The American Medical Association, American Hospital Association, AHIP and other healthcare organizations penned a letter May 3 to congressional leaders urging the permanent expansion of premium tax credits offered under the Affordable Care Act, which are set to expire at…
Payer
Payers have spent a decade transitioning toward value-based care plans in an effort to improve outcomes and costs for members. But plans that advance quality over quantity have done little to address health inequities, according to Josh Liao, MD, an…
Connecticut lawmakers passed a bill May 3 that expands Medicaid eligibility to children 12 and under whose parents meet the income criteria, regardless of immigration status, according to the Connecticut Mirror.
ACA premium subsidies included with federal COVID-19 relief are particularly beneficial to those living in rural areas, according to a May 3 report from the Urban Institute.
From the University of Mississippi Medical Center and UnitedHealthcare reaching a multiyear agreement, to a Maine physician group dropping Anthem, here are five recent contract disputes and agreements involving payers:
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Bright Health Group reported massive enrollment growth across its commercial, Medicare Advantage and value-based lines, but recorded a net loss of more than $180 million in the quarter ending March 31, according to its first-quarter earnings report released May 4.
Payers and pharmacy benefit managers say specialty drugs now account for 50 percent or more of the total prescription spending they manage, Forbes reported May 3.
With an estimated 65 million Americans covered under value-based care plans by 2025, payers are making big investments in care delivery models that focus on quality over quantity. From partnerships with providers to billion-dollar purchases of home care services, these…
Bingham Farms, Mich.-based United Physicians and Agilon Health have entered a long-term partnership to transition United's primary care delivery system for Medicare Advantage patients to a full-risk value-based care model.
Portland, Maine-based Fore River Urology is terminating its contract with Anthem, Maine Public Radio reported May 2.