Providers with Health Plans

CMS yesterday issued its 2017 Rate Announcement and Call Letter that implements final changes to Medicare Advantage and Part D rates and payment polices for calendar year 2017.
Almost 28% of uninsured U.S. residents under age 65 are eligible for Medicaid or the Children’s Health Insurance Program, while 21% are eligible for premium tax credits through the Health Insurance Marketplaces, according to a new report by the Urban Institute and Robert Wood Johnson…
CMS Feb. 29 issued its final rule implementing standards that govern health insurance issuers and the Health Insurance Marketplaces for 2017.
This joint webinar between HPOE and the Disparities Solutions Center at Massachusetts General Hospital discusses strategies and approaches implemented by hospitals and health care systems to collect the social determinants of health, with the understanding that this information will be critical for…
The proposed merger between health insurers Aetna and Humana would greatly reduce market competition for Medicare Advantage beneficiaries in the markets they serve, according to a new analysis by the Center for American Progress. “The Medicare Advantage market is currently highly concentrated,” the…
Three states expanded Medicaid eligibility in 2015, and many states improved their Medicaid enrollment and renewal processes and coordination with Health Insurance Marketplaces, according to the latest annual survey by the Kaiser Commission on Medicaid and the Uninsured and Georgetown…
On January 19, CMS, issued new guidance related to certain special enrollment periods available to consumers purchasing coverage on the federal Health Insurance Marketplace.
AHA comments regarding CMS' draft 2017 Letter to Issuers, which provides technical and operational guidance to those wishing to offer qualified health plans in the federally-facilitated marketplaces.