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Work continues toward single-payer system in Vermont
Jan 30, 2013 | Anthony Brino
The Green Mountain Care Board (GMCB) recently outlined its second year of work as it helps guide the state ...
SCOTUS rules in favor of HHS limitations on reimbursement appeals
Jan 24, 2013 | Anthony Brino
The U.S. Supreme Court solidified the federal government's authority to limit Medicare ...
Evolent Health president shares insights on providers launching insurance products
Jan 21, 2013 | Anthony Brino
If hospitals launching health plans strikes some as a sign of traditional health ...
UnitedHealth touts predictive modeling as solution to healthcare fraud and preventable hospitalizations
Jan 16, 2013 | Anthony Brino
In a working paper on modernizing healthcare, UnitedHealth ...
106 ACOs launch in January
Jan 11, 2013 | Anthony Brino
On Jan. 1 2013, 106 new accountable care organizations began participating in the Medicare shared savings program, as federal health ...
Medicare Advantage HMO enrollees appear to use fewer services
Dec 04, 2012 | Anthony Brino
Medicare Advantage (MA) HMO plans may be offering more efficient care than Medicare Part A and B ...
Medicare administrative judges overturn most claims appeals
Nov 19, 2012 | Anthony Brino
More than half of all Medicare claims denial appeals are overturned by administrative law judges ...
Policy researchers rethink Medicare's value proposition, structure
Nov 09, 2012 | Anthony Brino
With Medicare enrollment and spending set to grow in the coming decades, the program needs to ...
Study: Large savings elusive in state dual eligibles demonstrations
Nov 01, 2012 | Anthony Brino
As the federal government evaluates state demonstrations for providing Medicare-Medicaid eligible ...
New prompt pay rules for self-funded insurance plans put AMA, AHIP at odds
Oct 22, 2012 | Anthony Brino
America's Health Insurance Plans (AHIP) is fighting to prevent new prompt pay rules ...

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