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On Monday, January 23, U.S. District Judge John Bates issued his highly-anticipated decision regarding the Department of Justice’s anti-trust challenge that blocked the proposed $37 billion- merger between Aetna and Humana. The ruling in favor of the Department of Justice (DOJ) is significant because of the merger’s potential to cause Medicare Advantage disruptions and other […]
On Friday, the Centers for Medicare and Medicaid Services (CMS) announced their proposed Medicare rate adjustments. Estimates forecast a 3.5% increase for Medicare Advantage plans after adjusting for coding practices. CMS also intends to “improve payment precision and encourage quality” with the possibility of some changes to the star rating system. The proposed changes represent […]
Health Affairs releases “How Might Proposed Mergers Impact State Insurance Markets?” blog containing a state-by-state landscape analysis. Salt Lake City, December , 2015 — With recent news of the proposed Aetna/Humana, Anthem/Cigna, and Centene/Health Net mergers, a number of stakeholders have raised questions about how consolidation impacts health care markets’ competitiveness. For these proposed deals, […]
Clinical integration is frequently hindered by technological barriers. On this call on May 19 at 2pm ET, national experts from Lumeris and Humana will discuss the current barriers, particularly regarding payer and provider data, and paint the picture of technology’s future in a clinically integrated environment. Keith Blankenship – Vice President, Technical Consulting; Lumeris Nicholas Tabler – […]
Health apps have the potential to engage people in powerful ways, including: enhancing learning and changing health behavior.