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ASCO proposes reformed pay model for cancer care

By Sabriya Rice  |  May 23, 2015

Oncologists have proposed a new payment model for cancer care using consolidated billing codes, bundled payments and care-management fees, which they hope will improve quality of care and reduce costs.

UnitedHealthcare pilot to curb lab costs draws protest

UnitedHealthcare pilot to curb lab costs draws protest

By David Royse  |  May 02, 2015

A UnitedHealthcare pilot to control rising clinical laboratory costs in Florida has sparked an uprising among physicians and lab companies who say the program is burdensome and unfairly limits competition.

Despite rate complaints, Advantage plans continue to grow

Despite rate complaints, Advantage plans continue to grow

By Bob Herman  |  April 11, 2015

Medicare Advantage insurers last week learned the CMS will boost payment rates for 2016 by the highest amount since the ACA was enacted. Insurers have complained bitterly about the yearly rate uncertainty, but Advantage enrollment has grown by about 8% annually since 2010. What gives?

Mothers' helpers: Providers, insurers use home visits to reduce infant mortality

Mothers' helpers: Providers, insurers use home visits to reduce infant mortality

By Steven Ross Johnson  |  March 14, 2015

The Women-Inspired Neighborhood (WIN) Network, a Detroit-area collaboration between four regional health systems, partners systems with community organizations and local health departments to offer a comprehensive approach to addressing clinical and social factors associated with infant mortality.

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