4+ day, 2+ hour ago   (1387+ words) The CMS released draft star ratings, including the thresholds for reaching those ratings, to plans earlier this week. The grading sheet got stricter, which doesn’t bode well for insurers. Medicare Advantage insurers could see their star ratings fall next year…...

6+ day, 3+ hour ago   (284+ words) No assets are changing hands as a result of the deal, which is expected to close this October with Cambia assuming control of the Arkansas Blue plan’s operations. Arkansas Blue Cross — the largest insurer in the Natural State, serving members…...

6+ day, 3+ hour ago   (242+ words) The contract lapse comes as the health system and cancer institute are winding down a decades-old partnership. Mass General Brigham Health Plan has announced that it’s eliminating the Dana-Farber Cancer Institute from its Medicare Advantage network Oct. 1. The insurer said…...

6+ day, 8+ hour ago   (495+ words) For years, improving Star Ratings often meant adding another quality initiative. Another outreach campaign. Another worklist. Another process designed to improve a specific measure. Today, many Medicare Advantage plans are taking a different approach. Rather than managing quality measure by…...

1+ week, 5+ day ago   (599+ words) The codes span a broad range of services across multiple specialties, including oncology and cardiology, orthopedic and musculoskeletal procedures and genetic and lab testing. Providers generally loathe prior authorization, a controversial process requiring them to get an insurer’s OK before…...

2+ week, 5+ day ago   (1334+ words) Employers are expecting a median 9.2% increase in medical spending next year, according to a new survey. But they’ve underestimated actual cost growth for the past three years. Healthcare spending isn’t just skyrocketing for U.S. companies. It’s also getting more…...

2+ week, 5+ day ago   (11+ words) Healthcare Dive...

3+ week, 5+ day ago   (1078+ words) The health system closed its $835 million acquisition of the virtual therapy provider on Monday. Healthcare Dive caught up with Miller to discuss the rationale behind the deal. Universal Health Services is the largest behavioral health provider in the U.S., when it…...