Payer

Better Solutions for Healthcare is adding AHIP, the Blue Cross Blue Shield Association and employer groups to its ranks as it takes its efforts to Washington. 

Seven of the 10 drugs most likely to be selected for Medicare price negotiation were rated as having low clinical value by health technology assessment organizations outside the U.S., a study published in JAMA found. 

As the ACA marks its 10th year of operation, customer access to new insurers and individual plans continues to grow nationwide, according to an April 11 report from McKinsey and Co.

CMS has approved Illinois' proposal to expand Medicaid payments for school-based healthcare services. 

More than 14 million people could lose their dental coverage as Medicaid redeterminations begin, according to data from the CareQuest Institute for Oral Health. 

Reduced Medicare and Medicaid payments are having more physicians considering reducing those patient bases, according to Medscape's "Physician Compensation Report" for 2023.  

CMS is allowing states to apply for new waivers that will allow their Medicaid programs to cover services to assist inmates prior to their exit from carceral facilities.

Many ACA individual plan members incur same-day costs for preventive services, a study in Health Affairs found. 

UnitedHealthcare's Medicare Advantage numbers keep growing, and CMS issued new regulations to simplify prior authorizations and crack down on misleading marketing in the program. 

In a recent survey of consumers, 66 percent of participants indicated that access to more accurate provider information would increase their trust in their health plan.