Intermountain, Geisinger shift focus to patients in revenue cycle

Patients are now a major payer, and providers need to adapt their strategies.

By Les Masterson • Feb. 7, 2018

Humana Q4 earnings a mixed bag

After increasing individual Medicare Advantage membership by only 1% in 2017, the insurer gained more than 3 million members in January. 

By Les Masterson • Feb. 7, 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

Rideshares fail to reduce patient no-show rates, study shows

A number of hospitals and health systems have partnered with Uber and Lyft in an attempt to help people get to appointments.

By Meg Bryant • Feb. 6, 2018

GAO says assisted living facilities need better oversight by state Medicaid

The agency found 26 state Medicaid agencies could not report the number of critical incidents that occurred in assisted living facilities.

By Les Masterson • Feb. 6, 2018

Expanding ACA plans drove Centene to 8% revenue growth

In announcing its Q4 earnings, the payer raised its guidance for 2018 after a successful open enrollment period in the ACA exchanges. 

By Les Masterson • Feb. 6, 2018

AHIP: 71% satisfied with employer healthcare, 66% say cost unreasonable

“Without a vibrant employer-sponsored marketplace the overall healthcare delivery system would not be able to deliver the services that it is delivering today," said Cigna CEO David Cordani.

By David Lim • Feb. 6, 2018

Slavitt leads bipartisan heavy hitters in health access effort

Newly-formed United States of Care, under former CMS chief Andy Slavitt's leadership, is partnering with Penn LDI to ultimately expand health coverage to all Americans.

By Jeff Byers • Feb. 6, 2018

How to make population health pop: What experts say

Barriers to successful pop health initiatives include quantifying and monetizing health information that may not lend itself to such analysis and getting organizations with different priorities to work together.

By Shannon Muchmore • Feb. 6, 2018

Varied uptake in e-consults at New England VA facilities: Health Affairs

The researchers looked at use of anesthesiology e-consults for preoperative evaluation.

By Meg Bryant • Feb. 6, 2018

Highest healthcare spenders vary each year

The top 5% of healthcare spenders in 2015 accounted for 53% of spending, a new Health Care Cost Institute analysis found.

By Les Masterson • Feb. 5, 2018

Medicaid work requirements bring uncertainty to hospital bottom lines, Fitch warns

Kentucky has already received a Medicaid waiver that allows it to implement work requirements, and seven more states could follow shortly.

By Meg Bryant • Feb. 2, 2018

UPDATE: Indiana Medicaid work waiver approved

The Trump administration is giving states more flexibility in running Medicaid, but critics say some changes restrict access to care for the most needy.

By Les Masterson • Feb. 2, 2018

DOJ seeks more info on proposed CVS, Aetna merger

CVS did not say what information DOJ is seeking, but the request is not unexpected.

By Shannon Muchmore • Feb. 2, 2018

Medicare Advantage plans to see 1.84% rate bump

CMS is also proposing opioid prescribing limits starting in 2019 for Part D plans to help stem the opioid crisis.

By David Lim • Feb. 2, 2018

Changes from DC could mean a difficult year ahead for hospitals

​Issues facing hospitals this year include Medicaid DSH cuts, a possible return of mandatory bundling initiatives and CMS potentially moving hip replacement procedures to outpatient.  

By Les Masterson • Feb. 1, 2018

Cigna revenue, membership up with commercial focus

Medicare Advantage membership growth is also expected to increase by 3% in 2018 and will likely accelerate in 2019.  

By Les Masterson • Feb. 1, 2018

Oscar reports 32% rise in members' telehealth use

Two-thirds of members’ medical encounters in 2017 occurred virtually.

By Meg Bryant • Feb. 1, 2018

Physician practices not flocking to CPC+

Just 165 practices have signed up to participate in round two of the CMS public-private partnership.

By Meg Bryant • Jan. 31, 2018

A proposal to bolster ACA exchanges: Look to Medicare Advantage

The Urban Institute suggests five Medicare Advantage-inspired policies to stabilize the ACA market.

By Les Masterson • Jan. 31, 2018

Payers wade into real-world evidence, but tread lightly

Insurers and pharmacy benefit managers are wary about the quality of data underlying real-world evidence.

By David Lim • Jan. 31, 2018

How Amazon, JPM, Berkshire could disrupt healthcare (or not)

News of three corporate giants forming an independent healthcare company "proves every business is a healthcare business," said David Vivero, CEO of the digital health startup Amino.

By Shannon Muchmore, Daphne Howland & Jeff Byers • Jan. 31, 2018

Anthem sees strong Q4, Medicare Advantage and PBM gains

The major Blues plan reported revenue growth in the fourth quarter of 2017, as well as membership gains for the year.  

By Les Masterson • Jan. 31, 2018

State of the Union: 4 things Trump said on healthcare

Most of the healthcare ideas the president put forward have little chance of being enacted this year or lack funding to be effective.

By David Lim • Jan. 31, 2018

Court sets speedy 340B lawsuit schedule, siding with AHA

"We will continue to pursue our legislative and legal strategies to reverse these cuts, and expect to prevail in holding the agency accountable for overstepping its authority," Melinda Hatton, general counsel for the American Hospital Association, told Healthcare Dive.

By David Lim • Jan. 31, 2018

Medicare out-of-pocket costs seen rising to half of senior income

Older people in poor health, women and lower-income Americans are paying higher percentages of their per capita income on out-of-pocket Medicare costs.  

By Les Masterson • Jan. 30, 2018