From Inside Health Insurance Exchanges - Based on recent proposals from CMS, the agency in 2017 intends to take on a bigger regulatory role in reviewing premium rates and categorizing provider networks for qualified health plans (QHPs) offered via the 36 insurance exchanges that rely on the federal platform. Two days before Christmas, CMS issued its fourth annual draft Letter to Issuers that participate in the federally facilitated exchanges (FFEs). Read more
From AIS's Value-Based Care News - Initial cost results are promising for a two-year-old Maryland experiment in which all health care payers, including Medicare, have agreed to move hospital revenue into global budgets. Still, the state has work to do in order to bring down high utilization rates, according to an analysis of the program. Growth in per-capita hospital costs in 2014, the first year of the program, was limited to 1.47%, 2.11 percentage points lower than… Read more
From AIS's Value-Based Care News - Providers are more and more willing to participate in value-based care programs, according to a Dec. 9 roundtable of Blues plan executives at the Blue Cross and Blue Shield Association (BCBSA) in Washington, D.C. Read more
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