payers – Health

Supreme Court rules for payers in $12B risk corridors case

Dive Brief: The U.S. Supreme Court on Monday ruled in favor of commercial health insurers arguing they are owed $ 12 billion under the Affordable Care Act’s risk corridor program. The 8-1 decision, with only Justice Samuel Alito dissenting, found that the ACA “established a money-mandating obligation, that Congress did not repeal this obligation” and… Read More »

Five tactics payers can use to improve their Star Ratings

Medicare’s five-star quality ratings system reflects how well a health plan meets member needs and federal recommendations on patient care. Performance ratings, which are publicly published on Medicare.gov, influence consumer perception of payers and have a direct impact on a health plan’s member enrollment, revenue and potential to earn bonus incentives. Member enrollment. A one-star… Read More »