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More Providers, Insurers Showing Appetite for Narrow Networks
Providers and insurers across the country are partnering to launch narrow-network plans even as controversy continues over whether these plans offer adequate provider access for consumers.
A new health plan collaboration in Wisconsin between a hospital system and an insurer is the latest sign that providers and insurers are betting on narrow networks even as controversy continues over whether these plans offer adequate provider access for consumers.
Aspirus, a not-for-profit health system based in Wausau, Wisconsin, and not-for-profit health insurer Arise Health Plan this week unveiled their co-branded health plan for individuals and small businesses with fewer than 50 workers, said Brett Davis, vice president of provider relations at WPS Health Insurance, Arise's parent company. WPS covers about 250,000 people across the state.
Consumers and employer groups that purchase the plan will receive discounted in-network care at Aspirus' 6 hospitals and from any physicians employed by Aspirus or doctors who contract with the system. Executives said the plan will have “affordable” monthly premiums but declined to be more specific. They declined to say whether the plan will be offered on Wisconsin's insurance exchange under the Patient Protection and Affordable Care Act.
Read the full story at Modern Healthcare: http://bit.ly/1oe7puY
CMS Medicare Final Rule: Advancing Benefits, Competition, and Consumer Protection
May 7th 2024On this episode of Managed Care Cast, we're talking with Karen Iapoce, senior director of government products and programs at ZeOmega, about the recent CMS final rule on Medicare Part D and Medicare Advantage.
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Examining Low-Value Cancer Care Trends Amidst the COVID-19 Pandemic
April 25th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the April 2024 issue of The American Journal of Managed Care® about their findings on the rates of low-value cancer care services throughout the COVID-19 pandemic.
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Following Roe v Wade Overturn, Research Focuses on Male Contraceptives
May 6th 2024Stephanie T. Page, MD, PhD, UW Medicine Diabetes Institute, presented on ongoing research and growing interest in new male contraceptive options, such as an oral pill and a hormonal transdermal gel, at the American Urological Association 2024 Annual Meeting.
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