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Common ground needed to serve most vulnerable populations, and other letters

Common ground needed to serve most vulnerable populations, and other letters

By Modern Healthcare  |  April 30, 2016

Thank you for the April 25 cover story “Breaking the system,” drawing attention to how state budget battles are preventing numerous citizens from accessing services that are integral to their health and well-being. We've noticed the same trend in instances where healthcare overlaps with...

The striking variation of commercial healthcare prices

By Bob Herman  |  April 27, 2016

One of the most comprehensive, independent studies of commercial healthcare prices shows that employers and insurers that provide private health coverage pay a lot more for services depending on the state where people live.

Data sought to measure move to value-based pay

Data sought to measure move to value-based pay

By Joseph Conn  |  April 23, 2016

The White House’s effort to quantify the nation’s progress on converting to alternative payment models is about to kick off with a gathering of heavy hitters in the healthcare industry.

CMS unveils Primary Care Plus

CMS unveils Primary Care Plus

By Virgil Dickson  |  April 16, 2016

With less than a year to go in the Obama administration's public-private push for better care management among primary-care providers, the CMS has rolled out a souped-up care-delivery model.

Sharing data more quickly, securely

Sharing data more quickly, securely

By Beth Kutscher  |  March 05, 2016

One of the frustrating things about healthcare data is that they live in silos, so the user experience is far from seamless. But that's becoming unacceptable with the growth of high-deductible health plans and the corresponding wave of healthcare consumerism.

Why patients who shop by price aren't going to slow healthcare spending

By Melanie Evans  |  March 02, 2016

Don't expect the market power of price-conscious patients to slow healthcare spending. Patients who sought “shoppable” healthcare—care scheduled in a market with some competition—had out-of-pocket costs that accounted for 7% of all spending for privately insured patients.

McKesson pays $1.2 billion for oncology provider and specialty pharmacy

By Adam Rubenfire  |  February 25, 2016

McKesson announced Thursday that it had acquired two oncology companies to bolster its specialty health segment. The combined transactions were valued at $1.2 billion, and are expected to close in the first quarter of fiscal 2017, pending customary closing conditions.

CMS proposes 1.35% Medicare Advantage rate hike for 2017

By Bob Herman  |  February 20, 2016

Baseline Medicare Advantage payment rates for 2017 will rise by 1.35% on average, an early win for health insurance companies in the final Medicare rate battle of the Obama administration.

CMS proposes 1.35% Medicare Advantage rate hike for 2017

By Bob Herman  |  February 19, 2016

Baseline Medicare Advantage payment rates for 2017 will rise by 1.35% on average, an early win for health insurance companies in what is the final Medicare rate battle of the Obama administration.

CMS may overhaul enrollment process, could include questions about sexual orientation

By Virgil Dickson  |  February 08, 2016

As the CMS seeks to simplify the application process for exchange plans and Medicaid, payers want to make it harder for individuals to sign up after open enrollment ends. Meanwhile, advocates and providers want to reduce barriers and have the CMS learn more about who is signing up, including their...

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