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Medicare, Medicare Advantage enrollees have comparable healthcare experiences

Similar shares of Medicare Advantage and traditional Medicare enrollees report that their out-of-pocket costs make it difficult to obtain care.

Centene growing Medicare Advantage footprint by 26% in 2022

After expanding into three new states, Centene’s MA offerings will be available to a potential 48 million beneficiaries across 36 states.

Valuing human life

Valuing human life
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Providers, payers see direct contracting s capitation as an important move to value-based care

Photo: Cecilie Arcurs/Getty Images Over the past several years, the big trend in healthcare has been to inch away from fee-for-servicereimbursement and toward value-based care, in which a provider s reimbursement is tied more to clinical quality than to volume. The industry, policymakers and the federal government have attempted this shift through a number of legal and regulatory means, and one policy that has proven popular in this regard, among both providers and payers, is direct contracting. In basic terms, direct contracting is a population-based model that allows for the use of capitation. This is what sets it apart: Aside from Next Gen and Pioneer, virtually all of the other compensation-based models from the Centers for Medicare and Medicaid Services are billed as fee-for-service, with a reconciliation 18 months later.

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