Author: Rylee Wilson

Accountable care organization savings vary widely, from under 1 percent in some studies, to 6 percent for high performing organizations, according to a report from Health Affairs. 

The American Medical Association and seven other physician groups filed an amicus brief supporting the ACA's preventive care requirements in a case in Texas court challenging the law. 

The Senate Finance Committee wants Medicare Advantage plans to create more accurate provider directories. 

Insurance brokers allege Colorado officials are unfairly promoting the state's new Colorado Option plans, suggesting them to Bright Health and Oscar Health members who need to find a new plan, The Colorado Sun reported Dec. 2. 

Several policy changes will take effect in 2023, including some of the first provisions of the inflation act. Payers are also bracing for the end of the federal public health emergency, which could leave millions of Medicaid enrollees without coverage. 

Half of employers who offer retirees health benefits do so through Medicare Advantage plans, up from 26 percent in 2017, according to a report from Kaiser Family Foundation published Dec. 1. 

Rates of "churn" are high among Medicaid recipients who also qualify for Medicare, mostly due to administrative burdens, an analysis published Nov. 30 by Kaiser Family Foundation found. 

Many local Medicare Advantage markets are largely controlled by one payer, according to the American Medical Association. 

Experts and advocates say Medicare is not adequately covering substance abuse treatment for older adults, Roll Call reported Nov. 30. 

Humana is projecting at least 100,000 more Medicare Advantage members in 2023 than it originally predicted.