Permanent ACA Subsidy Can Lead to Uninsurance Drop
CMS extends the deadline for interested applicants to apply to Primary Care First Model Cohort 2 for both payer applications and practice applications.
Healthcare Payers
Primary Care First Model Application Deadline Extended
CMS extends the deadline for interested applicants to apply to Primary Care First Model Cohort 2 for both payer applications and practice applications.
Shift to Value-Based Care Highlighted in National Alliance Purchaser Survey
The National Alliance of Healthcare Purchaser Coalitions recently released the results of their survey “Pulse of the Purchaser 2021-2023 Directions in Workforce, Benefits, Health Equity,” completed by 151 employers and purchasers nationwide.
HHS to Spend $50 Million Promoting Special Enrollment Period
Health and Human Services announced an additional $50 million in advertising to enhance the Special Enrollment Period campaign.
Enrollment Opened for NC Medicaid Managed Care
The North Carolina Department of Health and Human Services (NCDHHS) opened enrollment for NC Medicaid Managed Care.
3 Tips for Cutting Payer and Employer Gene Therapy Healthcare Expenses
CVS Health’s Health Trends Report 2021 highlighted three ways to cover high-cost gene therapies.
Percent of Children in Medicaid Managed Plans Increases to 94%
Nationwide, the children under 21 enrolled in Medicaid crew to 40.5 million in 2017 from just 23.5 million in 2000.
Humana and Mercy Join Forced to Expand Access to Virtual Value-Based Care
Mercy and Humana recently announced that they are going to partner to offer their Medicare Advantage patients access to the telehealth center at Mercy. They will also be implementing a new VBP model for reimbursement.
Medicare Spend Increases on Opioids and Antibiotics While Low-Value Care Spending Decreases
A new study by the RAND Corporation found that low-value care spending dropped from 2014 to 2018 for Medicare recipients.
Payers Can Improve Care Management to Improve ROI
McKinsey & Company (McKinsey) recently released a report looking at the untapped potential of payer care management. McKinsey listed four actions for payers to take in order to achieve a broader vision for care management and improve ROI.