Primary Care First Model Application Deadline Extended
CMS extends the deadline for interested applicants to apply to Primary Care First Model Cohort 2 for both payer applications and practice applications.
Healthcare Payers
CMS Releases 2021 Marketplace Special Enrollment Period Report
The Centers for Medicare & Medicaid Services report that over 525,000 Americans signed up for health insurance from the start of the 2021 Marketplace Special Enrollment Period through March 31, 2021.
HHS to Spend $50 Million Promoting Special Enrollment Period
Health and Human Services announced an additional $50 million in advertising to enhance the Special Enrollment Period campaign.
Enrollment Opened for NC Medicaid Managed Care
The North Carolina Department of Health and Human Services (NCDHHS) opened enrollment for NC Medicaid Managed Care.
3 Tips for Cutting Payer and Employer Gene Therapy Healthcare Expenses
CVS Health’s Health Trends Report 2021 highlighted three ways to cover high-cost gene therapies.
Percent of Children in Medicaid Managed Plans Increases to 94%
Nationwide, the children under 21 enrolled in Medicaid crew to 40.5 million in 2017 from just 23.5 million in 2000.
Humana and Mercy Join Forced to Expand Access to Virtual Value-Based Care
Mercy and Humana recently announced that they are going to partner to offer their Medicare Advantage patients access to the telehealth center at Mercy. They will also be implementing a new VBP model for reimbursement.
Payers Can Improve Care Management to Improve ROI
McKinsey & Company (McKinsey) recently released a report looking at the untapped potential of payer care management. McKinsey listed four actions for payers to take in order to achieve a broader vision for care management and improve ROI.
Blue Cross NC Launches Patient-Centered Kidney Care Value-Based Care Model
Blue Cross Blue Shield of North Carolina announced a new value-based care program designed to improve health outcomes for members with kidney disease. They aim to do this through patient-centered care.
Medicaid Challenges and Potential Reforms
At the 2021 AcademyHealth National Health Policy Conference, a panel was led by Rebekah Gee, MD, MPH with a look at the challenges that Medicaid faces