Payer Strategy & Coverage
Expert articles and analysis related to payer strategy & coverage.
AI Summary — Last 24 Hours
Payer-strategy news in the last 24 hours was mostly tangential to Medicare/Medicaid payment policy and ACO operations, with no clear new CMS or CMMI value-based care announcement. The most relevant signal is commercial: Parsley Health expanded insurance coverage for its functional medicine model, reinforcing payer interest in covering longitudinal, prevention-oriented care models outside traditional primary care—an area ACOs and risk-bearing providers should watch for network, attribution, and total-cost-of-care implications. The AHA’s [rural policy archive](https://news.google.com/rss/articles/CBMihwFBVV95cUxPaDNOOGpJUHNrMjR2aHBtV0RNaVNWRE1pYnQ4clJGenV4c
Related Articles
Parsley Health goes in-network nationwide
When I first heard about Parsley Health close to a decade ago, the startup embodied a few trends I was following closely: primary care startups and cash-pay healthcare. For a ...
California hospitals sue to block Elevance out-of-network penalty
California hospitals sue to block Elevance out-of-network penalty  Modern Healthcare
California hospitals sue Anthem over out-of-network care policy
California hospitals sue Anthem over out-of-network care policy  Fierce Healthcare
Opinion: Dr. Glaucomflecken wants to make a stink
“They don’t want this kind of scrutiny”: Why Dr. Glaucomflecken is getting involved in protests over an Oregon hospital system’s emergency department.
States overhaul certificate-of-need laws
States have advanced a range of reforms to their certificate-of-need (CON) laws amid federal pressure to weaken or eliminate them. The highest-profile change, so far this year, was Tennessee’s April 1...
Atrium Health, WakeMed surprise pact draws resistance
Atrium Health, WakeMed surprise pact draws resistance  AOL.com