Federal regulation that took effect in April applies to physicians too. Learn with the AMA about how to comply with new information-blocking rules. Read now.
Even though some testing payment models have been delayed or discarded, CMMI's new leader said the agency remains committed to finding models that reward value not volume.
The watchdog said the payer submitted documentation that inaccurately showed some of its Medicare Advantage members were sicker than they actually were.
The Midwestern giant joins other nonprofits in launching a for-profit unit to diversify its revenue streams. Some critics question whether the strategy fits with the mission and perks enjoyed by not-for-profit entities.
Industry experts recommend taking a "smart-seasonal" approach to help manage volume quickly and efficiently during the annual enrollment period. Learn more now.
The payer reported a profit for the quarter driven by performance of its pharmacy benefit management arm and its government plans. It missed Street expectations on revenue, but beat on earnings and hiked EPS guidance.
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