by Jordana Choucair | Apr 1, 2022 | Payers
A new survey conducted by Fidelity and the Business Group on Health revealed that employers are evolving their wellness offerings in a post-pandemic workspace. According to the survey, 83 percent of 166 jumbo, large, and midsized employers surveyed expect wellbeing to...
by Jordana Choucair | Mar 29, 2022 | Payers
The Centers for Medicare and Medicaid Services (CMS) Office of the Actuary released its Projections of National Health Expenditures report, indicating that health care prices are expected to rise this year. The report predicts that prices will rise by 3.6 percent in...
by Jordana Choucair | Mar 28, 2022 | Payers
The Florida State Agency for Health Care Administration suspended Medicaid and long-term care enrollment in Sunshine State Health Plan, a Centene subsidiary, after a computer glitch led the plan to mistakenly deny medical claims for more than 121,100 lower-income...
by Jordana Choucair | Mar 18, 2022 | Payers
A new Humana study found that value-based care can drive down acute care episodes among Medicare Advantage (MA) beneficiaries. According to the research, MA members treated by doctors in advanced value-based care models had 5.6 percent fewer hospitalizations and 13.4...
by Jordana Choucair | Mar 17, 2022 | Payers
CMS released states’ final disproportionate share hospital (DSH) allotments for fiscal years 2018 and 2019 and preliminary allotments for fiscal years 2020 and 2021. According to the notice, CMS provided $12.3 billion in DSH payments to states in 2018 and 12.5...
by Jordana Choucair | Mar 17, 2022 | Payers
Blue Cross Blue Shield affiliates and other payers filed a lawsuit against Walgreens for knowingly overcharging payers and customers for prescription drugs. The lawsuit alleges that Walgreens submitted claims with artificially inflated drug prices for more than a...
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