While the new Medicare payment system for physicians has flaws that need to be fixed, doctors were unanimous about one thing: They don’t want to see it scrapped.
Category: FierceMarkets
CMS proposes site-neutral payments in OPPS rule aimed at boosting provider competition
The proposal, released by CMS on Wednesday, will save patients approximately $150 million in copayments each year, according to the agency. Administrator Seema Verma said the current system is to blame for provider consolidation.
Self-insured employers will determine the fate of payment reform, analysts say
Self-insured employers are the largest payer of health insurance, but most are reluctant to move away from fee-for-service. In order to shift the balance toward value, employers have to start recognizing their market power, Brandeis University research…
Poll reveals partisan divide among consumers on healthcare policy priorities
A new survey commissioned by the Bipartisan Policy Center found a notable split in what people on each side of the aisle view as healthcare reform priorities. Democrats prefer a focus on insurance access, while Republicans instead focus on limiting the…
Worried about ‘defensive medicine’ in telehealth? Go on the offensive
WASHINGTON—As telemedicine creeps toward reality for more consumers, some payers are spooked by the possibility of extraneous tests or procedures ordered by cautious doctors. But telehealth offers plenty of ways to save money too.
Worried about ‘defensive medicine’ in telehealth? Go on the offensive
WASHINGTON—As telemedicine creeps toward reality for more consumers, some payers are spooked by the possibility of extraneous tests or procedures ordered by cautious doctors. But telehealth offers plenty of ways to save money too.
Anthem CEO optimistic about Medicare Advantage going into second half of 2018
Despite a decline in membership overall, the insurer is confident that it will increase enrollment in its Medicare Advantage plans, including retirees from the commercial market.
Anthem Blue Cross Medi-Cal signs on to state’s Health Homes Program
In collaboration with another participant, the plan seeks to coordinate care for some of California’s most vulnerable residents, beginning in San Francisco this summer.
Payer Roundup—House to vote on slew of HSA bills; Bright Health partners with Mercy in Ohio MA market
The floor votes on health savings accounts follow contentious debates in committee last week. In other healthcare news, Bright Health has joined forces with Mercy Health to offer MA plans in Ohio, and physicians are tepid about changes to fee schedule.
Kaiser leads insurers in customer experience for 4th straight year as Health Net plummets
A survey conducted by Forrester found Kaiser leading the pack of insurers in customer experience, followed by Humana and Empire Blue Cross Blue Shield. Meanwhile, Centene’s Health Net received poor marks because “many customers seem both confused and f…
