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Health Maintenance Organization

Clinicians sitting at a board table
Oct 23 | Jeff Lagasse
Oscar is launching a multi-condition plan for members with diabetes and pulmonary and cardiovascular disease.
Couple at laptop
Oct 10 | Susan Morse
Changes in methodology in 2024 and 2025 added Tukey outlier deletion that is used to set cut points…
Person at desk of doctor's office
Jun 18 | Jeff Lagasse
Blue Shield of California will partner with Included Health to provide support and service to about 400,000…
Home healthcare visit
Apr 10 | Jeff Lagasse
Enrollees in zero-premium plans are three times as likely to be nonwhite and are more likely to live in urban areas.
Three executives meet at table
Jan 11 | Jeff Lagasse
The health system cited denials and delayed prior authorization requests in making the move, as well as its…
Physical therapy session at home
Oct 19, 2023 | Jeff Lagasse
This will reach about 1.6 million Medicare-eligible adults, pending regulatory approvals, companies say.
Two people search laptop for a Medicare Advantage plan
Oct 13, 2023 | Susan Morse
This year, 31 plans earned 5 stars, compared to 57 in 2023 and 74 in 2022.
Under the arrangement, members will be able to access Interwell’s care and specialized resources.
Aug 29, 2023 | Jeff Lagasse
Under the arrangement, members will be able to access Interwell's care and specialized resources.
Home physical therapy
Jul 11, 2023 | Jeff Lagasse
For health plans, authors expect the study can provide a better understanding of the core customer segments of MA.
A home physical therapy session
Jul 06, 2023 | Jeff Lagasse
The concern is that the QBP overpays MA organizations and does not encourage quality improvement or help…

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