Jeff Lagasse
The AHA says the final rule only worsens the problem of "sustained and substantial underpayment" of hospitals.
SimplePay Health is intended to further reduce costs and improve outcomes, company says.
The company says there's opportunity to enhance its value proposition in the realm of virtual care.
MSSP earned shared savings payments totaling $3.1 billion, the highest since the program's inception.
However, health systems didn't fare as well, seeing operating margins drop for a third consecutive month in September.
The revenue is a year-over-year increase from Q3 2023, during which the insurer's revenue capped at about $25.4 billion.
Elevance Health CEO Gail Boudreaux said it will serve as the foundation for subsidiary Carelon's home health business.
Tiered networks, value-based formularies and direct contracting with providers were correlated with lower costs.
Ivor Jallah, 37, pleaded guilty earlier this year and has been sentenced to 120 months in federal prison.
According to the AMA, this has undercut fair payment for out-of-network healthcare services and eliminated market competition.