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Reimbursement

By Henry Powderly | 11:27 am | October 13, 2016
Humana saw enrollment in plans rated four stars or higher fall to 37 percent compared to 71 percent in the prior year's ratings, pushing the company's stock down close to 5 percent in morning trading.
By Susan Morse | 10:28 am | October 13, 2016
The Affordable Care Act provides bonuses to higher quality plans that rate four or five stars on a five-star scale.
By Susan Morse | 11:28 am | October 12, 2016
Insurer also adds remote access technology, at no copay cost, to all Medicare Advantage plans.
By Susan Morse | 12:21 pm | October 11, 2016
Aetna and Humana want to stop the DOJ from calling any CMS employees as witnesses or even introducing any CMS documents into evidence.
By Susan Morse | 10:53 am | October 10, 2016
The new CMS model allows insurers to design specific benefits to enrollees with a combination of chronic conditions.
By Beth Jones Sanborn | 03:36 pm | October 05, 2016
HIMSS supports contracting requirement while the Federation of American Hospitals suggests pushing back the program.
By Susan Morse | 10:57 am | October 05, 2016
The money will allow the Greater Flint Health Coalition to do outreach and enroll uninsured children so families can access available services.
By Susan Morse | 04:15 pm | October 04, 2016
The plan is part of the insurer's goal to increase the number of payments going to providers who practice value-based care from the current 40 percent to 75 percent by 2020.
By Susan Morse | 11:55 am | October 04, 2016
The model will run for five years starting Jan. 1, 2017, in Arizona, Indiana, Iowa, Massachusetts, Oregon, Pennsylvania and Tennessee.
By Jeff Lagasse | 03:41 pm | September 30, 2016
Overall spending grew across the major categories of total healthcare expenditures, including public coverage, commercial coverage and the net cost of private health insurance.