Do You Have a Medicare Advantage Strategy?
By Trevor DaRinThe business implications are so big it should be a strategic issue, not just a contracting issue.
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The business implications are so big it should be a strategic issue, not just a contracting issue.
MA has grown by a whopping 71% since 2010 and now covers one-third of all Medicare beneficiaries. Sg2 expects this growth to continue, making the program a significant revenue source...
This week: Obesity prevalence continues to rise among US adults; Humana’s new value-based payment program; and CMS proposes a $1 billion raise for PAC providers
This week: AI enhancing colonoscopy, observation care and out-of-pocket costs, Medicare Payment Model results.
This week: CVS Health to buy Aetna, value-based benefit designs and the mortality rate of opioid-driven hospitalizations
This week: Gene editing inside a human body, states ending retroactive coverage for Medicaid and contingency plans for CHIP
This week: Insurer consolidation trends, trends in low-value care, and health care employment projections.
This week: 340B payment cuts, TKA IP-only list removal, site-neutral rate reduction for HOPDs, and finalized MACRA rules for 2018.
This week: Maryland’s online price transparency tool, gender difference in controlled hypertension, and trends in state Medicaid spending.
This week: The end of cost-sharing reduction payments to insurers, the impact of high-deductible health plans on utilization and cost reduction, and increases in US obesity rates
Lookup tool for Advanced APM participants, increase in hospital-acquired Clostridium difficile infection rates following sepsis initiatives, and GAO study on neonatal abstinence syndrome.
Seemingly every week, health care policy is in crisis mode. Last week, health system leaders may have found themselves recovering from policy whiplash, as CMS abruptly proposed to cancel mandatory bundled payment...
This week: Price shopping barriers, uncertainty for CMS mandatory bundles, and cybersecurity
This week : Narrow networks may exclude high quality care, trends in end-of-life care, and growth across alternative payment models.
This week: Impact of ACA, a tool that helps oncology patients, and NY health systems join HIEs
This week : chronic pain management, CBO scores Senate ACA repeal bill, growth of high deductible health plans
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