The Centers for Medicare and Medicaid Services (CMS) finalized requirements seeking to increase access to telehealth for seniors in Medicare Advantage (MA) plans. The changes made to MA and Medicare Part D also expand supplemental benefit options for beneficiaries with chronic diseases.
CMS will grant MA plans more flexibility to...Arizona News
Blue Cross Blue Shield of Arizona (BCBSAZ), one of the largest insurers in the state, announced a partnership with digital health startup Sharecare to improve the health and well being of Arizonans through Sharecare's app.
Sharecare is a wellness engagement platform that requires users to fill out a survey to determine their...National News
Despite efforts from the Centers for Medicare and Medicaid Services (CMS) to curb hospital readmission for traditional fee-for-service Medicare, a new study suggests Medicare Advantage (MA) enrollees are showing higher rates.
CMS only factors in fee-for-service Medicare user data when calculating readmission rates and does not...Arizona News
On Monday, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule to lower prescription drug costs for beneficiaries by making changes to Medicare Part D. The proposal could give insurers negotiating powers on drug prices by offering an expectation that plans would implement broader use of prior authorization (PA)...National News
An industry moving away from fee-for service needs physicians committed to the change.
For many years, physician behavior has been oriented to maximizing patient visits and procedures.
Healthcare Finance quotes Dr. Debbie Zimmerman, chief medical officer at Lumeris:
Where we find the heaviest lift in any institution is changing...
