Health Plan Payment and Reimbursement

Rejecting Hospital Concerns, Administration Expands Association Plans

June 19—Despite calls from major hospital groups to drop a proposed expansion of association health plans (AHPs), the Trump administration has finalized those rules.

Rich Daly June 20, 2018

June 4-8: High-Deductible Health Plans Draw Congressional Scrutiny

May 31—Amid record-breaking enrollment in high-deductible health plans (HDHPs), a congressional panel plans to examine their growth and consider policies to bolster health savings accounts.

Rich Daly May 31, 2018

How MA Plans Are Changing VBID Approaches

May 18—Medicare Advantage (MA) plans are evolving their approaches in the expanding Medicare pilot for value-based insurance design (VBID).

Rich Daly May 21, 2018

A Look at Two Blues’ Distinct Approaches to Changing the Healthcare Model

May 16—Two dominant not-for-profit health plans—both Blue Cross insurers—are moving aggressively in very different directions.

Rich Daly May 17, 2018

Ask the Experts: Credit Balances

How do other Florida hospitals initiate and work credit balances?

HFMA May 8, 2018

New MA Rules Benefit Provider-Sponsored Plans

April 18—Recently announced Medicare Advantage (MA) rates and rule changes could help sometimes-struggling provider-sponsored plans improve their performance.

Rich Daly April 19, 2018

Ask the Experts: Cost Sharing Programs

I am looking for more information about how to manage patients covered by cost sharing programs.

HFMA April 17, 2018

Medicare Advantage Rates, Policies Draw Insurer Praise

April 3—Medicare Advantage (MA) plans received an unexpected pay boost and generally beneficial policies in the final call letter and rules issued this week for 2019.

Rich Daly April 4, 2018

March 19-23 Policy Watch: Push to Include ACA Marketplace Stabilization in Funding Bill

March 15—Healthcare leaders are renewing their push to include a stabilization measure in a must-pass federal funding bill that is required by the end of next week.

Rich Daly March 16, 2018

How One ACA Insurer Had Its Best Year in 2018

March 6—In a year when individual-market insurance enrollment dipped nationally, the dominant insurer in Florida had its largest enrollment yet.

Rich Daly March 7, 2018
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