CMS is in the process of creating a "universal foundation" of quality measures, setting the stage for the first time the federal government has tracked social determinants of health across all of its healthcare programs.
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Prime Therapeutics appointed Mostafa Kamal as president of the organization.
Nonprofit payer executives are urging CMS to pause its proposed changes to Medicare Advantage to ensure coding updates will not harm dual-eligible MA members.
Anthem's affiliates in Georgia and California are rolling out virtual-first health plans to eligible commercial members.
AHIP is backing an HHS policy that allows insurers not to count copay coupons toward out-of-pocket maximums.
Value-based care isn't yet scaling, but price transparency could bring about widespread value-based competition, Trilliant Health CEO Hal Andrews says.
Blue Cross and Blue Shield of Minnesota is the latest payer cutting back on office space, planning to vacate its headquarters in Eagan, Minn., the StarTribune reported March 24.
Kansas lawmakers are considering legislation backed by the Kansas Hospital Association that would reform the prior authorization process.
After a yearslong bureaucratic battle, New York City officials approved an Aetna Medicare Advantage plan for its retired municipal employees, though the plan could be headed for more court battles.
Two states have now publicly said they are in direct control of Bright Health's financial operations, prompting questions around whether insurance regulators are prepared to protect consumers from startup health plans with uncertain futures.