What do the most successful accountable care organizations (ACOs) have in common? A focus on advanced primary care, according to a new study.
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CBO: States not enrolling beneficiaries in managed care in cost-effective way
The elderly and disabled and those who also qualify for Medicare cost more to cover, but Medicaid may not be covering them in the most cost-effective way.
CMS allows Medicare Advantage plans to negotiate Part B drug prices, implement step therapy
In a significant move meant to foster competition, allowing Medicare Advantage plans to negotiate Part B drug prices will generate cost savings that they then can pass on to consumers, the agency says.
Blue Cross Blue Shield to offer discounted Fitbits to members through new partnership
The insurance association hopes the move will “help consumers create and maintain healthy habits,” despite studies that suggest owning a fitness device will not improve one’s health.
This is the ‘disruption’ large employers are hoping Amazon brings to healthcare
National Business Group on Health CEO and President Brian Marcotte elaborated on what large employers are looking for out of Silicon Valley as they weighed in on their expectations for healthcare benefits in 2019.
Large employers playing more ‘activist’ role in health costs, dialing back push to high-deductible plans
The latest survey from the National Business Group on Health found large employers are playing a more “activist” role in healthcare, doubling down on narrow network strategies even as fewer of them only offered consumer-directed health plans.
Study: Bundled payments drive hospitals to reduce referrals to SNFs, improve coordination
Bundled payments are pushing hospitals to cut back on discharges to skilled nursing facilities, according to a new study. This could have significant implications for postacute providers, the researchers say.
Study finds insurance monopolies are primary driver of higher ACA premiums
Among rating areas in states with federally facilitated marketplaces, the number of insurers was a more accurate predictor of premiums than enrollee health or provider characteristics.
Henry Ford Hospital, GM ink direct contract for employee coverage
The Detroit legacy institutions announced the agreement to create GM’s new “ConnectedCare” plan option on Monday that would bypass traditional insurers and allow the health system to deliver both healthcare management and wellness services to salaried …
Report: Wisdom tooth surgery increases risk for long-term use of opioids
Looking at an national database of employer-based insurance plans, researchers warn opioid drug prescriptions associated with the common dental procedure may be leading to long-term use among young people.
