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Lab data on the 48 million consumers enrolled in UnitedHealthcare will help insurer reduce risk.
Premiums for benchmark plans are projected to increase by about 15% this year to next, and by about 7% per year between 2019 and 2028.
States with at least 85% of their Medicaid population in managed care could implement nominal payment cuts without ensuring providers will assure access to care.
More than 7 percent of the Medicare budget is spent on managing patients with end-stage renal disease.
Investigator allegedly helped provide patient information, billing codes for use in billing submissions and helped conceal the scheme from other investigators, DOJ says.
Those who saw a physical therapist early had a 28 percent lower probability of having any advanced imaging services.
Hospitals that kept costs the lowest used data to get a full picture of options, did benchmark pricing against peers, and got buy-in from surgical staff on the effort.
Plans may be losing out on millions in missing the 20- to 40-percent of buyers who are not ready to sign up for Medicare at age 65.
When practices merge, duplication and miscommunication can be unhappy side effects that have negative consequences for both finances and clinical quality. Here are missteps to avoid.
The deal signals another move by an insurer to get into the provider business for more integrated care to lower costs.