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5 payer trends to watch in 2018

Henry Kotula

Though not as high profile as Anthem’s policies, payers have been narrowing provider networks to bring down costs. This has been especially true in ACA exchange plans and Medicare Advantage (MA). Abrams said the cost consequences of virtual care are not fully known, but consumers want that access to providers.

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CMS rolls back more Medicare, telehealth regs for providers working through pandemic

Henry Kotula

Accountable care organizations also scored a major win in the Thursday rule drop, with CMS pledging they wouldn’t be dinged financially for lower-than-expected health outcomes in their patient populations from COVID-19.?. Other major changes are related to COVID-19 testing for Medicare and Medicaid beneficiaries.