by Jordana Choucair | Sep 14, 2022 | Payers
A study based on data from nearly 2.5 million Humana members suggests that low-value care is less common in Medicare Advantage (MA) than traditional Medicare. According to the study, MA enrollees received 9.2 percent fewer low-value care services – defined as tests,...
by Jordana Choucair | Sep 14, 2022 | Payers
The Agency for Healthcare Research and Quality (AHRQ) published a study indicating that the No Surprises Act could lead to 3.5 million more emergency department visits annually. The study’s authors conducted a state-level analysis comparing emergency department visits...
by Jordana Choucair | Sep 13, 2022 | Payers
Aetna announced it will enter the Affordable Care Act’s (ACA’s) exchanges in four more states next year. Aetna exited the ACA exchanges in 2018 after experiencing years of losses. The insurer returned to the market at the beginning of 2022 and currently...
by Jordana Choucair | Sep 12, 2022 | Payers
The National Alliance of Healthcare Purchaser Conditions released a playbook offering strategies for plan sponsors to harness newly-released price transparency and quality data as leverage to drive down prices. The tool pulls from multiple data sources – including...
by Jordana Choucair | Sep 7, 2022 | Payers
A new Gallup poll revealed that at least half of American workers say they’re “quiet quitting.” While the proportion of engaged workers held steady at 32 percent during Q2 of 2022, the proportion of actively disengaged workers hit a decade-high 18...
by Jordana Choucair | Sep 2, 2022 | Payers
The Centers for Medicare & Medicaid Services (CMS) issued a rule last month that will make hospitals eligible for increased financial incentives if they share data with public health authorities. Starting October 1, hospitals that participate in the Medicare...
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