by Jessica Casebolt | Apr 24, 2023 | Payers, Tea Leaves
Reps. Adrian Smith and Debbie Dingell introduced a new bill that would attempt to lower Medicare spending by moving more hospital care into the home. The legislation would create a new Medicare benefit allowing certain beneficiaries not eligible for Medicaid to have a...
by Jessica Casebolt | Apr 21, 2023 | Payers, Tea Leaves
Express Scripts will increase reimbursement for independent rural pharmacies, whose ranks havecontinued to dwindle over the past decade. Express Scripts, the pharmacy benefit manager of insurer Cigna, plans to pay more to rural pharmacies that aren’t affiliated with a...
by Jessica Casebolt | Apr 17, 2023 | Payers, Tea Leaves
Humana will invest $40 million in expanding affordable housing options, the company said Thursday. The new funding will bring Humana’s total investment in affordable housing to $90 million. The investments aim to address shortages of low-cost housing units in...
by Jessica Casebolt | Apr 6, 2023 | Payers, Tea Leaves
Medicaid covers one-fifth of Americans who seek behavioral health services, but what the program pays psychiatrists varies widely across the country, according to a new study. Additionally, psychiatrists received 81 percent of the pay that they’d get from Medicare for...
by Jessica Casebolt | Apr 4, 2023 | Payers, Tea Leaves
A Modern Healthcare article discusses the value of community health workers (CHW) and the critical role they may play in helping 15 million individuals sign up for other coverage when Medicaid redeterminations restart for the first time in two-and-a-half years. A...
by Jessica Casebolt | Apr 3, 2023 | Payers, Tea Leaves
The Centers for Medicare and Medicaid Services (CMS) announced Friday that it will phase in controversial changes to the Medicare Advantage risk adjustment model over three years. The Biden administration wasn’t persuaded by the insurance industry and other health...
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