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Joanne Sammer
What employers want from health plans
Employer-sponsored healthcare benefits are not insulated from the changes taking place in the broader healthcare marketplace. However employers, particularly large employers, are attempting to drive the conversation and actions toward issues that are important to them. One of the best ways to do that is to pressure health plans to help them achieve their healthcare goals
Number of Narrow Networks to increase in 2015
Narrow network plans will play an increasingly significant role in healthcare, but there are still some wildcards that could impact their success.
Star ratings take center stage as CMS program moves from demonstration to reality
Star ratings take center stage as CMS program moves from demonstration to reality
As of January 1, 2015, the U.S. Centers for Medicare and Medicaid will only be awarding payments to MA plans that receive 4 stars or higher.
Fixing the ACA's ‘no wrong door’ feature
Exchanges not integrating with Medicaid
Cutting costs of patients with dual eligibilities
Better care coordination is needed
ACA Exchanges: Price still king
Win for silver plans signals need for education
Observation stays increase under Medicare rules [Infographic]
Medicare patients incur higher out-of-pocket costs when they are placed on observation status
5 ways to use big data
Choose your goals before crunching numbers
Plans seek solutions to the obesity disease
Plans seek solutions to the obesity disease
Long-term intervention encompasses entire lifetime
Measuring quality in ACOs
How organizations can overcome challenges of reporting, capturing patient data.