Panelists at the 2018 AHIP Institute & Expo in San Diego say much more can be done to prevent chronic diseases, including incentivizing personal responsibility and addressing socioeconomic disparity.
Category: FierceHealthPayer
‘Holy cow’ moment changes how Montana’s state health plan does business
In order to help curb ever-increasing healthcare costs, some states have had to change things up, including how they pay for hospital services. In Montana, a reimbursement overhaul appears to be working.
What the Amazon, JPMorgan Chase, Berkshire Hathaway venture’s CEO pick says about their plans—and the industry
In January, the three business titans shook the healthcare world with news of a new employee healthcare venture. Now, they have named the person who will lead those efforts.
Amazon, Berkshire Hathaway and JPMorgan Chase appoint CEO for healthcare venture
Atul Gawande, M.D., was officially named chief executive officer of the three-way partnership’s newly formed company to address U.S. employee healthcare.
MedPAC: Medicare’s readmission program not causing increase in observation stays
CMS’ readmissions reduction program isn’t responsible for an uptick in observation stays, according to MedPAC. The group also reiterated its support for cutting payments to free-standing emergency departments.
National Business Group on Health issues new recommendations for pushing PBMs on opioids
The National Business Group on Health recommended that employers discuss opioid use for pain management with their health plans and pharmacy benefit managers.
Conservatives unveil ACA repeal plan as bipartisan governors rally around pre-existing condition protections
Only months before the critical 2018 midterm elections, conservatives are pushing for yet another attempt at repealing the Affordable Care Act, and the new proposal looks very similar to last year’s Graham-Cassidy bill.
As Medicaid costs soar, states try a new approach
In order to control ever-increasing Medicaid spending, some states are taking a unique step: addressing underlying social issues related to health, such as homelessness, lack of transportation and poor nutrition.
Federal judge dismisses UnitedHealth fraud suit over in-home visits, Walmart gift cards
A federal judge has dismissed a lawsuit against UnitedHealthcare that accused the Minnesota-based insurer of false claims and violations of the Anti-Kickback Statute, which stemmed from a HouseCalls visit and a $25 Walmart gift card.
Anthem completes acquisition of Aspire Health months ahead of schedule
Anthem’s purchase of Aspire Health is a done deal, the Indianapolis-based insurer announced Monday. Completion is months ahead of schedule and the acquisition is part of an industry trend of insurers buying up providers.
