Today’s Medicare Advantage plans are flourishing and the Silver Tsunami is …
Category: Healthcare Finance News
CMMI model helped several states make big strides in population health integration
CMMI gave more than $622 million to 11 states as part of the Round 2 Model Test; New York implementing the most drastic changes.
Democrats to unveil new healthcare legislation on Tuesday
The bill is being released near the ninth anniversary of the Affordable Care being signed into law.
Prescriptions for healthy foods could save healthcare billions, research finds
The novel approach could cut down on adverse cardiovascular events for Medicare and Medicaid beneficiaries, decreasing utilization.
Could consumerism hurt the healthcare system and undermine patient-centric care?
The goals of consumerism and patient-centered care can be at odds, and the former may not be as effective in reducing costs as people thought.
Three largest insurers dominate market share in at least 37 states, GAO report says
Blue Cross was the most named, largest insurer in 10 states in which three insurers had over 75 percent of the large group health insurance market.
Affordable Care Act delivers significant benefits for women, research finds
A greater proportion of women were able to find affordable access to acute and preventive services, as well as insurance coverage.
Home health provider groups rips proposed slash to reimbursement rates
MedPAC’s proposed 5 percent cut, coupled with a new payment model, comes at a time when home services are on the rise.
CMS star ratings found lacking in some areas, especially risk, study finds
The star algorithm fails to fully capture the typical observation that higher surgical volume is associated with better quality outcomes.
BPCI Advanced down to 1,295 providers as 252 drop-out
CMS announces 715 acute care hospitals and 580 physician group practices remain in the bundled payments for care improvement advanced program, for a total of 1,295 Medicare providers.
