Payer: Page 130
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Insurers, hospitals slam Trump admin's association health plan proposal
America’s Health Insurance Plans argued the proposal could increase the risk of fraud and insolvency for consumers.
By David Lim • March 7, 2018 -
Report underscores value in value-based care programs
UnitedHealthcare said ACOs serving employer-sponsored plan beneficiaries outperformed non-ACOs on 87% of quality measures tracked in 2017.
By Meg Bryant • March 6, 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 -
CMS floats $30M for QPP measures development
Areas for measure development include safety, care coordination, population health and prevention.
By Meg Bryant • March 6, 2018 -
State efforts to impose individual mandate going nowhere
Six states and Washington, D.C., have all proposed measures to bring back the individual mandate penalty for health insurance, but so far no legislature has done so.
By Les Masterson • March 6, 2018 -
HIMSS18: CMS chief touts EHR, PHR overhaul
Seema Verma said the agency is planning a "complete overhaul" of meaningful use standards for hospitals, but provided few details.
By Kim Dixon • March 6, 2018 -
Azar says HHS could intervene to 'uncomfortable degree' to achieve value
Speaking at an FAH conference, Azar emphasized giving consumers greater control over their health data and encouraged price transparency from both payers and providers.
By David Lim • March 6, 2018 -
Centene to buy Florida primary care provider
The St. Louis-based payer will acquire Community Medical Group, which serves more than 70,000 patients in Miami-Dade County.
By Shannon Muchmore • March 6, 2018 -
Getty / Edited by Healthcare Dive
UnitedHealthcare to use rebates to lower drug costs for patients
The major insurer plans to begin routing savings from drugmaker rebates directly to some consumers in a bid to lower out-of-pocket costs for prescription medicines.
By Ned Pagliarulo • March 6, 2018 -
Arkansas gets Medicaid work requirement
The state has not yet won approval for a part of the proposal to change the income requirement for Medicaid to 100% of the federal poverty level instead of 138% of FPL.
By Les Masterson • March 5, 2018 -
Geisinger reports net income increase despite issues with ACA health plan
Geisinger Health Plan lost out on $11 million when the Trump administration put a halt to cost-sharing reduction payments last year.
By Les Masterson • March 5, 2018 -
UPMC's net income hits $1.3B in 2017
Operating revenue grew to $16 billion, fueled by strong clinical demand and growth in UPMC’s insurance business.
By Meg Bryant • March 2, 2018 -
Clover Health sees losses cut, revenue climb in 2017
The Alphabet-backed startup had revenue of $267 million, an increase from $184 million in 2016.
By Meg Bryant • March 2, 2018 -
Hartford HealthCare, Tufts partner on new insurance company
The organizations will focus on enrolling seniors in Medicare Advantage plans.
By Meg Bryant • March 2, 2018 -
Medicaid can be key to tackling social determinants of health
Researchers said adding optional Medicaid benefits, integrating data systems and incorporating social determinants in screening and care delivery can help reduce disparities.
By Les Masterson • March 2, 2018 -
DOJ chucks most of UnitedHealth false billing lawsuit
The move comes two weeks after a California federal judge threw out charges the insurer falsely attested the data were inaccurate.
By Meg Bryant • Feb. 28, 2018 -
Network directory errors remain an issue, AMA report finds
Previously, CMS has spoken out about errors in provider directories of Medicare Advantage plans.
By Les Masterson • Feb. 28, 2018 -
Association health plans will up ACA market premiums, Avalere says
AHPs are a key part of the Trump administration’s plan to sidestep Affordable Care Act regulations.
By Les Masterson • Feb. 28, 2018 -
20 states suing to invalidate ACA
The Republican attorneys general are arguing that with the individual mandate penalty zeroed out, it can't be enforced and the law is unconstitutional.
By Shannon Muchmore • Feb. 28, 2018 -
CVS, Aetna unscathed through congressional hearing
The AMA is asking Congress to "closely scrutinize the pending merger deal" on worries it would reduce competition among PBMs, local health insurance markets and local retail pharmacy markets.
By David Lim • Feb. 28, 2018 -
Alphabet's Verily seeks collaboration with health insurers
CNBC reported the life sciences arm of Google is interested in assisting payers with population health management.
By Les Masterson • Feb. 28, 2018 -
Clinicians seek more time in risk-free ACO track
Of the 561 accountable care organizations currently in the Medicare Shared Savings Program, 82% are still in Track 1.
By Meg Bryant • Feb. 27, 2018 -
CMS study to shed light on MIPS burden
The study could lead to changes in data capture and reporting, the agency said.
By Meg Bryant • Feb. 27, 2018 -
Kentucky Medicaid to penalize patients for unneeded ED visits
The move is part of a larger plan to reshape Medicaid in Kentucky, most notably requiring able-bodied beneficiaries to work to be eligible for coverage.
By Les Masterson • Feb. 27, 2018 -
Elizabeth Regan/Healthcare Dive
PhRMA pitches value-based care, skeptics raise flags
The link between outcomes-based contracts and copayments is hard to discern.
By Randi Hernandez • Feb. 27, 2018 -
6.4M more will be uninsured next year, Urban Institute says
Trump administration policies and the end of the individual mandate will result in fewer people insured, leading to higher premiums for ACA exchange plans, according to the report.
By Les Masterson • Feb. 27, 2018
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