One of the largest roadblocks to "Medicare for All" proposals is the widening gap between government-funded hospital reimbursement and payment from private health insurers, according to The New York Times.
Payer
CMS has released a final rule setting standards for ACA health insurance marketplaces and insurers selling coverage through the health law’s exchanges in 2020.
CMS Administrator Seema Verma said "Medicare for All" proposals are "the biggest threat to the American healthcare system," according to Fox News.
Pittsburgh-based UPMC lost its bid to allow Blue Cross Blue Shield health plans outside of rival Highmark to contract directly with UPMC, according to the Pittsburgh Post-Gazette.
Brentwood, Tenn.-based Duke LifePoint Healthcare and UnitedHealthcare reached an agreement for the health system's employed physicians after a four-month lapse, according to ABC 13 WLOS.
Humana unveiled a national payment model for oncology services for Medicare Advantage and commercial members.
The CEO of UnitedHealth Group spoke in opposition to recent "Medicare for All" proposals during a post-earnings conference call April 16, according to CNBC.
Families with lower incomes spend more on employer-sponsored health insurance premiums and out-of-pocket medical bills than those with higher incomes, according to a healthcare tracker released in partnership with the Peterson Center on Healthcare and the Kaiser Family Foundation.
Commercially insured members who were cared for by providers that shared financial risk with payers saw higher clinical quality and lower costs on average in 2017, according to benchmarking tool Atlas.
The CEO of Community Health Choice in Houston abruptly stepped down April 11, according to the Houston Chronicle.
