Medicare & Medicaid
Integration with providers, narrow network ACO models, speaking members' languages and improving patient experience all key to earning, and keeping, an overall 5-star rating.
Hospitals and other providers spend nearly $39 billion a year solely on the administrative activities associated with regulatory compliance, AHA says.
In 25 states starting in 2019, plans will be able to provide Medicare beneficiaries with more choices and lower cost, CMS says.
Since Nov. 1, 2.27 million consumers have enrolled, outpacing the 2.13 million who signed up by Nov. 26, 2016.
A total of 30 rural hospitals are taking part in the budget neutral program that pays higher Medicare rates.
New proposed rule offers insurers more plan flexibility and eases regulations.
Canadians throw shade at the American hodgepodge of plans they hold in high esteem in the ACA's federal Center for Medicare & Medicaid Innovation initiative.
Massachusetts wants the power to negotiate discounts for the drugs it purchases and to exclude drugs with limited treatment value.
Proposed rule would update star rating methodology, save Medicare close to $200 million over 5 years.
More than three-fourths, 77 percent, of Medicare Advantage enrollees remaining in their current plan will have the same or lower premium for 2018, CMS says.