Reimbursement
An interventionist approach from the government may not work as intended; market competition and systemic reform will be paramount.
The Justices denied a motion by Democratic-led states and supported by insurers and hospitals to review an appeals court decision this term.
UnitedHealthcare reported its strongest enrollment ever for Medicare Advantage plans in 2020.
Staffing shortages, regulatory burden and reimbursement, and patient expectations on cost, quality and convenience top priorities.
Thailand's insurance industry is moving from payer to partner and from fee-based to value-based healthcare, says Dr. Mark Sundrakes, SVP and medical director at Krungthai-AXA Life Insurance PCL.
About 5% of patients in the U.S. account for half the nation's healthcare costs; the challenge is to reduce their spending.
The numbers for MSSP participation starting this month are an important measure of ACO willingness to take downside risk.
For capitalism to continue in healthcare, negotiations need to continue behind closed doors, one expert said.
Risk scores will be calculated using 75% encounter data, an increase of 25% over this year.
Online reviews matter about as much as what an older person hears from family and friends through word of mouth.