2021 Affordable Care Act Marketplace Insurer Trends
Health Affairs examined the characteristics of counties that experienced changes in insurers’ participation in the ACA Marketplaces from 2016 to 2021.
Value-Based Payment News
Humana Announces Medicare Advantage Value-Based Care Results for 2020
Humana released a report with details on three key areas of data—prevention, outcomes and utilization, and costs and payments—for Humana individual Medicare Advantage (MA) members seeking care from primary care physicians in value-based agreements.
Biden-Harris Administration Extends Millions in Funding to New York and Minnesota Basic Health Programs
Biden-Harris Administration Extends Hundreds of Millions of Dollars to New York’s Essential Plan and Minnesota’s MinnesotaCare, the states’ Basic Health Programs, through the American Rescue Plan
CMS Issues Final Rule on Home Health Value-Based Purchasing Expansion
The U.S. Centers for Medicare & Medicaid Services (CMS) released the 2022 home health final payment rule on Tuesday, November 2, 2021
New Study Shows Consumers Unfamiliar with Value-Based Care
A new study from emblem health shows that 62% of consumers have never heard the term “value-based care” before, showing the need for increased education and communication
Study Shows Seniors Struggle to Pay for Healthcare
Healthcare costs continue to be a barrier for seniors. In fact, over one in four seniors in America face high out-of-pocket costs and lack emergency funds to pay for healthcare services, according to a MedicareGuide.com survey
CMS Combating Health Disparities With LGBTQ+ Week of Action
June is Pride Month and the Centers for Medicare & Medicaid Services (CMS) is focusing on LGBTQ+ persons and recognize their unique health needs
Home and Community-Based Services Gets Funding Boost from ARP
The American Rescue Plan boosted the federal matching rate (FMAP) for Medicaid home and community-based services (HCBS) by 10 percentage points
Chiquita Brooks-LaSure Confirmed as Next CMS Administrator
Chiquita Brooks-LaSure was confirmed by the Senate as the next CMS Administrator, making her the first Black woman to lead the agency.
HHS Dedicates $4.8B to COVID-19 Testing Reimbursement for Uninsured Individuals
Xavier Becerra, Secretary of the U.S. Department of Health and Human Services (HHS), announced an additional $50 million in advertising to enhance the Special Enrollment Period outreach campaign.