Latest news

September 09, 2019

Home health agencies demand CMS halt 8% cut based on perceived misbehavior

Robert King | Sep 9, 2019 Home health agencies are imploring the Trump administration to hold off on a potential 8% cut to Medicare reimbursement rates, saying the cuts punish an entire industry for a few bad apples. Companies submitted comments due Monday for a proposed rule released by the Centers for Medicare & Medicaid Services (CMS)…

August 22, 2019

5 payers expanding their 2020 offerings

Morgan Haefner | August 22, 2019 Here are five payers who recently announced plans to expand their product offerings for 2020: Oscar is extending its coverage footprint to six new states and 12 new markets for 2020. Centene Corp. will extend its offerings on the ACA’s health insurance marketplace in 10 states for 2020. Cigna…

August 16, 2019

CMS brings controversial star ratings system to ACA plans

Samantha Liss | Aug. 16, 2019 Dive Brief: • CMS will require plans in the federal and state exchanges to display a star rating denoting quality beginning this year for 2020 coverage in an attempt to make it easier for consumers to compare coverage options. • Medical care, member experience and plan administration (customer service)…

August 13, 2019

Average marketplace premiums for 2020 show smallest increase ever

Samantha Liss | Aug. 13, 2019 Dive Brief: Average monthly premiums for marketplace plans nationwide are expected to increase 0.6% for 2020 coverage — the lowest increase since the launch of the Affordable Care Act plans, according to an analysis of insurer rate filings submitted to all 50 states and D.C. It’s important to note…

August 01, 2019

Mostly praise, but some criticism for changes proposed by CMS to Medicare payments, MIPS

Joanne Finnegan | Aug 1, 2019 On initial review, physician groups had few complaints about a proposed rule from the Centers for Medicare & Medicaid Services. There was a lot for physicians to like in a proposed rule issued this week for 2020 Medicare payment rates and changes to the Merit-based Incentive Payment System (MIPS)….