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Cms Finalizes Riskadjustment Rule For 2018 Benefit Year - Latest News

CMS Finalizes Risk-Adjustment Rule for 2018 Benefit Year

CMS said Friday that it issued a final rule about insurer risk-adjustment payments for 2018, saying it wanted to provide consistency while the outcome of a court case about the issue is still in play. ... read more

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

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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

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

A Few Bureaucratic Tweaks Won’t Fix Obamacare’s Deeper Problems

The 294 page rule, oh-so-excitingly billed as the Notice of Benefit ... the risk adjustment rules have been released much later in the year. But with Aetna and other carriers making significant moves ... 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

CMS Issues the Proposed Payment Notice for the 2020 Coverage Year

The Centers for Medicare & Medicaid Services (CMS) today issued the proposed annual Notice of Benefit and ... tax return for the 2018 tax year. Today's proposal also aims to increase market stability ... 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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