Payer: Page 107


  • Gottlieb: UnitedHealth, CareFirst sign onto FDA pilot aiming to speed device coverage

    The FDA chief also outlined new programs including "QUiK Review" aimed at cutting review times for well-understood, low-risk 510(k) submissions "by as much as 30%."

    By David Lim • Sept. 5, 2018
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    Amazon's stock valuation hits $1T

    Outside of the strictly retail space, Amazon is rushing into healthcare headfirst with new hires and acquisitions as well as its joint venture with Berskhire Hathaway and J.P. Morgan.

    By Ben Unglesbee • Sept. 5, 2018
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    Payer/provider relationships

    As M&A intensifies and companies embrace more holistic and value-based care models, partnerships have become more closely intertwined.

    By Healthcare Dive staff
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    Cigna names chief data and analytics officer

    The appointment comes as the insurer attempts to swallow pharmacy benefits manager Express Scripts.

    By Susan Kelly • Sept. 5, 2018
  • Novartis CAR-T therapy snags UK coverage, cutting list price 23% from US

    One of the fastest funding deals in the country's history leaves Novartis well ahead of rival Gilead in the battle to secure U.K. commercial returns.

    By Andrew Dunn • Sept. 5, 2018
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    Amazon-Berkshire-JPM healthcare venture picks COO

    Jack Stoddard, previously of Comcast and UnitedHealth, is CEO Atul Gawande's first publicized hire as the company works to fill the highly hyped effort's executive suite.

    By Sept. 5, 2018
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    Aetna to cover Abbott's non-opioid pain implant Proclaim

    The decision opens up a potential market of 22 million people for the neurostimulation device.

    By Nick Paul Taylor • Sept. 5, 2018
  • Medicare ACOs saved $1.1B in 2017, CMS data show

    It comes after CMS officials predicted an overhaul of the Medicare Shared Savings Program would push ACOs to take on more financial risk in their first years of participation.

    By Les Masterson • Sept. 4, 2018
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    CMMI director says agency won't force all providers to assume risk

    Adam Boehler said, however, that CMS wants to "create that avenue" for any practices interested in taking on more risk.

    By Aug. 31, 2018
  • CMS looks to develop consumer comparative pricing portal

    The agency has been pressing hospitals to be more transparent about the costs of procedures and services.

    By Aug. 30, 2018
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    Tennessee health system lawsuit alleges rigged Medicaid contracting by state

    The filing is the latest breadcrumb in a trail of litigation reaching back to 2007.

    By Aug. 30, 2018
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    Uninsured rate stays stable in 2018

    Use of high-deductible health plans continued an upward trend, with nearly half of people with private insurance saying they have such coverage, new federal statistics show.

    By Les Masterson • Aug. 30, 2018
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    Blockchain in healthcare: Huge promise, but largely unproven

    "What blockchain has been able to do is create markets where a market didn't previously exist," says Noah Zimmerman, director of Mount Sinai's Center for Biomedical Blockchain Research.

    By Aug. 30, 2018
  • Report offers framework for assessing EHR usability, safety

    The voluntary roadmap includes criteria examples for developers and providers to use in testing EHR products at each lifecycle stage.

    By Aug. 29, 2018
  • Payers saw more upgrades in H1 2018, A.M. Best says

    The credit rating agency attributed the wide swath of upgrades to improved performance in the ACA exchanges and heightened profitability for many insurers.

    By Aug. 29, 2018
  • Hundreds of groups raise concerns about E/M payment proposal

    They support efforts to cut provider administrative burden in the 2019 Physician Payment Rule but question its consolidation of office billing codes.

    By Les Masterson • Aug. 29, 2018
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    Health insurance tax return would increase out-of-pocket costs, report finds

    Congress approved a one-year moratorium on the tax for 2019, but it is expected to return the following year.

    By Les Masterson • Aug. 29, 2018
  • Humana announces new center for digital health, analytics

    One focus of Humana Studio H in Boston will be developing new health experiences for seniors.

    By Aug. 28, 2018
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    Nixing discharges to long-term care hospitals could save Medicare $4.6B, study finds

    Long-term care hospitals are reimbursed at substantially higher rates than other post-acute care arrangements.

    By Aug. 28, 2018
  • Critics say GOP pre-existing conditions bill flawed

    The legislative effort comes as a Republican-backed court case may wipe out the ACA's protections for people with pre-existing conditions. 

    By Les Masterson • Aug. 28, 2018
  • Next-Gen ACOs saved $62M in first reporting year, CMS says

    Half of the drop in spending and utilization stemmed from just four of the 18 NGACOs active in 2016, according to a report from the agency.

    By Aug. 28, 2018
  • Clover Health expanding MA offerings to 6 more markets

    The San Francisco-based payer also announced it is working with Taiwan-based Cathay Life Insurance to use artificial intelligence products that can predict elements like what patients will need hospitalization and when.

    By Les Masterson • Aug. 27, 2018
  • Medicaid expansion decreased uninsured hospitalizations for major cardiovascular events

    A study of more than 3 million non-Medicare hospitalizations from databases across 30 states didn't, however, find any changes for in-hospital mortality rates in expansion or non-expansion states.

    By Les Masterson • Aug. 27, 2018
  • New CMS model aims to improve child behavioral health services, tackle opioid abuse

    The program requires states to integrate behavioral health with primary care and preventive medicine and to use the help of community groups.

    By Les Masterson • Aug. 27, 2018
  • GAO highlights 3 ways HHS can improve ACA exchange membership

    The new report reviewed Trump administration efforts that likely led to fewer signups during open enrollment.

    By Les Masterson • Aug. 24, 2018
  • Kaiser posts nearly $40B in revenue for H1, but net income drops 21%

    Kaiser invested $26 million on capital projects, including opening new facilities and upgrading existing ones, and launched a $200 million project aimed at reducing homelessness.

    By Aug. 24, 2018