12.19.18
Compared with commercial insurance, Medicaid often takes the lead on addressing the opioid epidemic.
On November 15, 2018, the Antitrust Division of the Department of Justice (DOJ) announced that it had settled its suit against Atrium Health over the imposition of “anti-steering” and “anti-transparency” restrictions in Atrium’s contracts with insurers.
In a YouGov/Huffington Post survey of registered voters’ priorities, healthcare topped all issues.
Prescription drug coverage is an optional benefit under Medicaid, but all states currently provide this coverage.
Late last month the Federal Trade Commission (FTC) closed its investigation of the proposed merger of several major healthcare institutions in eastern Massachusetts.
What’s in a name? There is considerable overlap in the nature and goals of the “alphabet soup” of network structures—Accountable Care Organizations (ACOs), Independent Practice Associations (IPAs), Clinically Integrated Networks (CINs) and Physician Hospital Organizations ...
Manatt’s survey reveals that nearly all state Medicaid fee-for-service (FFS) programs provide reimbursement for some telemedicine services, generally expanding access to telemedicine for their Medicaid FFS beneficiaries.
On November 26 2018, the Centers for Medicare & Medicaid Services (CMS) released the Proposed Rule, Modernizing Part D and Medicare Advantage to Lower Drug Prices and Reduce Out-of-Pocket Expenses,which can be found here.
As healthcare costs continue to rise and stakeholders maintain focus on improving care quality and outcomes, payers are turning to value-based payment (VBP) as a critical tool for boosting delivery system performance.
With a divided Congress that will struggle to reach agreement about major health policy legislation, states will continue to serve as the drivers and testing ground for new healthcare reforms in at least the next two years.