Medicare & Medicaid

Groups with the highest gains in coverage because of Medicaid expansion include non-Hispanic Blacks, young adults and women.

The U.S. Department of Health and Human Services Office of the Inspector General recommends Medicare develop its own source for race and ethnicity data collection in the Medicare population, says Ann Maxwell, HHS-OIG deputy inspector general for evaluations.  

The Global and Professional Direct Contracting Model is now ACO REACH.

Pushing the needle on value-based care will require buy-in from employers, says Susan Dentzer, president and CEO of APG.

This will reach about 1.6 million Medicare-eligible adults, pending regulatory approvals, companies say.

A Kaiser health plan did not make the 5-star list for 2024, but two plans by lesser known Devoted Health did.

This year, 31 plans earned 5 stars, compared to 57 in 2023 and 74 in 2022.

Premiums and deductibles for Part B physician and outpatient care are both increasing next year.

Most of the selected diagnosis codes that Aetna submitted to CMS didn't comply with federal requirements, OIG says.

The company is teaming with Optum, Centene and others in an effort to provide mental health services to 50 million more people.