Joseph Burns

May 11, 2022

Price-transparency rule allows insurers to cut MLR payments by using incentives to encourage consumers to choose low-cost, high-value providers.

April 14, 2022

Although health systems say they deliver better health outcomes and lower costs, research on how physicians are compensated suggest otherwise.

March 22, 2022

The proposed rules might ratchet down drug costs for Medicare beneficiaries and would set network adequacy standards.

March 05, 2022

Coverage requirements may result in premium hikes next year, say some health plan executives.

February 14, 2022

In the sixth year of Medicare’s Independence at Home Demonstration program, the initiative saved $41 per member per month, an amount that CMS says was not statistically significant and was lower than the savings the program produced in earlier years.

February 14, 2022

The Community Aging in Place—Advancing Better Living for Elders (CAPABLE) program developed at the university’s nursing school is designed to keep older people who are frail, have chronic medical conditions or can’t complete activities of daily living in their homes by providing care and help from conventional healthcare professionals — nurses, occupational therapists — but also from people who can do minor house repairs.