Government: Page 153
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Is it too late to stop a death spiral on the ACA insurance exchanges?
The Trump administration has taken steps to stabilize insurance exchanges next year but payers are running out of time to decide their participation. Market uncertainty could see more insurers making their way for the door.
By Luke Gale • Feb. 16, 2017 -
Health Catalyst deploys tool to enhance MACRA reporting
Just over a third of health system executives report having a strategy for meeting MACRA reporting requirements, according to a recent survey.
By Meg Bryant • Feb. 16, 2017 -
Trendline
Labor
Hospitals are navigating persistent labor shortages with the need to cut costs — a source of contention that could leave patients caught in the middle.
By Healthcare Dive staff -
GAO: HHS lets cybersecurity shortcomings linger
The investigative arm of Congress calls for better cyber protections for electronic health information and user information in state health insurance marketplaces.
By Meg Bryant • Feb. 16, 2017 -
Sam's Club brings higi health screening platform to members
Demand for convenient, cheaper care has fueled the rise of retail clinics, health screenings and other digital health services.
By Meg Bryant • Feb. 15, 2017 -
ACA gains: Uninsured rate reaches new low
New National Center for Health Statistics data reveal there were 28.2 million Americans without insurance in 2016.
By Luke Gale • Feb. 15, 2017 -
CMS drops rule aimed at stabilizing ACA market
Expanding pre-enrollment verification and shortening the open enrollment period in the individual market are among the changes to the ACA the federal government is proposing.
By Jeff Byers , Ana Mulero • Feb. 15, 2017 -
Humana to exit ACA exchanges
The health insurance company, which ended its plans to merge with Aetna on Tuesday, said it is "seeing further signs of an unbalanced risk pool."
By Ana Mulero • Feb. 15, 2017 -
California regulator report reveals insurers' flawed network lists
Cigna, Aetna and UnitedHealthcare were among major health plans in 2015 that reported inaccurate information to California’s managed care regulator.
By Meg Bryant • Feb. 14, 2017 -
Cigna ends Anthem merger; insurers sue each other
Cigna is seeking over $14 billion in damages from the failed merger bid. Anthem responded by filing for a restraining order that would stop Cigna from ending the deal.
By Ana Mulero , Shannon Muchmore • Feb. 14, 2017 -
Aetna, Humana drop merger plans
Aetna will now pay Humana the $1 billion breakup fee as the planned $37 billion merger has officially fallen through.
By Ana Mulero • Feb. 14, 2017 -
Studies show ACOs drive down spending regardless of structure
Accountable care organizations have shown an ability to drive down post-acute care spending and savings can be achieved through different reimbursement models, but further savings are possible.
By Luke Gale • Feb. 14, 2017 -
Congress joins executive branch in move to stabilize ACA exchanges
As Republicans continue to explore potential replacement plans, they are taking steps to improve insurance exchange stability beyond this year.
By Luke Gale • Feb. 14, 2017 -
Anthem fails to extend Cigna merger deadline, requests speedy appeal in antitrust case
The health insurance giant argued a speedy appeal process would benefit consumers, the judge "made serious errors of law, fact, and logic" with the court ruling to block its deal and it would "suffer irreparable harm" if the appeal is delayed.
By Ana Mulero • Feb. 13, 2017 -
Anthem files appeal to reverse court's blocking of $54B Cigna merger
The move had been expected given the $1.85 billion contractual breakup fee Anthem would owe Cigna if the merger isn't finalized.
By Ana Mulero • Feb. 13, 2017 -
DC insurance exchange regulators look to future with health savings accounts vote
The District of Columbia Health Benefit Exchange Authority made the move as Congress considers healthcare reform legislation that could include an expansion of health savings accounts.
By Luke Gale • Feb. 11, 2017 -
Hospitals get pushback on Mar-a-Lago fundraisers
The protests stem from concerns about Trump administration policies.
By Meg Bryant • Feb. 10, 2017 -
ATA: States show mixed progress with telemedicine
Texas continues to have the poorest grade on telehealth services.
By Meg Bryant • Feb. 10, 2017 -
GOP working with CBO on ACA replacement
While Republicans have questioned CBO's methodologies in the past, the willingness to work with the bipartisan scorekeeper highlights the GOP's seriousness to message a “win” in healthcare reform.
By Meg Bryant • Feb. 10, 2017 -
Deep Dive
What Tom Price's confirmation to head HHS means for healthcare
Policy analysts expect the new secretary to use a market-oriented approach to healthcare reform rather than a regulatory-based one.
By Ana Mulero • Feb. 10, 2017 -
Tom Price confirmed as HHS secretary
Democrats voiced their concerns about the Georgia Republican’s healthcare stock investments and his plans for repealing the ACA.
By Shannon Muchmore • Feb. 10, 2017 -
US government ordered to pay Moda $214M over risk corridor program
While the ruling may offer a glimmer of hope to other payers suing the government, it is not clear how courts will rule in the future.
By Luke Gale • Feb. 10, 2017 -
Study: Provider consolidation not direct result of payment reforms
There is little evidence to support the idea that the ACA led to significant changes in physician-hospital relationships, new research in Health Affairs suggests.
By Luke Gale • Feb. 9, 2017 -
GAO report says FDA ignored evidence on surgical device for women
Regulatory agencies like the FDA face a dilemma when it comes to balancing demands for quality and quickness.
By Luke Gale • Feb. 9, 2017 -
29K medtech jobs lost under medical device tax, AdvaMed says
Industry data suggest medical device excise tax hurt job prospects, but that might be the result of consolidation.
By Luke Gale • Feb. 9, 2017 -
Humana Q4 woes echo throughout payer industry
Several factors, including a blocked merger and troubles with the risk corridor program, contributed to a dismal fourth quarter for Humana.
By Luke Gale • Feb. 9, 2017
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