Medicare vs. Medicaid: A Quick Recap and Reference Guide
You likely hear a lot about Medicare, Medicaid, and Medicare Advantage, but do you know what the difference between the programs is?
Healthcare Payers
Next Generation of Ohio Medicaid Managed Care Launches
Ohio’s Next Generation Managed Care program is officially off the ground and running. We take a look at the ins and outs of the program and determine if we think it has the foundation to be successful.
Value-Based Payments Are Crucial to Improving the Value of U.S. Healthcare
The Commonwealth Fund study indicates that while the U.S. excels in certain aspects of healthcare, there is still much work to be done in terms of access, efficiency, and equity. Value-based payments are a potential solution to reducing healthcare costs and improving health outcomes for consumers.
Providers and Health Insurers United on Protest of Proposed Payment Rule
CareFirst BlueCross BlueShield formed a strategic alliance with Aledade, Inc. They will jointly offer independent primary care physicians the tools and resources necessary to help them achieve value-based care goals.
New Value-Based Care Partnership Unveiled by CareFirst BCBS
CareFirst BlueCross BlueShield formed a strategic alliance with Aledade, Inc. They will jointly offer independent primary care physicians the tools and resources necessary to help them achieve value-based care goals.
Value-Based Care Platform Joining CMS Advance Investment Payments (AIP) Incentive Program
Federally qualified health centers (FQHCs) and rural providers participating in ACOs using the Signify Health platform will receive advanced incentive payments when they join the Medicare Shared Savings Program.
Ohio Launches Nest Generation Managed Care Plans
The Ohio Department of Medicaid recently launched its Next Generation managed care plans, following an overhauling process that began in 2019.
New Mexico Human Services Department Cancels Procurement for Medicaid MCOs
The New Mexico Human Services Department announced it will cancel the procurement process for the selection of managed care organizations to deliver services to Medicaid Centennial Care members in the state.
ACA Marketplace Enrollment Increased 18% From 2021
HHA announced that Affordable Care Act Marketplace enrollment continues to outpace previous years, with nearly 11.5 million people selecting a health plan nationwide in 2022.
Aetna to Provide $9.3 Million to Support Behavioral Health of Youth in Foster Care
Aetna’s Medicaid plan in West Virginia has granted $9.3 million to 10 community-based organizations in a bid to support the behavioral health and social care needs for children in foster care.