Medicare’s Direct Contracting Changes to Help Expand Primary Care Provider Networks
In the case of health care services for subscribers, more options is usually not a bad thing unless providers are sacrificing quality care. Medicare’s most recent initiative, put into place…
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Continually Shrinking Profits for Health Care Providers Throughout the Pandemic
Despite ever-growing hospitalization rates associated with COVID, health care providers and institutions are struggling to profit in today’s economy. Many hospitals and nursing facilities are seeing an influx of inpatient…
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The No Surprises Act: What Does it Mean for Insurers?
Due to legislation passed on December 22, 2020 as part of the COVID relief plan, patients who receive emergency medical services will have peace-of-mind due to fewer unexpected health care…
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California Expanding Their Mental Health Parity Act
Starting in January 2021, California residents with substance use disorders and mental health concerns will now have greater access to coverage. The amendment to SB-855 expands on legislation from September…
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CMS Passes Law Mandating Improved Hospital Cost Transparency
Spurred by a recent analysis that found many top hospitals provided inconsistent cost-related information, hospitals will now be adopting new, clearer pricing materials. The Centers for Medicare and Medicaid Services…
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The Impact of Managed Medicaid on Insurance Networks: Good or Bad?
In January 2020, the District of Columbia issued an RFP for the D.C. Healthy Families Program, the District of Columbia Healthcare Alliance Program, and the Immigrant Children’s Program. These small-scale…
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