Value-based care isn't yet scaling, but price transparency could bring about widespread value-based competition, Trilliant Health CEO Hal Andrews says.
Payer
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.
Kentucky Gov. Andy Beshear has vetoed a bill passed by the state's Legislature that would throw out expanded dental, vision and hearing coverage for 900,000 adults on Medicaid, the Louisville Courier-Journal reported March 24.
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Several payers said it will be impossible to meet Colorado's price targets for its Colorado Option program in 2024, The Colorado Sun reported March 24.
Two senators are questioning insurers' claims that proposed Medicare Advantage rates would cut member benefits.
Humana's highest paid employee is President and CEO Bruce Broussard, who had a total compensation of $17.2 million in 2022, according to regulatory documents filed March 8.
Tennessee is the second state to publicly say it has taken control of Bright Health's financial operations.
Reduced Medicare Advantage benchmark payments would likely have a small effect on premiums, cost-sharing and benefits offered by MA plans, a study published March 22 in Health Affairs found.