Latest Headlines

Latest Headlines

Will there actually be any takers on the HHS plan to speed up value-based payments?

The U.S. Department of Health and Human Services' announcement yesterday that it plans to more aggressively sync provider payments with the quality of care they provide is a bold and overdue...

Provider, payer communities react to HHS value-based payment initiative

Reaction was mixed to Monday's news that the U.S. Department of Health and Human Services intends to aggressively shift Medicare provider payments from a fee-for-service model to a system based more on quality and improved patient outcomes.

CBO: Healthcare to drive spending increases over next decade

Healthcare expenditures will contribute to an increase in federal spending over the next few years, according to a new report from the Congressional Budget Office.

Feds speed plans for value-based payments

The U.S. Department of Health and Human Services on Monday said it would fundamentally reform how it pays providers for treating Medicare patients in the coming years.

Increased Medicaid payments increases appointment availability

Increasing Medicaid reimbursements for primary care in turn raised payments to Medicare levels in both 2013 and 2014.

IDC: Payers need to better understand the overall consumer population

The success of certain areas in the health insurance industry--namely, the individual insurance exchange, Medicaid, Medicare and dual eligibles--depends on payers' ability to better understand the overall consumer population.

Medicare to start paying doctors to administer better care

Medicare will now issue a monthly fee to primary care doctors with the intention to provide better care to seniors who need it most.

Study: Most Medicare Advantage members come from Medicare

Medicare Advantage is an increasingly popular choice among eligible consumers--including those who are already enrolled in traditional Medicare. In fact, at least half of new Medicare Advantage enrollees switched from Medicare each year.

Insurers hesitant to cover costly anti-obesity drugs

Many insurers are reluctant to cover weight-loss drugs--and the reason why has changed.

Medicare Advantage plans could lose members to feds

If Medicare Advantage plans drop significant amount of providers from their networks, their affected members can leave those plans and enroll instead in traditional Medicare.