Payer: Page 113


  • Better outcomes, satisfaction with hospital-at-home care programs: JAMA study

    Patients who received acute care at home had lower re-admission rates than inpatients.

    By June 25, 2018
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    Medicare Part A funding will dry up by 2026, KFF finds

    Medicare Advantage payments nearly doubled over 10 years, according to a new analysis from Kaiser Family Foundation.

    By Les Masterson • June 24, 2018
  • Explore the Trendline
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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
  • New CMS database aimed at interoperability in post-acute care

    The Data Element Library includes health IT standards to facilitate collection and exchange of patient health information.

    By June 22, 2018
  • Salesforce aims new cloud tool at payers

    The service integrates health records, claims data and authorizations into a single dashboard and puts a focus on consumer satisfaction.

    By June 22, 2018
  • AHIP18: CEO warns payers of urgency for 'change and innovation'

    The potential threat from Amazon and others to the industry hovered over the conference. Atul Gawande is set to speak later today.

    By June 21, 2018
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    Oscar Health expanding ACA marketplace footprint

    The health insurance company plans to grow to nine states in 2019.

    By Les Masterson • June 21, 2018
  • AHIP18: Gawande looks forward to '1M new patients' in new role

    Surgery professor and author Atul Gawande told a crowd at the annual payer conference he felt "incredibly lucky" for his new position as CEO of the joint venture between Amazon, J.P. Morgan and Berkshire Hathaway.

    By June 21, 2018
  • Deep Dive

    Telebehavioral health finding its niche

    Providers are exploring new tech options, but there's still work to be done to integrate mental health services into the larger healthcare delivery system. 

    By June 21, 2018
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    CMS seeks input on Stark Law changes amid value-based care shift

    The American Hospital Association has been vocal in pushing for changes to the physician self-referral law, calling it outdated.

    By David Lim • June 21, 2018
  • BCBS of Minnesota, Mayo Clinic forge pact on tech coverage

    The five-year agreement calls for a joint governance structure to assess advancements in areas such as radiation therapy and genomics.

    By June 20, 2018
  • CVS offers at-home Rx delivery amid Amazon threat

    The pharmacy giant said it will become the first national drugstore to deliver prescriptions directly to consumers.

    By June 20, 2018
  • Deep Dive

    Hospital CEO pay rises steadily, but still lags many sectors

    Median CEO pay at hospital and health systems is stable with very modest increases in the range of 2.5% to 3% year-over-year.

    By Les Masterson • June 20, 2018
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    AMA opposes CVS-Aetna deal

    Company officials argued the deal could reduce healthcare spending, improve efficiencies and help patients with chronic illnesses, but the AMA said less healthcare competition would be bad for consumers. 

    By Les Masterson • June 20, 2018
  • Deductibles, coinsurance on the rise, but cost of copays are down

    A new Peterson-Kaiser Health System Tracker report on large employer health plans also found that insurers are paying slightly less on covered medical expenses than a decade ago.

    By Les Masterson • June 20, 2018
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    Nonprofit hospitals vulnerable to declining rate of insured, S&P says

    To date, the rise in uninsured has no discernible effect on for-profit hospitals. But over time it could hurt credit ratings for nonprofit hospitals and health systems.

    By June 19, 2018
  • Humana, Walgreens expand primary care program for seniors

    The companies will partner on two new senior-focused primary care clinics in the Kansas City, Missouri area.

    By Les Masterson • June 19, 2018
  • Quest Analytics takes on network accuracy with BetterDoctor buy

    The deal combines Quest Analytic's network decision support tools with BetterDoctor's provider data management platform.

    By June 19, 2018
  • Trump admin finalizes Association Health Plans expansion

    The final rule appears to contain protections for pre-existing conditions, age and gender, but allows AHPs to skirt the ACA's 10 essential health benefits.

    By David Lim • Updated June 20, 2018
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    340B audit imbalances under fire at Senate panel

    The director of the agency overseeing the drug discount program for hospitals said legislation is needed for it to do a better job at oversight and transparency.

    By Tony Abraham • June 19, 2018
  • Hospitals to lose $218B in federal payments by 2028, study predicts

    The Federation of American Hospitals and the American Hospital Association commissioned a report to look at how 11 pieces of legislation, combined with regulatory changes, are affecting hospital reimbursement.

    By Les Masterson • June 18, 2018
  • Payers moving to value-based care faster than expected

    Insurers can take a while to implement programs, however, with 21% needing 18 months and 13% requiring up to two years or more, according to a survey from Change Healthcare.

    By Les Masterson • June 18, 2018
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    Chicago health system says hospital star ratings not accurate

    Rush University Medical Center researchers said CMS unfairly relied too much on some measures in its ratings program.

    By Les Masterson • June 18, 2018
  • Cardinal Health cedes control of naviHealth in bid to spur growth

    Cardinal wants to expand the Nashville-based bundled payments startup and focus on finding scale.

    By June 15, 2018
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    Sequoia Project highlights best patient matching practices

    The revised framework includes a model for determining an organization's "maturity" in matching patient IDs and information.

    By June 14, 2018
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    Fitch says Medicaid cost growth likely to force states to cut programs

    The ratings agency reported that healthcare costs for states have increased more than $300 billion since 2005, and will only grow in the next decade.

    By Les Masterson • June 14, 2018