Jeff Lagasse
Pressure from industry groups caused the insurer to balk, though the policy is still slated to take effect when the pandemic ends.
The AHA said retroactive denial of coverage for emergency-level care would put patients' health in jeopardy.
Medicare is incentivizing providers and will pay an additional $35 per dose for vaccine administration in a beneficiary’s home.
The return of deferred care will increase utilization and health spending, as will investment in new technologies.
The company will enter into a value-based contract with Cigna and an initiative with CVS Health based on screening and education.
The policy is an attempt to curb healthcare costs, but some providers are worried it could lead to lower reimbursement.
The groups said the move is imperative to ensure health costs are captured adequately and premiums remain stable.
According to CMS, it's the largest funding allocation the agency has made available for navigator grants to date.
The organizations said their respective communities and stakeholders would be better served independently.
Quality care, affordable coverage and collaboration with insurers are among the new tenets of the organization’s mission statement.