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New cancer model saves money, keeps chemotherapy patients out of the hospital

November 16, 2016  /  Uncategorized

A new model that aims to keep cancer patients, who are immunocompromised, away from the potentially dangerous environment of hospitals is succeeding.

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Blue Shield of California expands ACO network in Southern California

August 25, 2016  /  Uncategorized

Accountable Care Organization expansion enhances care in greater Inland Empire region through improved coordination and collaboration across health care system.

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Co-ops New Mexico Health Connections & Minuteman Health of Massachusetts file suits against ACA’s risk-corridor program

August 4, 2016  /  State Exchanges, Uncategorized

After suffering hefty losses, two more co-ops are filing lawsuits against the Obama administration over the Affordable Care Act’s risk-corridor program.

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Health startup Bright Heart picks Colorado as first market

May 26, 2016  /  States, Uncategorized

Minneapolis-based insurer teaming with Centura Health to provide hospitals, doctors for members.

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Ohio shutting down state’s Obamacare nonprofit co-op InHealth – claims paced $3M per week

May 26, 2016  /  States, Uncategorized

Ohio is the latest state to lose a nonprofit co-op health insurer created under an Affordable Care Act.

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Rewarding value over volume — not so easy for safety-net hospitals

April 2, 2016  /  Medicaid, Uncategorized

Safety-net hospitals are uniquely vulnerable under programs that reward and penalize healthcare providers on quality performance. Is there any way to shield their already thin margins from increasing financial pressures?

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Latest

CMS issues final rule for ACO fraud, abuse waivers

October 31, 2015  /  Uncategorized

CMS issued a final rule Thursday to clear up issues inherent in shared savings payments that could implicate physicians in fraud and abuse laws.

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Insurance Dropouts Present a Challenge for Health Law

October 12, 2015  /  Uncategorized

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Big Changes For 2015 Workplace Plans: Watch Out For These Six Possible Pitfalls

November 19, 2014  /  Uncategorized

You don’t get a pass this year on big health insurance decisions because you’re not shopping in an Affordable Care Act marketplace. Employer medical plans — where most working-age folks get coverage — are changing too.

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Latest

Analysis of 2015 Premium Changes in the Health Insurance Marketplaces

September 5, 2014  /  State Exchanges, Uncategorized

With the second open enrollment period of the health insurance marketplaces approaching, this analysis provides an initial look at premium changes for marketplace plans for individuals in 15 states and the District of Columbia that have publicly released comprehensive data on rates or rate filings for all insurers.

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