New partnership aims to launch employer bundled payment programs

Healthcare purchasers are working with Remedy Partners to create a national episode-based payment platform.

By Les Masterson • June 27, 2018

DIA18: Value-based contracts pose more questions than answers

Drugmakers and payers are still figuring out what data are needed to support a new wave of pricing agreements and how to collect that information earlier.

By Jacob Bell • June 27, 2018

Explore the Trendline➔

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

AHA, industry groups slam proposed CMS interoperability requirements

CHIME urged the agency not to conflate speeding data exchange with true interoperability in its comments on the proposed 2019 Inpatient Prospective Payment rule.

By Meg Bryant • June 27, 2018

More Medicare patients dying at home, JAMA study finds

Both Medicare fee-for-service and Medicare Advantage beneficiaries were more likely to die at home or in the community than in an acute care hospital, according to the report.

By Rebecca Pifer Parduhn • June 26, 2018

Few post-acute care facilities took part in voluntary CMS bundle model

Nearly half of those that took part dropped out, raising questions about the effectiveness of programs that are not mandatory.

By Les Masterson • June 26, 2018

AHIP18: Payers face threats from all directions

Attendees of the annual America's Health Insurance Plans conference in San Diego were told they must look toward new business models to survive the changing industry landscape.

By Shannon Muchmore • June 25, 2018

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 Meg Bryant • June 25, 2018

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

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 Meg Bryant • 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 Meg Bryant • 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 Shannon Muchmore • June 21, 2018

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 Shannon Muchmore • June 21, 2018

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 Meg Bryant • June 21, 2018

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 Meg Bryant • 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 Rebecca Pifer Parduhn • June 20, 2018

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

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

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 Meg Bryant • 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 Meg Bryant • 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

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