What Payers Need to Know About 2020 Medicaid Managed Care Changes01 Dec 2020
The changes do not overhaul Medicaid managed care, but the alterations to network adequacy, beneficiary protection, quality measures, and payment... Continue Reading
|
CMS Releases Proposed Regulations for 2022 ACA Insurance Exchange Issuers, Including Lower User Fees01 Dec 2020
The Trump administration proposed lowering the user fee for Affordable Care Act (ACA) insurers from 3% to 2.25% of the... Continue Reading
|
Blue Cross Blue Shield Develops Effective Patient Matching Algorithm01 Dec 2020
The Blue Cross Blue Shield Association created a unique number for its members to boost patient matching and interoperability across... Continue Reading
|
Health Care Fraud Trial: Doctor Acquitted on 7 of 8 Counts25 Nov 2020
A Mississippi doctor has been acquitted on seven of eight counts against him in what prosecutors said was about $18... Continue Reading
|
Employers Start Sending Workers Shopping for Health Coverage25 Nov 2020
Instead of offering one or more options, some companies are turning health insurance shopping over to employees. A federal rule... Continue Reading
|
What the New Rebate Rule Means for Medicare Part D Plans, MCOs25 Nov 2020
The finalized rebate rule would prevent pharmacy benefits managers and Medicare Part D plans from receiving pharmaceutical manufacturers’ rebates except... Continue Reading
|
Mona Siddiqui SVP of Humana Named US Chief Data Officer of the Year 2020 by CDO Club25 Nov 2020
Mona Siddiqui, Senior Vice President at Humana, was recognized today as the U.S. Chief Data Officer of the Year 2020... Continue Reading
|
Amazon Shakes Health Space with Pharma Move; MetLife Rises Amid P&C Deal Talks25 Nov 2020
Shares of pharmacy companies and health insurers came under pressure this week after Amazon.com Inc. announced it is launching an... Continue Reading
|
Cigna CEO, Board Sued for ‘Black Ops’ Effort to Kill Anthem Deal25 Nov 2020
Cigna Corp.’s chief executive officer and board used “black-ops style” tactics in a covert campaign to “blow up” a $48... Continue Reading
|
Anthem Inc. Names Blair Todt Executive Vice President, Chief Legal Officer25 Nov 2020
Anthem, Inc. (NYSE: ANTM) announced today Blair Todt has been named executive vice president and chief legal officer, effective November... Continue Reading
|
BCBS of Kansas ACO Lowered Inpatient Admissions 13%25 Nov 2020
A physician-led ACO that collaborates with Blue Cross and Blue Shield of Kansas recorded lower inpatient admissions in 2019, among... Continue Reading
|
Unitedhealth has New Chief Legal Officer: 3 Things to Know25 Nov 2020
UnitedHealth named Matthew Friedrich its executive vice president and chief legal officer, the healthcare company said Nov. 20. Three things... Continue Reading
|