A Nov. 10 study found risk-based Medicare Advantage contracts had little effect on healthcare delivery. The University of Pennsylvania’s Leonard Davis Institute of Health Economics reviewed Medicare Advantage insurer data to better understand the ramifications of moving from fee-for-service to…
Author: Elizabeth Casolo
Mark Cuban, the billionaire entrepreneur behind Cost Plus Drugs, criticized Sen. Bernie Sanders’ Medicare for All Act Nov. 9 on X. The bill, which would establish a nationwide health insurance program, has been a longtime agenda item for Mr. Sanders,…
Six Democratic House representatives introduced legislation this month to stop the upcoming Medicare prior authorization pilot, the Wasteful and Inappropriate Service Reduction model. WISeR would implement prior authorization for some services under traditional Medicare across six states starting next year.…
Over the next several months, health plans, health systems, policymakers and patients led by Baltimore-based Johns Hopkins will begin addressing prior authorization as part of a convening group. While the group is meeting for the first time today, it will…
UnitedHealthcare will not cover remote physiologic monitoring when it is “unproven and not medically necessary,” including for Type 2 diabetes and most cases of hypertension. However, it will still cover monitoring for heart failure and hypertensive disorders of pregnancy, according…
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Use of a grocery card benefit by Medicare Advantage dual-eligible enrollees correlated to increased office visits, according to an October study from the Elevance Health Public Policy Institute. “If you’re not as concerned about procuring food … you have more…
Baltimore-based Johns Hopkins is convening with health plans, health systems, policymakers and patients to further high-value care, according to a document shared with Becker’s on Nov. 7. “The purpose of this convening proposal is to create sustainable improvements in healthcare…
The Blue Cross and Blue Shield Association filed a lawsuit against Medical Lien Pros Nov. 5, alleging the company improperly registered the name “Anthem Blue Cross and Blue Shield.” Community Insurance Co., a plaintiff in the case, does business in…
North Carolina Insurance Commissioner Mike Causey, the North Carolina Chamber and Blue Cross NC shared the state’s new multiple employer welfare arrangement during a Nov. 4 news conference. The initiative, called Carolina HealthWorks, will be available to members of the…
Brewer, Maine-based Northern Light Health and Anthem Blue Cross and Blue Shield in Maine have established a multi-year agreement to extend coverage for members, according to a Nov. 5 news release shared with Becker’s. The arrangement keeps Anthem members in…