differentials are quite large.

Banner Health, Ascension executives join hundreds of hospital CEOs defending 340B program

CEOs from more than 700 hospitals sent a letter to Congressional leaders, calling on them to protect the 340B drug discount program.

Molina Healthcare finalizes $231M sale of Medicaid management system

The sale bodes well for Molina. As the company continues digging itself out of a hole, it will free up cash to pay down debt.