05.22.18
For the past decade, Medicare Advantage (MA) plans added nearly 10 million members.
On April 9, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a Health & Human Services (HHS) Notice of Benefit and Payment Parameters for 2019 (final rule).
When does an insurer’s hard-core negotiation strategy cross the line and become an antitrust violation?
04.23.18
Although the Constitution requires states and localities to provide healthcare to people in prisons and jails, many still fail to receive needed care.
03.20.18
There is a quote by science fiction writer Amelia Atwater-Rhodes that is the ideal lead-in to any discussion about healthcare data and analytics: “Life is nothing without a little chaos to make it interesting.”
02.21.18
There are six key drivers of the movement to a risk-based healthcare environment:
01.25.18
Mandated compliance programs are not a new concept, but they have evolved over time.
12.18.17
In early 2017, California Assembly member Jim Wood introduced Bill AB-265, banning the use of copay coupons in California when a generic equivalent drug covered by an individual’s health plan exists.
11.21.17
Under the Trump administration, healthcare fraud will remain a key focus.
10.27.17
The dual challenge of America’s growing opioid epidemic and SMI is having a devastating impact on communities nationwide.