Reimbursement
Studies show that when consumers must spend a big chunk of their own money on their care, they can cut back by as much as 15 percent.
HHS draft proposals obtained by Politico are aimed at keeping exchange market stable for insurers in 2018.
Oak Street Health operates primary care clinics for Medicare and dual-eligible beneficiaries only through value-based arrangements.
Health Affairs report suggests new HHS leadership should expand state all-payer models, fine-tune accountable care organizations.
Balance billing undermines competition between health plans and particularly harms plans offering narrower network products, authors say.
Aetna has long held a goal to reach 75 to 80 percent of its medical spend in value-based relationships by 2020.
About 3 million were new customers, the federal agency says.
Agency will clear up misconception that beneficiaries are eligible for coverage for physical and occupational therapy and other skilled care only if their health is improving.
Insurer may not agree to Anthem merger deadline extension until court ruling comes out.
Any new health law needs revenue to replace Cadillac tax, ACA taxes on insurers, medical devices, high-income households that paid for expansion.