Exchanges run by the federal government both retained a higher percentage of 2014 enrollees and enrolled a higher percentage of new enrollees in 2015 than states that run their own exchanges, according to a new Avalere analysis.
The recent addition of 89 Accountable Care Organizations (ACOs) to the Medicare Shared Savings Program (MSSP) coupled with HHS' January announcement on transitions to value-based care highlight payment and delivery innovation's gathering momentum in federal health reform.
Avalere released its latest report today, which highlights current brand-name prescription drug spending and projections for federal healthcare programs (Medicare, Medicaid, TRICARE and VA).
Avalere director, Leigh Ann Bruhn, was recently named to the Academy of Managed Care Pharmacy’s (AMCP) Corporate Member Council.
We recently sat down for a Q&A with Avalere Director and MEDCAC panelist, Dr. Lakshman Ramamurthy, to get his take on the MEDCAC panel that happened earlier this week. Here's what he had to share.
New analysis from Avalere finds that while exchanges have succeeded in enrolling very low-income individuals, they continue to struggle to attract middle and higher income enrollees.
A new Avalere analysis finds that New Jersey's "hold harmless" regulations that apply when health plan members involuntarily use out-of network (OON) providers may not protect consumers as intended and, instead, have the unintended consequence of driving up healthcare spending in the state.
Avalere director Dr. Lakshman Ramamurthy will be a panelist on the Centers for Medicare and Medicaid Services’ (CMS) Medicare Evidence Development and Coverage Advisory Committee (MEDCAC), which will meet on Tuesday, March 24.
New analysis from Avalere finds that the proportion of Medicare Advantage (MA) beneficiaries enrolled in plans with 4 or more stars climbed from 38 percent in 2014 to 60 percent in 2015.
By the end of 2016, HHS plans to make 30% of fee-for-service payments through alternative payment models, such as accountable care organizations and bundled payments, and tie 85% of all fee-for-service payments to quality or value. This places increasing urgency on healthcare organizations to make a fundamental shift in their approach to care delivery.
Missed our webinar on Tuesday?
Avalere recently partnered with Third Way to estimate the cost savings of advancing the use of medical decision aids for Medicare beneficiaries, which would allow for shared decision-making between physicians and patients in preference-sensitive care.
Avalere Health led the Pharmacy Quality Alliance's February 2015 Quality Forum Lecture entitled: A Look Ahead at 2015.
Today, the U.S. Supreme Court will consider whether it is legal for consumers in states with a federal exchange to receive tax credits to subsidize monthly premiums for plans purchased through the exchange.
As healthcare leaders and policymakers look to curb spending and improve quality, they should examine models like the Alternative Quality Contract (AQC), according to a new paper by Avalere.
Majority of affected enrollees would be exempt from individual mandate
In a new analysis published by the California HealthCare Foundation, Avalere researchers found that Covered California plans provided comprehensive access to the most commonly used drugs.
Lisa Latts, MD, and Rick Smith join Avalere's team.
A new report by Avalere Health published by the California HealthCare Foundation
Avalere hosted its 2015 Outlook webinar last week, which featured Tanisha Carino, Lindy Hinman, Ellen Lukens and Josh Seidman.
