Topics

Fee for Service (FFS)

CMS releases Medicaid scorecard
Jun 08 | Susan Morse
This is the first time state comparisons can be made on quality health measures.
27 percent of health systems plan Medicare Advantage launch
Jun 07 | Jeff Lagasse
Executives say the top reason for launching a Medicare Advantage plan is the…
Blue Cross value-based program cuts costs by 35%
Apr 30 | Jeff Lagasse
As Humana and the AMA this month announced new alternative payment models focusing on patient experience and outcomes, Blue Cross…
CMS releasing Medicare Advantage encounter data
Apr 27 | Susan Morse
The data provides detailed information about services to beneficiaries enrolled in a MA managed plan.
NJ beats Amazon on self-insured health plan
Apr 13 | Susan Morse
The Healthcare Transformation Consortium is also going to use data to lower costs and improve care delivery -- but, while…
Humana buys large Florida physician group
Apr 11 | Susan Morse
The insurer is actively creating a network of high-performing, senior-focused primary care physicians.
Star ratings jump strengthens MA plans
Apr 04 | Susan Morse
MA star ratings improvements can help plans expand their share of an increasingly saturated market.
Maryland experiment falls short of financial goals
Apr 04 | Jeff Lagasse
Paying hospitals a fixed global budget reduced their prices but individual physicians continued to…
Apr 02 | Susan Morse
CMS is also increasing the percent of encounter data in risk scores, a…
Nursing shortage effects can be mitigated
Apr 02 | Jeff Lagasse
Inability to coordinate nurses on the front line with the needs of the hospital is a recipe for creating burnout,…

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