Payer: Page 118
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Anthem, doc.ai to test blockchain-enabled AI to predict allergies
Doc.ai's end-to-end platform includes trial recruitment, engagement, data collection and predictive models.
By Meg Bryant • Aug. 2, 2018 -
Express Scripts income up, defends PBM model
The largest U.S. PBM touted 9.4% growth over the same quarter last year amid uncertainty around the future of the industry and the firm's pending merger with Cigna.
By Rebecca Pifer Parduhn • Aug. 2, 2018 -
Explore the Trendline➔
Yujin Kim/Healthcare Dive
TrendlinePayer/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 -
Montgomery County Planning Commission
Aetna sees slight revenue bump, membership drop
A day earlier, California's insurance commissioner came out against the payer's pending $69 billion deal with CVS.
By Les Masterson • Aug. 2, 2018 -
Cigna's commercial market success continues in Q2
The payer reported earnings that included a total revenue increase of 10% to $11.5 billion compared to the same quarter in 2017, beating Wall Street expectations.
By Tony Abraham • Aug. 2, 2018 -
Final rule expands short-term health plans to 12 months
The plans can now have a maximum duration of a year, but can be renewed for a total of three years. HHS expects 600,000 people to enroll next year with as many as 6 million by 2022.
By Tony Abraham • Aug. 1, 2018 -
Providers protest Texas Blue Cross Blue Shield restrictions
Austin-area pediatric specialists have accused Blue Cross and Blue Shield of Texas Medicaid plans of failing to pay for certain services.
By Meg Bryant • Aug. 1, 2018 -
Molina beats expectations with $202M net income for Q2
The payer came off strong in its quarterly earnings report after last year's tumultuous changes.
By Rebecca Pifer Parduhn • Aug. 1, 2018 -
Unsubsidized coverage drops but individual market still stable
A Kaiser Family Foundation report found that about 2 million people dumped individual coverage over the past year, mostly middle-class Americans without subsidies to help control premiums.
By Les Masterson • Aug. 1, 2018 -
CMS pitches covering cardiac catheterization at surgical centers
Jefferies analysts expect the agency will eventually add coverage for knee replacements at ambulatory surgical centers.
By Susan Kelly • Aug. 1, 2018 -
Humana Q2 earnings driven by Medicare Advantage growth
At the same time, the payer lost Medicare prescription drug and Medicaid members over the past year.
By Les Masterson • Aug. 1, 2018 -
Provider consolidation outpacing payer in most of US, study shows
Nearly 90% of metropolitan statistical areas have highly- or super-concentrated provider markets, according to The Commonwealth Fund.
By Meg Bryant • Aug. 1, 2018 -
CMS delay on 2019 MSSP applications leaves ACOs in limbo
The holdup is likely tied to a proposed rule that has been stuck at the Office of Management and Budget since early May.
By Meg Bryant • July 31, 2018 -
Less than half of Americans worry about personal health data security
In contrast, nearly 70% of adults surveyed said they were extremely or very concerned about the security of their financial data.
By Meg Bryant • July 31, 2018 -
Patients often choose higher-cost locations for MRIs, study finds
Referring physicians have more influence over a patient's decision than out-of-pocket costs, according to the National Bureau of Economic Research report.
By Les Masterson • July 31, 2018 -
Centene, Ascension joining forces for Medicare Advantage plan
Though there are few specifics about the plan, the companies said it would be a preferred model for the systems and affiliates in multiple markets.
By Les Masterson • July 31, 2018 -
Harvard Pilgrim expands project to help members find cost-effective plans
The payer will work with MyHealthMath to use information from a one-on-one phone call to help members choose the best plan.
By Les Masterson • July 30, 2018 -
States sue Trump administration over AHP expansion
Critics fear that by tempting people with lower-cost offerings, AHPs and catastrophic plans could cause millions to flee the ACA exchanges.
By Les Masterson • July 30, 2018 -
Walgreens rolls out digital marketplace with 17 well-known providers
The platform lists prices for services ranging from lab tests to telehealth consults. Advocate and New York-Presbyterian are among those taking part.
By Meg Bryant • July 27, 2018 -
Despite higher medical spending, older Americans have less debt, study finds
The average size of medical debt dropped by nearly 40% between the ages of 27 and 64, according to a new Health Affairs study.
By Meg Bryant • July 27, 2018 -
IBM, Anthem extend digital infrastructure contract
A key part of the partnership is IBM providing flexibility for Anthem's infrastructure, including using predictability to find potential back-end problems.
By Les Masterson • July 27, 2018 -
Deep Dive
Some patients fight back against surprise medical bills
"People that come to us are often quite distraught," says Akshay Gupta, co-founder of CoPatient, a firm that helps patients resolve their medical bills.
By Meg Bryant • July 25, 2018 -
Anthem sees 23% net growth, eyes Medicare, Medicaid options
The payer's revenue was hurt by its pull-back from the ACA exchanges.
By Les Masterson • July 25, 2018 -
Anthem, Samsung, American Well announce telehealth collaboration
Using a Samsung Galaxy device, consumers can consult with experts in a variety of subspecialties. The updated app also includes fitness training, maternity advice and sleep tracking.
By Meg Bryant • July 24, 2018 -
Gender equity in healthcare still has a way to go, report finds
Only 5% of women in healthcare believe parity in the workplace will happen in the next five years.
By Meg Bryant • July 24, 2018 -
Centene revenue up on ACA plan growth
The payer reported a 19% increase in year-over-year Q2 revenues to $14.2 billion.
By Les Masterson • July 24, 2018
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