Reimbursement
AHA is concerned with the underlying data used to determine the DSH payments.
The health plan failed to comply with a corrective action plan and it did not meet additional deadlines to submit the required data, California officials said.
High performing ACOs maintained a high use of primary care services and reduced spending by an average of $673 per beneficiary.
Imaging services can be as safely provided, and cost less, at freestanding facilities, Anthem says.
Anthem-affiliated health plans are limited to seven days for the initial prescription for short-acting opioids.
WellCare will provide Medicaid and Medicare services to Mission Health's six hospitals, other providers.
Ohio's insurance department will work with insurers to finalize the products and rates that will be available in 2018.
"I'm not sure" was the most common response to every question in this year's survey, NueMD said.
Organizations say reducing the reporting burden on clinicians and increasing flexibility is making the broad changes more manageable.
Novartis hasn't announced their final cost but the 'quantum leap' price tag expected has implications for reimbursement and insurance premiums overall.