How CMS Reinterpretations Paved Way for MA Supplemental Benefits25 Nov 2020
Calendar year 2021 will be an explosive year for Medicare Advantage supplemental benefits and Milliman researchers say that health plans... Continue Reading
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How Employers, Payers Can Pursue Integrated Health Care Benefits25 Nov 2020
As employers pursue integrated health care benefits, payers can better support their employer partners by being aware of this solution... Continue Reading
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ACA Marketplaces Gain Payers in 2021, Rural Areas Still Struggle25 Nov 2020
Although the Affordable Care Act marketplaces are increasing payer participants overall, rural counties still face challenges in drawing more payer... Continue Reading
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Cigna, Humana lead $37.5M investment in Buoy Health23 Nov 2020
The Boston-based startup developed a symptom checker that can also help navigate users to care in their insurance network. Optum... Continue Reading
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New Aetna Pilot Aims To Improve Medicaid Member Engagement, SDOH23 Nov 2020
Aetna targets better Medicaid member engagement and improved social determinants of health by communicating with members through pharmacists. Aetna’s new... Continue Reading
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Blue Cross Blue Shield Develops Effective Patient Matching Algorithm23 Nov 2020
The Blue Cross Blue Shield Association created a unique number for its members to boost patient matching and interoperability across... Continue Reading
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Cigna, Health First May End Relationship If Agreement Not Reached23 Nov 2020
Rockledge, Fla.-based Health First may no longer be considered an in-network provider for Cigna members if the organizations don’t reach... Continue Reading
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6 Recent Payer-Provider Contract Agreements, Conflicts23 Nov 2020
Here are six recent contract agreements and conflicts between payers and providers: 1. Rockledge, Fla.-based Health First may no longer... Continue Reading
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In 2 Years, Insurers Must Disclose What They Pay for Prescription Drugs23 Nov 2020
Health insurers will have to disclose customers’ estimated out-of-pocket costs for prescription drugs as well as the negotiated prices they... Continue Reading
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Individual Insurance Market Premiums Cover Widely-Used Services23 Nov 2020
Two-thirds of individual health insurance market premiums cover widely used services including inpatient care, outpatient facility costs, and prescription drugs.... Continue Reading
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HHS Finalizes Rules to Nix Part D Rebate Safe Harbor, Tie Part B Prices to Foreign Countries23 Nov 2020
The Trump administration finalized a rule Friday that gets rid of the safe harbor shielding Medicare Part D rebates from... Continue Reading
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Amazon Likely to Gain ‘Major Ground’ on CVS, Walgreens and Other Chains, Analysts say23 Nov 2020
It may not take long for Amazon to catch up to retail pharmacy chains like CVS and Walgreens with the... Continue Reading
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