We are now just past the midpoint in the Medicare open enrollment period. One online health insurance consolidator, eHealth, has compiled some interesting trends in how this year’s Medicare enrollment ...
Differential coding in MA plans results in higher risk scores and increased payments compared to TM, with significant insurer variation. UnitedHealth Group's risk scores were significantly higher than ...
Over 35 million prior authorization requests were submitted to Medicare Advantage insurers in 2021, according to a new report from the Kaiser Family Foundation (KFF). Two million of these requests, or ...
This year’s most-read articles on Medicare covered topics including accountable care organizations, value-based payment, and star ratings. The top 5 most-read Medicare stories of 2021 on AJMC.com ...
The Direct Contracting Model saved Medicare $70 million in 2021 as the Biden administration plans a major overhaul to the value-based care program next year. Recently released data from the Centers ...
The Medicare Shared Savings Program, by working with Accountable Care Organizations, saved Medicare $1.66 billion in 2021 compared to spending targets, the fifth consecutive year the program has ...
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