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Medicaid expansion linked to better care access, better health for low-income populations

May 19, 2017  /  States

By several different measures, low-income individuals in two states that expanded Medicaid under the Affordable Care Act were better off than those in a state that didn’t expand eligibility, according to new research.

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Leaving the Pioneer ACO Program Successful, Atrius Health Gets Ready for its Next Accountable Care Test

May 11, 2017  /  States

Recently accepted as a 2017 Next Gen ACO participant, leaders at Atrius Health are ready for its next endeavor.

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Capital BlueCross Value-Based Partnerships Lead to Continuous Quality Improvement

May 9, 2017  /  States

Capital BlueCross today released results demonstrating its value-based partnerships, including its QualityFirst Accountable Care Arrangements, are leading to continuous improvement in the quality of health care for customers.

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Blue Cross and Blue Shield of Illinois doubles down on ACOs, partners with doctors to lower medical costs

May 5, 2017  /  States

As the number of Accountable Care Organizations (ACOs) continue to grow across the country, Illinois is one state that is a leader in the initiative, and Blue Cross & Blue Shield of Illinois is a big player in that effort.

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Hackensack Meridian, UnitedHealthcare to form accountable care program

May 3, 2017  /  States

Hackensack Meridian Health announced an agreement with UnitedHealthcare for a new accountable care program.

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CMS to evaluate Montana’s Medicaid expansion

April 23, 2017  /  States

The CMS will evaluate Montana’s Medicaid expansion program despite past protests from key Trump administration officials against similar audits.

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Insurers Offer Early Sign of ACA Exchange Plans for 2018

April 23, 2017  /  States

Anthem Inc. made preliminary filings indicating it will offer plans on the Affordable Care Act marketplaces in Virginia and Kentucky next year; Cigna and Aetna are among the insurers that made similar filings in Virginia. 

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Molina’s managed-care Medicaid patients to be placed in fee-for-service system

April 23, 2017  /  States

With health care providers fleeing Molina Healthcare’s managed-care Medicaid network in much of the Springfield area, state officials decided Friday to “disenroll” all 26,750 of the company’s local members and place them in traditional fee-for-service Medicaid on May 1 and beyond.

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What Can We Learn From Oregon’s Innovative Medicaid Experiment?

April 12, 2017  /  States

Oregon’s Medicaid reform experiment has demonstrated innovation in care management.

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Mich. Blues Translates PCMH Program Into Insurance Product

April 12, 2017  /  States

The patient-centered medical home (PCMH) model can be challenging to implement successfully but Blue Cross Blue Shield of Michigan has found a balance that works for its PCMH program, and now is wrapping insurance products around an expanded network tied to the PCMH model.

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