Earlier this week, a prominent health economist offered what he called “simple way” to reduce the risk of more insurers leaping off the Obamacare exchange ship: “Make the Obamacare exchange one big marketplace for everyone buying individual health insurance coverage."
Michelle Obama during her nearly eight years in the White House succeeded in changing the national conversation about diet and exercise, and gave a major boost to transparency about the foods we eat.
Not-for-profit co-ops and other small health plans have been the leading critics of risk adjustment. Now, Aetna is right behind them.
Speakers such as Dr. Karen DeSalvo, HHS' acting assistant secretary of health, will discuss how innovative care models such as patient-centered medical homes will drive which types of healthcare professionals are most needed to serve the clinics' low-income patients.
Kaiser Permanente, the $61 billion system that includes health plans, hospitals and medical groups, is “absolutely” sticking with the exchanges over the long term, Kaiser CEO Bernard Tyson told Modern Healthcare last week.
Aetna's startling withdrawal from many Affordable Care Act exchanges has accelerated the search for ways to preserve competition in those markets.
The CMS is probing whether providers and organizations are steering Medicare- or Medicaid-eligible patients toward the Affordable Care Act's insurance exchanges to receive higher reimbursement rates.
The startling withdrawal of Aetna from many Affordable Care Act exchanges has accelerated the search for ways to preserve competition in those markets, such as making participation a condition for Medicaid contracts or a concession for proceeding with proposed mergers.
For a successful outcome in the healthcare industry's digital transformation, understand the main factors motivating innovation.
The five-star system as launched underdelivers for consumers and imperils hospitals' journey to improve value for patients.
In a recent report to Congress, the CMS said the cost of Medicaid expansion through the Affordable Care Act was $6,366 per person covered for 2015, about 49% higher than previously estimated.
The Treasury Department's and HHS' rules governing Section 1332 waiver approvals may dissuade states from applying for the program, according to a government watchdog report.