CareOregon is hiring a Director, Value Based Contracting
CareOregon is hiring a Director, Value Based Contracting
Healthcare Payers
California DHCS Issues RFP for Medi-Cal Managed Care Plans, But Some Deals Have Already Been Made
The California Department of Health Care Services (DHCS) released Request for Proposal, for the Medi-Cal Managed Care Plans (MCP) procurement, but some deals have already been worked out.
CMS Announces Medicare Advantage and Part D Proposed Rule for 2023
CMS is issuing a proposed rule to lower out-of-pocket Medicare Part D prescription drug costs and improve consumer protections, and improve health equity in Medicare Advantage (MA) and Part D.
PHI Launches Direct Care Worker Equity Institute
PHI has launched the Direct Care Worker Equity Institute to address the systemic inequities and profound disparities facing direct care workers through various initiatives.
California DHCS Issues RFP for Medi-Cal Managed Care Plan Contracts
The California Department of Health Care Services released a Request for Proposal (RFP) for its commercial Medi-Cal managed care plan (MCP) contracts.
CMS Projects More Beneficiaries Being Served by ACOs in 2022
CMS released data showing that Accountable Care Organizations (ACOs) are serving a growing patient population, according to CMS’ annual summary of the Medicare Shared Savings Program.
Appeals Dropped in Lawsuit Challenging North Carolina’s Medicaid Managed Care Contract Award
On Jan. 19, 2022, the North Carolina Court of Appeals granted a request from two insurance providers to voluntarily dismiss appeals of their suit over contracts awarded for NC Medicaid Managed Care by the North Carolina Department of Health and Human Services.
Humana Announces Medicare Advantage Value-Based Payment Contract in Oregon
Humana partnered with Vancouver Clinic to extend access to value-based primary care to Medicare Advantage members in Oregon
CMS Approves California Advancing and Innovating Medi-Cal (CalAIM) Proposal
Recently, CMS approved the California Advancing and Innovating Medi-Cal (CalAIM) proposal. CalAIM’s launch on January 1, 2022, is part of a commitment to make Medi-Cal more equitable, coordinated, and person-centered.
CMS Funding 1,000 Residency Slots of Hospitals in Rural & Underserved Communities
The Fiscal Year (FY) 2022 Inpatient Prospective Payment System (IPPS) final rule with comment period establishes policies to distribute 1,000 new Medicare-funded physician residency slots to qualifying hospitals