06
Mar
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Humana, Aledade Ink 10-year Agreement for Value-Based Senior Primary CareHumana and Aledade have entered into a 10-year partnership for value-based primary care for seniors, with a path to full-risk... Continue Reading
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02
Mar
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Humana Will Leave Employer Group Insurance Business to Focus on Public PlansAfter exiting the employer group insurance business, Humana will prioritize the long-term growth of its Medicare Advantage, Medicare, and Medicaid... Continue Reading
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02
Mar
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How the Inflation Reduction Act Impacted Medicare Part D Benefit DesignThe new law and policymakers’ decision to increase plan liability could lead to changes in Medicare part D benefit design.... Continue Reading
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02
Mar
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MT Medicaid Expansion Leads to More Preventive Care Use, Lower CostsMedicaid expansion brought an influx of federal dollars and a new focus on behavioral and mental healthcare, leading to changes... Continue Reading
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02
Mar
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Blue Cross MN Partnership Expands Value-Based Care for Rural MembersBlue Cross Medicare Advantage members in 24 rural Minnesota counties will receive care under a full-risk value-based arrangement. Blue Cross... Continue Reading
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02
Mar
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CareSource, Walmart Partner to Address Racial Health DisparitiesThe partnership aims to address maternal and racial health disparities, providing CareSource members access to social needs assessments, community resources,... Continue Reading
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02
Mar
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IDR Entities to Resume Some Payment DeterminationsCMS has instructed certified IDR entities to resume processing payment determinations for disputes before Oct. 25, 2022, which are not... Continue Reading
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02
Mar
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Alignment Healthcare nears 100K MembersAlignment Healthcare is nearing 100,000 members, according to its fourth quarter earnings report published Feb. 28. “The focus on quality,... Continue Reading
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02
Mar
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Viewpoint: CMS’ Medicare Advantage audit Changes don’t Go Far EnoughCMS’ decision to crack down on Medicare Advantage auditing could have done more to stop overpayments, professors and students of... Continue Reading
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02
Mar
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10 Medicaid Startups with The Most Venture FundingThe top 10 Medicaid-focused startups have raised $1.5 billion combined in venture funding, according to a Feb. 27 report published... Continue Reading
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