Reimbursement
Sixty-two percent in the survey said their healthcare costs either increased or stayed the same when compared to their previous plan.
Medicare Advantage takes on capitated risk, so why don't these plans qualify as an advanced alternative payment model?
Blue Shield of California, already under scrutiny from the Department of Managed Health Care, is on the hook for almost $25 million this year to enrollees and the employers that cover them and their dependents.
The agency is also adding a three-item care transition dimension to the HCAHPS survey in 2018.
Insurers including Cigna and Aetna will not pay licensed agents and brokers a commission for helping people enroll in individual health insurance coverage for 2017 in many states.
Home health agencies that do not submit quality measure data to CMS will see a 2 percent reduction in their annual payment.
The partnership builds upon the success of Aetna and Banner's five-year accountable care organization relationship formed in 2011.
Facilities that do not meet total performance scores will see up to a 2 percent reduction in the quality incentive program.
Premium assistance programs have come under fire from insurers.
Patient factors must weigh equally under Hospital Readmissions Reduction Program to avoid crippling penalties for safety-net facilities, study says.