Should CVS Health Break Up?
CVS Health is reportedly exploring a breakup. But some experts aren’t sure if this is a good idea. The post Should CVS Health Break Up? appeared first on MedCity News.
Read More
Aetna Exec: Payers Need to Stop Making Behavioral Health Providers Jump Through Hoops In Order to Participate in Value-Based Care
Value-based care contracting is especially difficult for behavioral health providers, Taft Parsons III, chief psychiatric officer at CVS Health/Aetna, pointed out during a conference this week. The post Aetna Exec: Payers Need to Stop Making Behavioral Health Providers Jump Through Hoops In Order to Participate in Value-Based Care appeared first on MedCity News.
Political Risks in ACA Subsidy Debate Spark Blame Game, Test Parties’ Resolve
A clash over the Affordable Care Act that has led to a shutdown of the federal government has ramifications for public health as agencies cease some services. The Trump administration vows mass layoffs during the impasse. The shutdown centered largely on a disagreement over the Obama-era health law. Democrats want a further extension of enhanced…
In Oral Arguments, Supreme Court Seems to Side with ACA Preventive Care Rule
Legal case involves major implications for health insurance coverage nationwide
HealthCare.gov Insurers Denied Nearly 1 in 5 In-Network Claims in 2023, but Information About Reasons is Limited in Public Data
HealthCare.gov insurers denied nearly one out of every five claims (19%) submitted for in-network services and an even larger share (37%) share of claims for out-of-network services in 2023, a new KFF analysis finds. The analysis examines the main source of publicly available data on claims denials and appeals for individual-market plans available through the…More
How Narrow or Broad Are ACA Marketplace Physician Networks?
This report examines the share of doctors participating in the provider networks of Qualified Health Plans (QHPs) offered in the individual market in the federal and state Marketplaces in 2021, and how network breadth affected costs for enrollees.
Can Medical Schools Funnel More Doctors Into the Primary Care Pipeline?
Throughout her childhood, Julia Lo Cascio dreamed of becoming a pediatrician. So, when applying to medical school, she was thrilled to discover a new, small school founded specifically to train primary care doctors: NYU Grossman Long Island School of Medicine. Now in her final year at the Mineola, New York, school, Lo Cascio remains committed…
Montana Looks To Fast-Track Medicaid Access for Older Applicants
Montana lawmakers are looking to fast-track Medicaid coverage for older adults who need help with daily life. LISTEN here: Montana is looking to fast-track Medicaid access for older adults who need help to stay in their homes or towns. Medicaid, the joint federal-state health care program for low-income Americans, opens the door to services such…
Rural Healthcare Transformation Has to Focus on the Real World, Not Techno-Fantasies
Rural health organizations cannot afford to get dazzled by AI demo candy. There is no such thing as “FixHealthcareGPT,” and investing in the wrong technology for the future isn’t going to do anything to improve patient outcomes today. The post Rural Healthcare Transformation Has to Focus on the Real World, Not Techno-Fantasies appeared first on…
Medicaid Health Plans Step Up Outreach Efforts Ahead of GOP Changes
ORANGE, Calif. — Carmen Basu, bundled in a red jacket and woolly scarf, stood outside the headquarters of her local health plan one morning after picking up free groceries. She had brought her husband, teenage son, and 79-year-old mother-in-law to help. They grabbed canned food, fruit and vegetables, and a grocery store gift card. And…