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Reimbursement

By Susan Morse | 11:21 am | January 24, 2019
Also, seven new insurers join America's Health Insurance Plans including Bright Health; CareFirst BlueCross BlueShield.
By Jeff Lagasse | 03:41 pm | January 23, 2019
CMS' renewed interest in mandatory bundled payments includes the possibility of additional participation for oncology and other providers.
By Susan Morse | 11:05 am | January 23, 2019
Arizona is the first state to exempt members of federally-recognized tribes.
By Jeff Lagasse | 03:44 pm | January 22, 2019
Having a high deductible health plan without a health savings account was associated with greater hardship compared with low deductible insurance.
By Susan Morse | 11:32 am | January 22, 2019
CMS also updates Medicare Advantage value-based insurance design, offering more benefits to attract beneficiaries and increase competition.
By Susan Morse | 04:01 pm | January 21, 2019
The Blue Premier model ties total payments to the health systems' ability to manage costs and overall performance, as measured by industry standards.
By Susan Morse | 05:30 pm | January 18, 2019
CVS Caremark, Walmart disagreed over reimbursement rates in the commercial and managed Medicaid pharmacy network.
By Susan Morse | 11:35 am | January 18, 2019
The two main challenges are proving the value of telehealth and promoting practice change.
By Jeff Lagasse | 05:08 pm | January 17, 2019
Investors are more comfortable with healthcare than other sectors because it's less susceptible to fluctuating economic cycles.
By Susan Morse | 12:50 pm | January 16, 2019
The retailer is terminating its deal with its PBM, putting commercial and managed Medicaid beneficiaries out-of-network.