Author name: jamesbrogdon

Anthem and The South Bend Clinic announced today that Anthem will be adding The South Bend Clinic to its preferred list of care providers for its Anthem MediBlue Access (PPO) and will continue to be a preferred provider for Anthem MediBlue Plus (HMO) and Anthem MediBlue Dual Advantage (HMO SNP). Beginning in September 2018, South

Anthem and The South Bend Clinic announced today that Anthem will be adding The South Bend Clinic to its preferred list of care providers for its Anthem MediBlue Access (PPO) and will continue to be a preferred provider for Anthem MediBlue Plus (HMO) and Anthem MediBlue Dual Advantage (HMO SNP). Beginning in September 2018, South

“The future is the home, and the home of the future is going to be not just a place called a home. It’s also going to be a medical site,” Tyson said. “The whole shift thinking about what’s the ecosystem around individuals in their own setting is the significant difference that we are going to

“CCIIO is encouraging states to allow “unloaded” ACA plans to be offered outside of the marketplace. This includes silver plans (where a state or insurer is using silver loading) or all metal level plans (where a state or insurer is using broad loading). The guidance essentially gives CCIIO’s blessing to states and insurers who have

H.R. 6199, renamed the Restoring Access to Medication and Modernizing Health Savings Accounts Act and passed by a margin of 277-142, would: Reverse the Affordable Care Act’s (ACA’s) prohibition on using tax-favored health accounts to purchase over-the-counter medical products. Treat menstrual care products as qualified medical expenses that could be purchased with all tax-advantaged health care accounts.

Contributor Bruce Japsen writes in Forbes (7/25) that Anthem’s move “to exit some individual markets under the Affordable Care Act in favor of growing its Medicare business helped boost profits in the health insurer’s second quarter.” This allowed the insurer to “increase profits by 23% to $1 billion, or $3.98 per share, compared to $855

“Artificial intelligence technology will play a vital role in the success of value-based care models, and it also promises to improve clinical care, writes attorney Pamela Hepp of Buchanan, Ingersoll & Rooney. However, the adoption of AI in health care raises legal and regulatory issues, including determination of responsibility for poor outcomes, data breaches, and

A Medicare Trustees report released Tuesday finds that Medicare’s trust fund will be depleted in 2026, three years earlier than last year’s report found. “The Trustees recommend that Congress and the executive branch work closely together with a sense of urgency to address the depletion of the [trust fund] and the projected growth [in spending],” the trustees

A report from the Office of the Inspector General finds the following: Total reimbursement for all brand name drugs in Part D increased 77 percent from 2011 to 2015, despite a 17 percent decrease in the number of prescriptions for these drugs. After accounting for manufacturer rebates, reimbursement for brand name drugs in Part D