The No Surprises Act does not apply to ground ambulance providers, subjecting patients to potentially large bills from out-of-network ambulance transportation. »
The Advancing All-Payer Health Equity Approaches and Development Model is the next iteration of the CMS Innovation Center’s global budgeting program.
Health insurance companies, providers and employers are sparring over how much rates need to rise to reflect growing operating costs and a tight labor market.
As the first action of a new partnership, the American Medical Association, AHIP and the National Association of Accountable Care Organizations have teamed up to issue recommendations for data-sharing among value-based care arrangement participants.
As the Centers for Medicare and Medicaid Services seeks to invest more resources in disadvantaged populations, providers are concerned the tool it uses to assess social risk misses the mark.
Drugmakers restricting 340B contract sales could threaten Cigna Group, CVS Health and UnitedHealth Group’s pharmacy benefit managers’ profits.
Payers have taken a cautious approach to handling rising demand for the pricey new class of drugs known as glucagon-like peptide agnostics, or GLP-1s.
In this episode of Healthcare Insider, Kevin Coloton, Founder and Chief Executive Officer of Curation Health, and Dr. Matt Lambert, Chief Medical Officer of Curation Health, share practical tips for providers and payers to be successful in value-based care wherever they are in their journey – whether that be starting a value-based care program from the ground up or how to expand current efforts.
Carbon Health and Anthem Blue Cross of California have been unable to reach a new contract, saddling thousands of patients with higher out-of-pocket costs.
The Centers for Medicare and Medicaid Services also pledged that a regulation setting nursing home staffing minimums is imminent.
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