Medicare Advantage Beneficiaries Report High Satisfaction, Yet Face Financial Challenges
Despite high satisfaction rates, Medicare Advantage beneficiaries are struggling with out-of-pocket costs and barriers to accessing care.
Health Equity
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.
BCBSRI Honors Healthcare Sites for Exceptional LGBTQ-Inclusive Care
Learn how BCBSRI is honoring healthcare sites that emphasize and advocate for LGBTQ-inclusive care, and explore the essential factors that define remarkable service.
NC Medicaid Beneficiaries with Disabilities At Risk if Health Care Providers Don’t Sign With MCOs
NC consumers who use Medicaid and have severe mental illness, substance use disorders or developmental disabilities might have to switch doctors soon if their providers don’t sign contracts with new managed care plans.
Despite New Programs, Major Payers Still Spending Less Than 1% on Income on Social Determinants of Health
A study from the Journal of General Internal Medicine found that the six payers with the largest market shares may have spent on average 0.67% of their income in 2021 on social determinants of health.
Pennsylvania Proposing New Profit-Sharing Agreement With Physical Health MCOs
Governor Tom Wolf announced that Pennsylvania is proposing a new profit-sharing agreement
with its Medical Assistance physical health (PH) managed care organizations (MCOs).
Medicaid Home Health Benefit Supports Children with Complex Medical Conditions
This new optional Medicaid health home benefit helps state Medicaid programs provide Medicaid-eligible children who have medically complex conditions with person-centered care management, care coordination, and patient and family support
CMS Provides Roadmap to Connect Children With Complex Medical Conditions to Necessary Medicaid Services
The U.S. Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (CMS), today unveiled guidance on a new Medicaid health home benefit for children with medically complex conditions.
Delaware Department of Health and Social Services Announces Companies to Operate Medicaid Managed Care Program
The Department of Health and Social Services (DHSS) announced today that it has selected three companies to operate its Medicaid Managed Care Program.
CMS Proposed Physician Payment Role Designed to Expand Access to Quality Care
CMS issued the Calendar Year 2023 Physician Fee Schedule (PFS) proposed rule, which would significantly expand access to behavioral health services, ACOs, cancer screening, and dental care