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Humana dogged by Medicare, ACA pressures

Humana dogged by Medicare, ACA pressures

Humana may exit some individual exchange states in an effort to stop losses tied to the new Affordable Care Act policies, the insurer said Wednesday. Humana also continues to reel after losing a large Medicare Advantage employer account.

Tight MACRA deadlines could result in doc penalties

By Joseph Conn  |  May 03, 2016
Tight MACRA deadlines could result in doc penalties

Health IT experts say the tight timelines surrounding a new round of clinical quality and IT measures may result in penalties for some physicians if those measures require significant changes to electronic health records and other systems.


Research

Average price paid for 162 common medical services by state: 2016

Average price paid for 162 common medical services by state: 2016

Forty-two states ranked by the average cost to insurers of 162 common medical services. Sources: Claims data from the Health Care Cost Institute and from Guroo.com, analyzed by David Newman, Stephen T. Parente, Eric Barrette and Kevin Kennedy, in "Prices for Common Medical Services Vary...


Government

CMS feels the heat to change Medicare Part B drug pay plan

CMS feels the heat to change Medicare Part B drug pay plan

The pressure is on for the CMS to transform or even drop its recently proposed plan to change the way it pays hospitals and doctors for outpatient drugs covered by Medicare Part B. Comments are flooding the agency, and most of the 600 opinions received so far are negative.

People

Ron Pollack to step down from Families USA

Ron Pollack to step down from Families USA

The influential leader of the consumer advocacy group Families USA, will step down in March. Pollack, 72, will take the role of chair emeritus. The Families USA board of directors will begin searching for a successor next month.

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