Healthpayerintelligence.com

NCQA Releases Health Plan Performance Ratings with COVID-19 …

WEBBy Kelsey Waddill. September 17, 2021 - The National Committee for Quality Assurance (NCQA) has released its first set of Health Plan Ratings since 2019, …

Actived: 9 days ago

URL: https://www.healthpayerintelligence.com/news/ncqa-releases-health-plan-performance-ratings-with-covid-19-data

The Role of Medicaid Plans in Assuring LGBTQI+ Access to Care

WEBJanuary 20, 2022 - Medicaid plans have a key role to play in improving access to care and health equity for the LGBTQI+ community, according to a report from the Association for …

Category: Health Go Health

Claims Payment Transformation Benefits Payer, Providers, and …

WEBNovember 15, 2021 - Payers, providers, and members are all central to the healthcare experience, working together to create a seamless, coordinated encounter from …

Category: Health Go Health

An Overview of the CMS AHEAD Model for Health Equity …

WEBThe AHEAD model takes the total cost of care model and enacts it across multiple states. CMS will offer support for primary care, hospital global budgets, and …

Category: Health Go Health

Medicaid final rules improve care access for managed care, FFS

WEBThe rules address payment rates, care quality, and home- and community-based services in Medicaid managed care and fee-for-service plans. April 23, 2024 - …

Category: Health Go Health

How CMMI is Addressing Social Determinants of Health, Health …

WEBBy Victoria Bailey. May 31, 2022 - Federal agencies and healthcare stakeholders have a renewed focus on addressing social determinants of health and health-related social …

Category: Health Go Health

Key Regulations and Policies That Will Impact Payers in 2024

WEBMedicare Part B premiums are based on beneficiaries’ incomes, but most will pay $174.70 per month in 2024. The annual deductible will be $240, up from $226 in …

Category: Health Go Health

How Medicare, Medicaid, and CHIP Guide the Health …

WEBOctober 07, 2016 - Medicare, Medicaid, and CHIP, the three major public insurance programs overseen by CMS, often set the tone for the large private health payer …

Category: Health Go Health

Common Utilization Measures That Impact Value-Based Care Efforts

WEBAnd, of course, utilization is closely tied to healthcare spending. This was evident in 2020 when the annual percent change in utilization per person dropped 7.5 …

Category: Course Go Health

Payers Embrace Healthcare IT for Cost Optimization, Member …

WEBDig Deeper. Cost optimization is a top-three strategic goal for 72 percent of payers, with many focused on controlling medical and administrative costs. Payers must …

Category: Medical Go Health

How One Payer Redesigned Wellness Program Rewards Around …

WEBOffering rewards that deliver better value. UnitedHealthcare members can receive anywhere from $300 to $1,000 annually in rewards based on their wellness. This …

Category: Health Go Health

How Public, Private Payers Cover Care for the LGBTQ+ Population

WEBGiven that LGBTQ+ individuals are more likely to have low incomes, Medicaid is a vital source of coverage for this population. Around 1.2 million LGBTQ+ adults were …

Category: Health Go Health

As High-Dollar Claims Come In, Focus on Payment Integrity Is Key

WEBPayers can expect higher dollar claims for COVID-19 care, the industry experts predict. But the overall growth in high-dollar claims is a trend payers should …

Category: Health Go Health

State, Medicaid Coverage For Obesity Treatments Varies Widely

WEBBy Kelsey Waddill. February 17, 2022 - State and Medicaid coverage for obesity treatments is not uniform, despite the epidemic-level impact of the condition and the selection of …

Category: Health Go Health

How Home Health Will Evolve in the Year Ahead

WEBJanuary 17, 2022 - Healthcare is continuing to go home. The trend of moving care from the hospital to the patient’s home began in the 1990s and has been gathering steam ever …

Category: Health Go Health

HealthPayerIntelligence News

WEBBig Premium Drop, More Medicare Advantage Benefits Slated for 2021. September 29, 2020 by Kelsey Waddill. As Medicare Advantage plans prepare to expand their benefits …

Category: Health Go Health

Anthem Announces Finalization of Integra Managed Care …

WEBBy Kelsey Waddill. May 06, 2022 - Anthem has finalized its acquisition of Integra Managed Care, the payer announced. Integra is a managed care company that offers managed …

Category: Health Go Health

Financially Burdened Seniors Struggle to Cover Healthcare Costs

WEBMedicareGuide.com gathered insights about healthcare spending from 1,176 Americans ages 65 and older, across a four-day period in September 2021. The survey …

Category: Health Go Health

UnitedHealth Group lost $1.4B in Q1 2024 following cyberattack

WEBBy Victoria Bailey. April 18, 2024 - UnitedHealth Group experienced a $1.4 billion net loss in the first quarter of 2024, but revenues increased by almost $8 billion …

Category: Health Go Health

Walmart Increases Self-Funded Employer Access to Cost-Effective …

WEBOctober 18, 2021 - Walmart has partnered with a digital platform to provide self-funded employers and their employees with access to cost-effective healthcare. Employers …

Category: Health Go Health

Provider markups on specialty drugs increased commercial …

WEBApril 22, 2024 - Provider markups on specialty drugs increased 2024 commercial health insurance premiums by $13.1 billion, according to research from …

Category: Health Go Health

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