As the major insurers reported their second-quarter financial results at the end of last month, a theme emerged: higher-than-expected costs driven in part by higher-than-expected utilization. But Hal ...
States with Medicaid expansions spend more per enrollee overall than nonexpansion states, and nearly half of expansion states’ enrollees have a chronic condition, a May 28 KFF Health News report found ...
Humana's financial results for Q4 and for full-year 2024 show a 10% revenue increase, but that's about the only bright spot as the insurer was hit by significant losses, according to its Q4 earnings ...
In Massachusetts’ largest Medicaid accountable care organization (ACO), high-risk care management significantly reduced spending, emergency department visits, and hospitalizations, demonstrating that ...
These increases mirror a national trend, with proposed rate hikes averaging 20% for individual plans across the US. Medical inflation, including rising care costs and increased utilization, is cited ...
We need to implement financial incentives and make health systems accountable for patient care to reduce costs effectively.
The Comprehensive Care for Joint Replacement Model mitigated a trend of lower home health uptake for Black and White patients but not for other populations. Objective: To determine whether the CMS ...
Perinatal mothers enrolled in Michigan Medicaid between 2012 and 2021 who had opioid use disorder were more likely to have a ...