Health Plan Resources

A collection of resources to help health plan leaders navigate the challenges and opportunities in this new era of health care.

Resources

News | Value-Based Payment
CMS says rule changes would allow more outcomes-based payment arrangements for Medicaid programs and commercial health plans.
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Blog | Healthcare Reform
The best-case scenario for Democrats is to come out of election night with a 50-50 split of the Senate, which would allow them to pass a package of tweaks to the ACA, with the Vice-President (assuming Biden wins) casting the deciding vote.
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News | Value-Based Payment
CMS opened the application process for Direct Contracting models to more providers.
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News | Value-Based Payment
CMS says rule changes would allow more outcomes-based payment arrangements for Medicaid programs and commercial health plans.
Save
News | Value-Based Payment
CMS opened the application process for Direct Contracting models to more providers.
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News | Medicare Payment and Reimbursement
Federal assistance programs should stabilize hospital cash through the summer, when Medicare repayments will create major financial pressure.
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Blog | Healthcare Reform
The best-case scenario for Democrats is to come out of election night with a 50-50 split of the Senate, which would allow them to pass a package of tweaks to the ACA, with the Vice-President (assuming Biden wins) casting the deciding vote.
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Blog | Payment Models
The move to hospital at home for higher-acuity patients by some health systems can create savings for their Medicare Advantage and other full risk products and for its Administrative Services Only clients.
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Blog | Population Health Management
Optum's naviHealth purchase rounds out is capabilities, ensuring its UHC members — particularly MA members and Optum's practices' patients — receive the right care in the right setting at the right time post hospitalization.
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