Wellmark Blue Cross and Blue Shield will start selling health plans on Iowa's exchange during the 2016 open-enrollment period, after sitting out the first two years.
State Medicaid agencies are bracing for hundreds of millions of dollars in new obligations, thanks to a significant increase in Medicare premiums.
North Carolina hospitals and doctors say the state's push to institute Medicaid managed care will reduce services for the poor and shortchange providers despite the legislation giving them the opportunity to bid on the contracts.
More Medicare Advantage plans nabbed top quality marks for their 2016 plans than last year, and other news
More Medicare Advantage plans nabbed top quality marks for their 2016 plans than last year, a sign that private insurers are trying to meet the federal government's standards for high-quality products and coordinated healthcare for seniors.
The CMS Innovation Center says the 483 medical practices participating in its Comprehensive Primary Care initiative achieved $24 million in gross Medicare savings, but few saved more than what the government paid them to coordinate patients' care.
Despite the outcry on Capitol Hill over rural hospital closings, the number of critical-access hospitals in the U.S. grew slightly in the past year, according to Modern Healthcare magazine's annual review of CMS data.
The newest movement in healthcare is the quest for “value,” paying for the best outcomes at the best price. Nearly everyone agrees this is a good idea. But our $3 trillion delivery system is not built on ideas, it's built on dollars, most of which still come from fee-for-service. So...
A majority of frail Medicare patients who enter nursing homes in need of rehabilitation therapy now receive higher-paying intensive therapy before they leave, a major shift from just years ago, despite no evidence that such therapy is needed. The shift makes the rehab arena an attractive target for...
Health insurers that sold plans and lost money on the Affordable Care Act's exchanges in 2014 will receive only a portion of the $2.5 billion promised to them as safety-valve payments, a CMS official said last week.
Modern Healthcare recently hosted a webinar that featured a leadership panel willing to share their views on the importance of health IT systems, the challenges associated with implementation and their advice for other accountable care organizations. Here is an edited transcript of that discussion.
Health insurers that sold plans and lost money on the Affordable Care Act's exchanges in 2014 will receive only a portion of their promised safety-valve payments, according to government data released Thursday.
The CMS is launching an experiment to increase medication adherence for Medicare beneficiaries on Part D plans. The goal is to improve patient care, avoid hospitalizations and emergency room visits, and save money for Medicare.