Enrollment Opened for NC Medicaid Managed Care
The North Carolina Department of Health and Human Services (NCDHHS) opened enrollment for NC Medicaid Managed Care.
Healthcare Payers
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
Humana to Start Serving Medicaid Managed Care and Dual Eligible Residents in South Carolina
The South Carolina Department of Health and Human Services (SCDHHS) recently added Humana Inc. to its Healthy Connections Medicaid program and its Healthy Connections Prime program.
Home Care Becoming Key Investment Area
BDO, an accounting, tax, financial advisory, and consulting organization based in Chicago, recently released the results of their 2021 Healthcare CFO Outlook Survey. This survey includes responses regarding the health care industry outlook from 100 CFO.
Study Finds Better Outcomes for Medicare Advantage Beneficiaries than Traditional FFS Medicare
Among others, the study found that there were better outcomes in MA than FFS for all populations analyzed in 17 of 22 clinical quality of care measures.
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