In February, CMS released a final report on its Accountable Health Communities model, which launched in 2017 and ran until 2023. The model focused on addressing “upstream drivers of health,” or social ...
Anthem Blue Cross of California is holding off on its evaluation and management claim downcoding policy until March 1, pending California Department of Managed Health Care review, according to a Feb.
EmblemHealth is partnering with Mae Health, a digital platform that connects expectant mothers to culturally responsive doulas, according to a Feb. 24 news release shared with Becker’s. The ...
CMS is moving forward with the next phase of its national directory of Medicare providers, according to Feb. 18 document. The document outlines plans to “beta launch” the directory of providers, ...
Humana’s healthcare services division CenterWell has completed its acquisition of MaxHealth, a Tampa, Fla.-based primary care network focused on adults and seniors, the company said Feb. 13. MaxHealth ...
There’s “a hunger for a different kind of dialogue” when it comes to relations between payers and providers, according to Aetna President Steve Nelson. Mr. Nelson laid out a vision for Aetna that ...
Imagine360’s new chief product officer, Nilima Rajkumar, has concerns with pricing transparency in healthcare, specifically how traditional insurers may go off of hospitals’ chargemasters. “[Insurers] ...
Medicare Advantage now covers about 55% of eligible beneficiaries nationwide — more than 35 million people — but health systems are confronting a question that until recently felt almost taboo: What ...
EmblemHealth will pay $2.5 million after an investigation by the New York attorney general’s office found the insurer violated parity laws and failed to ensure access to mental healthcare services ...
Paul Markovich, president and CEO of Ascendiun, the parent company of Blue Shield of California, is not one to sugarcoat the state of the healthcare system. “I don’t see how you can look at it and say ...
The Indiana Hospital Association is aiming to “expose abusive insurer practices” through its Access Denied campaign, a Feb. 17 news release said. The initiative includes a web portal addressing care ...
UnitedHealth Group Board Chairman and CEO Stephen Hemsley privately invested in healthcare companies that work with UnitedHealth or have competing offerings, The Wall Street Journal reported Feb. 16.
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