CMS Projects More Beneficiaries Being Served by ACOs in 2022
CMS released data showing that Accountable Care Organizations (ACOs) are serving a growing patient population, according to CMS’ annual summary of the Medicare Shared Savings Program.
Healthcare Payers
Appeals Dropped in Lawsuit Challenging North Carolina’s Medicaid Managed Care Contract Award
On Jan. 19, 2022, the North Carolina Court of Appeals granted a request from two insurance providers to voluntarily dismiss appeals of their suit over contracts awarded for NC Medicaid Managed Care by the North Carolina Department of Health and Human Services.
Humana Announces Medicare Advantage Value-Based Payment Contract in Oregon
Humana partnered with Vancouver Clinic to extend access to value-based primary care to Medicare Advantage members in Oregon
CMS Approves California Advancing and Innovating Medi-Cal (CalAIM) Proposal
Recently, CMS approved the California Advancing and Innovating Medi-Cal (CalAIM) proposal. CalAIM’s launch on January 1, 2022, is part of a commitment to make Medi-Cal more equitable, coordinated, and person-centered.
CMS Funding 1,000 Residency Slots of Hospitals in Rural & Underserved Communities
The Fiscal Year (FY) 2022 Inpatient Prospective Payment System (IPPS) final rule with comment period establishes policies to distribute 1,000 new Medicare-funded physician residency slots to qualifying hospitals
NY State Of Health Marketplace Announces New ‘Care At Home’ Pilot Program
NY State of Health, the state’s official health plan Marketplace, today announced it has launched a new pilot program called NY State of Health, Care at Home to help New Yorkers shop for safe and reliable home care services
HHS to Help Expand Access and Coverage for High-Quality Maternal Healthcare
As part of Vice President Kamala Harris’s Call to Action to Reduce Maternal Mortality and Morbidity, HHS, through CMS, is taking steps to improve maternal health and support the delivery of equitable, high-quality care for pregnancy and postpartum care
2021 Affordable Care Act Marketplace Insurer Trends
Health Affairs examined the characteristics of counties that experienced changes in insurers’ participation in the ACA Marketplaces from 2016 to 2021.
Humana Announces Medicare Advantage Value-Based Care Results for 2020
Humana released a report with details on three key areas of data—prevention, outcomes and utilization, and costs and payments—for Humana individual Medicare Advantage (MA) members seeking care from primary care physicians in value-based agreements.
Biden-Harris Administration Extends Millions in Funding to New York and Minnesota Basic Health Programs
Biden-Harris Administration Extends Hundreds of Millions of Dollars to New York’s Essential Plan and Minnesota’s MinnesotaCare, the states’ Basic Health Programs, through the American Rescue Plan