The Pittsburgh-based insurer estimates it saved millions in avoidable care costs through a new primary care focused value-based payment arrangement, continuing the success of such payment models under private insurers.
Category: FierceHealthPayer
CMS launches slate of initiatives aimed at curbing fraud, waste in Medicaid
The Centers for Medicare & Medicaid Services launched several initiatives on Tuesday aimed at cutting down on fraud and waste in Medicaid. The programs, Administrator Seema Verma told reporters at a briefing, are part of the third pillar of the agency’…
The magic number? AMGA wants to reduce quality measures from hundreds to 14
It costs physician practices in the U.S. billions of dollars and hundreds of hours to report quality measures each year, a process that the American Medical Group Association says can be simplified with the use of 14 key measures.
Report: Value-based payment models haven’t cut costs yet
Value-based payment models haven’t yet led to significant cost reductions, according to a new analysis. Current models lack the incentives to drive delivery system change.
Supreme Court strikes down California law requiring pregnancy centers to provide abortion information
In a 5-4 decision, the U.S. Supreme Court has struck down a California law requiring pregnancy centers to provide abortion information. Experts say the ruling could have far-reaching consequences beyond rendering the California law unenforceable.
Azar blames PBMs for ‘broken system’ in Senate Finance hearing dominated by immigration debate
A hearing on the Trump administration’s efforts to lower drug spending was anything but, as lawmakers from both sides were eager to discuss the ongoing immigration situation and HHS’ role in reuniting parents with their children.
Payer Roundup—Walgreens, Humana partner on senior healthcare; LePage open to hospital tax
Walgreens and Humana are teaming up to provide more insurance information to seniors, while in Maine, Gov. Paul LePage is signaling he is opening to raising taxes to pay for mandated Medicaid expansion.
Payer Roundup—Walgreens, Humana partner on senior healthcare; LePage open to hospital tax
Walgreens and Humana are teaming up to provide more insurance information to seniors, while in Maine, Gov. Paul LePage is signaling he is opening to raising taxes to pay for mandated Medicaid expansion.
Kentucky lawsuit won’t decide the fate of Medicaid work requirements in other states
Michigan’s recent decision to expand Medicaid work requirements likely won’t hinge on the outcome of the Kentucky waiver lawsuit, one healthcare attorney tells FierceHealthcare. A judge is expected to issue a decision on the Kentucky lawsuit this week.
AHA ‘strongly opposes’ interoperability as a Medicare requirement
Responding to a request for information from CMS, the American Hospital Association said it “strongly opposes” revising Medicare Conditions of Participation to include interoperability requirements. The hospital association argued that interoperability…
