Business Intelligence
Improving clinical outcomes for people with kidney disease results in lower costs for health plan partners, according to Cricket.
The numbers also reaffirmed the expected individual Medicare Advantage membership growth range of about 425,000 to 475,000 members.
In addition to serving as CEO and dean, Haley was a UF professor of emergency medicine and vice president for health affairs.
DomaniRx is an API-driven claims adjudication platform representing the next generation in PBMs.
Potentially avoidable hospital readmissions cost Medicare approximately $17 billion per year, research shows.
Clover is discontinuing its current co-branding arrangement with Walmart to offer MA plans in Georgia.
While revenues are down year-over-year, they still surpassed Wall Street’s expectations.
People are starting to seek new avenues of care, using 2020 as an opportunity to work on health goals and reexamine priorities.
The pilot incorporates an alternative payment model with an eye toward aligning provider payment to quality and cost efficiency.
The partnership is intended to ensure needs are being met and that community services are being accessed.