States Look To Drugs, Provider Reimbursements To Reduce Medicaid CostsKate Fiore
Healthcare payers are redefining their role in care delivery through provider ownership, technology, and provider enablement to deliver higher-value care to members. Audio (9 pages) As the care-delivery landscape in the United States evolves in a COVID-19 era, both incumbe...
The Centers for Medicare & Medicaid Services (CMS) and other payers are pushing provider organizations to assume greaterfinancial riskunder value-based care models. By shifting risk to providers, industry leaders aim to significantly reduce costs while improving care quality, patient satisfac...
Under the law, the person performing the abortion could face a felony prosecution punishable by up to five years in prison. In cases of rape or incest, the law requires pregnant women to file a police report and provide a copy of the report to the provider prior to an abortion. If the...
As the Public Health Emergency (PHE) draws closer, protecting Medicaid member growth is top of mind. Most new Medicaid members are low-risk but have never gone through a redetermination cycle. Microsoft and PartnerSagitecdiscuss the Medicaid churn and how to: ...
Relief also came when the Centers for Medicare & Medicaid (CMS) temporarily removed some regulatory burdens.And then, in an unexpected move just before Halloween, CMS released bid rates for off-the-shelf back and knee braces—and announced that the other 13 categories of products in the ...