Chet Burrell, president and CEO of CareFirst BlueCross BlueShield, is counting the days to his retirement. He weighs in on the company’s status in ACA marketplaces and the joint insurance venture between JPMorgan, Amazon and Berkshire Hathaway.
Category: FierceMarkets
Coalition of ACOs, IT organizations throw support behind a CMS data-sharing mandate
More than 50 ACOs, providers, payers and patient advocacy groups signed on to a letter calling for CMS to include data sharing as a requirement to participate in Medicare and Medicaid. The letter said the shift “represents an important first step in fo…
Highmark reaps $260M in savings from value-based payment program
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.
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.
