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Humana has unveiled a new virtual care partnership with Missouri-based Mercy. (Getty/airdone) Humana is teaming with Missouri-based health system Mercy to grow access to virtual health resources. Humana's Medicare Advantage members will have in-network access to Mercy Virtual, the system's "hospital without beds," the companies announced Thursday. Mercy Virtual is staffed with more than 300 clinicians and provides care around the clock, including virtual primary care. As part of the partnership, Mercy is also entering into a value-based care arrangement with Humana. “This agreement unites t...

Humana Military, a wholly-owned subsidiary of Humana Inc. Mesiwala will serve as a member of the Humana Military leadership team and report to Brent Densford, who is president of Humana Government Business, Inc.–Humana Military. Humana Military is a convener of care for the TRICARE East region.  Mesiwala previously served as a senior medical director for value-based care and innovation for the University of Pittsburgh Medical Center Health Plan where she led the clinical design and implementation of primary care and specialty-focused alternative payment models officials said.  She als...

Insurers are asking the Supreme Court on cost-sharing reduction payments. (Getty/BrianPIrwin) Two insurers are urging the Supreme Court to review a lower court decision that they say could prevent many plans from receiving the full amount in owed cost-sharing reduction payments. In a filing with the court (PDF) this week, Maine Community Health Options and Community Health Choice argue that the decision allows the government to avoid paying out its full obligation in CSR payments under the Affordable Care Act.  In the August 2020 ruling, the Court of Appeals for the Federal Circuit says that...

Feb 25, 2021 12:14pm In a study that looked at admissions among Medicare patients, there were wide variations in admission rates between physicians, according to the work by researchers from Beth Israel Deaconess Medical Center, as well as the Dartmouth Institute for Health Policy and Clinical Practice and Harvard Medical School. (Studio 642/Getty Images) Exactly which doctor a patient ends up seeing in an emergency department can have a big impact on whether or not they get admitted to the hospital, according to a study recently published in Health Affairs. In a study that looked at admissi...

What is in store for healthcare under a Biden administration? Let’s look at the likely short-term, near-term and long-term changes to come over the next few months and years.