The Centers for Medicare and Medicaid Services (CMS) has proposed new standards aimed at enhancing access to quality health care in Medicaid and CHIP, a crucial step towards improved health equity.
A recent study has uncovered inaccuracies in Medicare Advantage provider directories, highlighting the need for improved data management in managed care.
You likely hear a lot about Medicare, Medicaid, and Medicare Advantage, but do you know what the difference between the programs is?
Ohio’s Next Generation Managed Care program is officially off the ground and running. We take a look at the ins and outs of the program and determine if we think it has the foundation to be successful.
CareFirst BlueCross BlueShield formed a strategic alliance with Aledade, Inc. They will jointly offer independent primary care physicians the tools and resources necessary to help them achieve value-based care goals.
In this blog, we will look at some of the recent partnerships that have sprung up in the healthcare world and how these partnerships are helping to improve health outcomes.
A new study shows that Medicare Advantage beneficiaries getting care under value-based payment models, saw lower acute care use than beneficiaries under a fee-for-service model.
Humana partnered with Vancouver Clinic to extend access to value-based primary care to Medicare Advantage members in Oregon
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.
Among others, the study found that there were better outcomes in MA than FFS for all populations analyzed in 17 of 22 clinical quality of care measures.