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From Health Plan Week - CMS’s decision to cancel two planned mandatory value-based programs and to scale back a third is unlikely to have significant ripple effects on commercial insurers’ value-based contracting (VBC) arrangements. Insurers say they’re moving ahead as quickly as possible to shift providers into accountable care organizations and bundled payment arrangements. However, the move by CMS does come amid a slowdown in the move to VBC, some stakeholders say. Read more

From Health Plan Week - Blues plans in many states will continue to offer individual policies on the Affordable Care Act (ACA) exchanges, but high-profile state withdrawals by insurers such as Anthem, Inc. and Wellmark Blue Cross and Blue Shield will limit the overall Blues footprint on the individual market for 2018. But looking ahead, Blues plans may see renewed growth in the individual segment if President Trump’s Oct. 12 executive order leads to more… Read more

From Health Plan Week - Congress has set the stage for a September return to debate on stabilizing the individual health insurance market, with major changes to Medicaid funding or expansion taking a back seat. Read more

From Medicare Advantage News - CMS will soon begin soliciting applications from plan sponsor participants that wish to test innovative benefit designs in the third year of the Medicare Advantage Value-Based Insurance Design (VBID) model and may be providing greater flexibility to participating plans, as indicated in a September request for information (MAN 9/21/17, p. 1). As MA organizations weigh the potential risks and rewards of offering a VBID program, officials from CMS and UPMC… Read more

From Drug Benefit News - It has been 20 years since the passage of the Food and Drug Administration Modernization Act of 1997, which included Section 114 (FDAMA 114) governing the proactive dissemination of health care economic information (HCEI) by manufacturers to payers. With the 21st Century Cures Act signed into law last year, lawmakers intended to modernize that process. But the sharing of HCEI still is problematic for both drugmakers and payers, according to… Read more

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