Due to constantly changing technical requirements and demands from the Obama administration, states running their own exchanges want more time to spend their federal dollars, reports PoliticoPro.
I'm a fan of the mom-and-pop store. Even if it means paying a little more for the same product available at a big-box retailer, I would prefer shopping at a small, local store. That's because I tend to receive better customer service at the smaller shops where they personally value my business. And I would allege the same to be true in the healthcare industry.
FierceHealthPayer spoke with Torrie Fields (pictured), Cambia's program director for serious illness and palliative care. She describes the specifics behind Cambia's palliative care program, which began July 1 and is available to its more than 2 million members, and how it helps members have the difficult conversations around end-of-life care.
To learn more about Cambia's palliative care program, which facilitates members' healthcare needs from wellness through completion of life, FierceHealthPayer spoke with Cambia CEO Mark Ganz in an exclusive interview.
As data takes on an increasingly important role in healthcare, insurers need to leverage their data as a strategic asset aligned with business goals, according to Insurance & Technology.
Both payers and providers can reap financial returns from ACO efforts, former Centers for Medicare & Medicaid Services Administrator and current Director of the Health Care Innovation and Value Initiative at the Brookings Institution Mark McClellan, M.D., Ph.D., told AAFP News.
Republicans claim the Obama administration is "masking" Medicare Advatage cuts now to avoid making voters angry in an election year, according to The Hill.
Opinions vary regarding the belief that enrolling young adults may determine reform success. On one hand, experts believe that the number of young adult sign-ups and the male-to-female ratio will determine success. On the other hand, some say that having more young, healthy people purchasing healthcare is not as crucial as people think, according to an opinion piece published by Philly.com.
Thanks to a loophole in the Affordable Care Act regulations, insurers worry customers who purchased plans on the federal marketplace could evade paying their December premiums, reports Vox.
Open enrollment has come and gone but new federal data, obtained by ProPublica, shows the federal exchange saw roughly 1 million insurance transactions since mid-April.
Insurers have paid consumers a total of $9 billion since 2011 under the medical-loss ratio, the U.S. Department of Health and Human Services announced today.
Given the recent surge in pricey prescription drugs, lawmakers are calling for Medicare to offer rebates and negotiate prices to reap significant savings, according to a report released Wednesday by advocacy groups the Medicare Rights Center and Social Security Works.
Given the opposing opinions coming out of two separate court rulings regarding Affordable Care Act subsidies, there's bound to be confusion among consumers interested in signing up for coverage during the next enrollment period.
Although insurers and industry organizations often assert that provider consolidation leads to higher prices, some experts believe the impact is relatively neutral, reported Insurance News Net.
Government investigators have been able to purchase health plans and obtain federal subsidies using fake applicantions, according to findings that will be released today, reports The Washington Post.
Starting this year, all insurers must provide certain essential health benefits as required under the Affordable Care Act. However, business groups are calling for restructured benefits while consumer advocates are pushing to uphold the coverage requirements, Kaiser Health News reported.
Some states may implement health savings accounts (HSA) for their Medicaid programs next year, reports NPR. Michigan and Indiana already allow beneficiaries to use funds supplemented by the state to pay for services and require monthly contributions to their health independence accounts.
One medical clinic may single-handedly transform how primary care is delivered--and insurers could benefit by taking notice. In a post on LinkedIn, Elizabeth Bierbower, president of Humana's employer group segment, wrote about her experience while visiting Iora Health's Freelancers Clinic in Brooklyn, New York.
In only one day, the Obama administration suffered a potentially huge loss followed by a victory regarding the legality of Affordable Care Act subsidies and whether consumers buying coverage through the federal health insurance exchange can receive financial assistance.
A multipayer patient-centered medical home pilot in Pennsylvania led to only limited improvements in quality and failed to reduce unnecessary medical utilization, according to an article published in the Journal of the American Medical Association.