Payer
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Courtesy of Amwell
Cigna adds in-network virtual mental healthcare, highlighting focus on treatment access
Ginger provides Cigna customers with behavioral health coaching, therapy and psychiatry services through its app.
By Katie Clarey • May 05, 2021 -
Bruce Bennett via Getty Images
CVS profit up 10%, but warns vaccine hesitancy could dampen earnings
The diversified health behemoth beat Wall Street quarterly forecasts with revenue of $69.1 billion, raising its full-year guidance as a result.
By Rebecca Pifer • May 04, 2021 -
Explore the Trendline➔
Getty
TrendlineValue-based care
As medical costs continue to skyrocket, some hope the COVID-19 pandemic will nudge providers to adopt value-based care as they look to diversify revenue streams, bringing the movement back on track.
By Healthcare Dive staff -
Fotolia
COVID-19 spurred growing profitability in insurance markets last year, KFF says
Still, the Kaiser Family Foundation report stressed the pandemic's long-term financial ramifications on insurers are uncertain, as a bounceback in utilization and shifting regulatory requirements could dampen future income.
By Rebecca Pifer • May 03, 2021 -
sturti via Getty Images
Sponsored by Pulse8Using risk adjustment analytics to precision target interventions
Dynamic intervention planning helps payers save time and money while reducing 20-30% interventions.
By Scott Stratton, MPH • May 03, 2021 -
Fotolia
Kentucky must rebid Medicaid contracts again, judge rules
This ruling puts six insurers at risk of losing their lucrative contracts with the state. It's unclear when the state will rebid the work.
By Samantha Liss • April 30, 2021 -
Molina membership growth propelled revenue, profit in Q1
The insurer is poised to see additional gains throughout the year as the special enrollment period for Healthcare.gov remains open and states are barred from removing Medicaid members from their rolls.
By Samantha Liss • April 29, 2021 -
Humana
Humana snaps up remaining stake in home health giant Kindred for $5.7B
The payer also reported first quarter revenue of $20.7 billion on profit of $828 million, up a whopping 75% year over year.
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CMS pitches extra year of add-on payments for Boston Scientific, Stryker, other devices
In light of the COVID-19 pandemic, the agency is proposing the payments to hospitals be extended beyond the typical timeframe for 14 products.
By Nick Paul Taylor • April 28, 2021 -
Retrieved from Paul Sableman on March 12, 2021
Centene Q1 performance fueled by lower medical usage, 1.3M new members
Executives seemed optimistic about the remainder of the year, raising full-year guidance as they see momentum coming from Medicaid and Affordable Care Act marketplace growth due to the special enrollment period.
By Samantha Liss • April 27, 2021 -
Molina acquires Cigna's Medicaid business in Texas for $60M
The deal is set to boost Molina's existing footprint in the state as the managed care company continues to execute on its strategy of growth through bolt-on acquisitions.
By Samantha Liss • April 23, 2021 -
Drew Angerer via Getty Images
ACA navigator funds get massive boost to record level
The agency also said about 12 million people enrolled in an Affordable Care Act plan during the 2021 open enrollment period, a 5% increase from the year prior.
By Shannon Muchmore • April 22, 2021 -
Thomas Barwick via Getty Images
AdvaMed pushes CMS to implement MCIT final rule without further delay
The Medicare agency postponed the proposal from taking effect amid criticism from some doctors and safety groups that it risks promoting device use without rigorous evidence of safety and effectiveness.
By Susan Kelly • April 21, 2021 -
Getty / Edited by BioPharma Dive
Bluebird to withdraw gene therapy from Germany after dispute over price
The biotech will cut staff, primarily in Europe, after negotiations with German health authorities resulted in a price lower than Bluebird had sought.
By Ned Pagliarulo • April 21, 2021 -
Anthem reports major Medicaid growth in Q1 as executives downplay concerns of pent-up care demands
The payer reported a profit for the quarter driven by performance of its pharmacy benefit management arm and its government plans. It missed Street expectations on revenue, but beat on earnings and hiked EPS guidance.
By Shannon Muchmore • April 21, 2021 -
Adeline Kon/Healthcare Dive/Healthcare Dive
What to watch as health systems and insurers report Q1 results
For both payers and providers, volumes will be an important metric. The lingering question is how quickly patients will return to in-person care.
By Samantha Liss , Shannon Muchmore • April 20, 2021 -
Alex Wong via Getty Images
Value-based care at 'critical juncture,' new CMMI chief says
Even though some testing payment models have been delayed or discarded, CMMI's new leader said the agency remains committed to finding models that reward value not volume.
By Rebecca Pifer • April 20, 2021 -
Courtesy of Humana
Humana nets nearly $200M in overpayments, OIG audit finds
The watchdog said the payer submitted documentation that inaccurately showed some of its Medicare Advantage members were sicker than they actually were.
By Samantha Liss • April 20, 2021 -
UnitedHealth Group
UnitedHealth kicks off Q1 earnings season with 44% profit jump
Care was still muted in the first quarter even as vaccinations ramped up and states lifted restrictions, contributing to the healthcare behemoth's $4.9 billion bottom line.
By Rebecca Pifer • April 15, 2021 -
Anthem, Blackstone, digital health startup K Health launch joint venture to curb costs
Financial terms of the deal were not disclosed, but the new venture, which has been in the works for years, will use AI tools in an attempt to better triage patient care.
By Rebecca Pifer • April 14, 2021 -
Doubts cast on CPAP efficacy evidence in HHS agency review
A report prepared for the Agency for Healthcare Research and Quality found available studies "mostly" do not support a link between continuous positive airway pressure therapy and long-term, clinically important outcomes.
By Nick Paul Taylor • April 14, 2021 -
Patients hit with surprise medical bills paid ER docs 10 times more than others
The findings published in Health Affairs suggest why some ER groups resist coming in-network with insurers: They stand to collect more in revenue if they stay outside a network, posing a financial risk to patients.
By Samantha Liss • April 13, 2021 -
Kaiser Permanente taps chief information technology officer
Diane Comer, who joined the integrated system in 2007, helped deploy the tech systems needed to support the Affordable Care Act and health insurance exchanges.
By Roberto Torres • April 09, 2021 -
Urgent care centers draw some ER visits but associated with higher spending overall
The findings published in Health Affairs may suggest patients are going to the centers instead of more appropriate and lower cost settings like a primary care office or virtual visit.
By Shannon Muchmore • April 07, 2021 -
Brian Thompson named CEO of UnitedHealthcare
The executive, who joined UnitedHealth Group in 2004, was most recently head of UnitedHealthcare's government business, including its Medicare, retirement and community and state divisions.
By Rebecca Pifer • April 07, 2021 -
Medtechs top pharma in cash to doctors for consulting, travel: Health Affairs
The study also found payments from medical device companies increased greatly as Medicare billing increased among surgeons.
By Ricky Zipp • April 07, 2021
