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Cms Finalizes Riskadjustment Rule For 2018 Benefit Year - Latest News


CMS Finalizes Rules for the Health Insurance Marketplace, Improving Stability

Over the past few years, CMS has worked with and listened to key stakeholders ... In addition to these modifications to risk adjustment, the final rule and issuer letter contain other provisions to im... read more

Humana (HUM) Q3 2018 Results - Earnings Call Transcript

And as you know from coming into 2018, we spent a significant amount of effort across the company trying to drive down that admin spend. And we took out many hundreds of millions of dollars this year ... read more

ACP's initial review of QPP proposed rule 'encouraging'

The American College of Physicians (ACP) is encouraged that the 2018 proposed rule to implement the Quality Payment Program (QPP), released yesterday by the Centers for Medicare and Medicaid Services ... read more

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White House announces massive changes in bid to head off ObamaCare disaster

And that’s true, but the vast majority of these are just sopping off Medicaid, which is exploding ... of their conditions beginning with the 2018 benefit year. The rule also proposes to modify risk ad... read more


Four Sets of Federal Guidance You Should Know if You're in Health IT

Most of what is contained in the MU final rule was hinted at or offered in previous guidance. CMS restructured ... in a few years. There definitely is time. MU3 is optional in 2017 and will begin in e... read more

For health insurers, latest Affordable Care Act move creates more unknowns

Earlier this month, the federal Centers for Medicare ... year, Blue Cross estimates it will have to pay “medical loss ratio” rebates to consumers mandated by the ACA. “If we do not receive those risk ... read more

Veritas Capital-backed Verscend to Acquire Cotiviti for $4.9 Billion

Financial data coupled with clinical data from our Risk Adjustment, Quality ... s Annual Report on Form 10-K for the fiscal year ended December 31, 2017, which was filed with the SEC on February 22, 2... read more

How the Trump Administration Can Undermine Obamacare If Repeal Fails

Already, Price has proposed stricter enrollment rules ... risk adjustment program. If the Trump administration chooses to settle the claims, some policy analysts think it could buy some good will with ... read more

AMGA Recommends Improvements to the Medicare Shared Savings Program Offers Proposal to Correct Flaw in Financial Benchmarking

AMGA also commented on ACO population risk adjustment ... CMS is also implementing the 2018 Bipartisan Budget Act's beneficiary incentive program. AMGA supports this program, but recommends CMS expand ... read more

Daily on Healthcare: McConnell risks conservative healthcare rebellion...WH pushes for summer end game...Anthem bailing on Ohio

If you’d like to continue receiving Washington Examiner's Daily on Healthcare newsletter ... that it is seeking the increases partly because of the federal risk adjustment program and Medicaid. New Ha... read more

Humana (HUM) Q2 2018 Results - Earnings Call Transcript

We expect the changes we are making in the home health space will not only benefit our Medicare ... year. Our 2017 risk adjustment payment was approximately $20 million unfavorable relative to our exp... read more



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