Four Strategies Medicare Advantage Plans Can Implement to Mitigate Financial Pressures
Health plans must take a consistent, thoughtful approach to sustaining their business by managing costs without compromising member access to quality healthcare.
Why Insurers Beat CMS In the MA Star Ratings Battle
CMS recently announced that it is recalculating Medicare Advantage Star Ratings. It comes after two lawsuits on the issue.
AbbVie Expands IBD Drug Pipeline Again With $250M Celsius Therapeutics Acquisition
AbbVie has acquired Celsius Therapeutics, a startup whose lead program is in early clinical development for inflammatory bowel disease. It’s the latest in a series of AbbVie business deals that broaden the pharma company’s scope in the gastrointestinal condition.
Mental Health Fraud Schemes: How to Protect Your Plan
By being aware of the latest schemes, health plan leaders can ensure their members have appropriate access to care while preventing bad actors from exploiting telehealth policies established during the pandemic.
Arcadia & CareJourney Merge to Take Value-Based Care Analytics to Another Level
This week, health data platform Arcadia acquired CareJourney, a health analytics firm designed to facilitate participation in value-based care contracts. The deal combines Arcadia’s data platform, analytics and workflow tools with CareJourney’s trove of data on cost, quality and benchmarks.