Payer: Page 133
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CVS expects $1.2B increase in annual net income from tax bill
Adjusted earnings per share are expected to be at the lower end of the $1.88-$1.92 range announced during the company’s 2017 Q3 earnings call.
By David Lim • Jan. 5, 2018 -
Study finds huge price swings at Minnesota hospitals
The Minnesota study is part of a growing movement to increase healthcare price transparency across the country.
By Meg Bryant • Jan. 5, 2018 -
Clover Health lost its gamble to get more patient data
The San Francisco-based Medicare Advantage plan delayed lab test payments in hopes to leverage a data collection deal, a CNBC report found.
By Meg Bryant • Jan. 5, 2018 -
Trump rule would expand association health plans
Supporters say the move would allow for more affordable health insurance options, but critics charge that expanding association health plans will weaken consumer protections and hurt the individual exchange market.
By Les Masterson • Jan. 4, 2018 -
Outcomes, costs vary for coronary procedures at VA and non-VA hospitals
The reasons for the cost differences are somewhat elusive, the JAMA Cardiology study concluded.
By Meg Bryant • Jan. 4, 2018 -
A.M. Best improves outlook for health insurance industry to 'stable'
A new report from the ratings agency said multiple payer product lines remain profitable despite issues in the individual market.
By Les Masterson • Jan. 4, 2018 -
CMS to docs: Texting orders banned, with a clarification
The memo to state survey agencies maintains the ban on texting patient orders.
By Meg Bryant • Jan. 3, 2018 -
Spark sets precedent with outcomes models, $850K gene therapy price tag
CMS to weigh plan to allow the company to offer payers the option to spread payments over multiple years in a payment-plan type model for Luxturna.
By Lisa LaMotta • Jan. 3, 2018 -
CMS proposes Medicare Advantage risk adjustment increase
The proposal would increase payments for MA members with mental health issues, substance use disorder and chronic kidney disease starting in 2019.
By Les Masterson • Jan. 2, 2018 -
CMS penalizes 751 hospitals over patient safety issues
More than half of hospitals were subject to Medicare cuts last year.
By Meg Bryant • Jan. 2, 2018 -
Deep Dive
Health systems brace for 2018 disruption
Look for more care in outpatient settings as hospitals consider cost containment and hiring strategies to stay above water.
By Jeff Byers , Shannon Muchmore , David Lim • Jan. 2, 2018 -
Kindred Healthcare shareholder opposes Humana, private equity deal
Brigade Capital Management said the $4.1 billion deal will "short-change existing shareholders," criticizing the $9 per share valuation for stockholders as "disappointing and grossly inadequate."
By Les Masterson • Jan. 2, 2018 -
States could play pivotal role in regulating association health plans
A new report from Georgetown University’s Center on Health Insurance Reforms offered ideas for how states can protect consumers and the insurance markets, depending on how much oversight the federal government allows.
By Les Masterson • Dec. 22, 2017 -
ACA signups surge in last week, HealthCare.gov total at 8.8M
Many state-run exchanges are still enrolling people, which could result in overall enrollment for 2018 to potentially exceed 2017, according to Larry Levitt, senior vice president at the Kaiser Family Foundation.
By David Lim • Dec. 21, 2017 -
Deep Dive
Healthcare merger frenzy: A bid for survival?
If done well, the recent string of vertical and horizontal integrations could lower costs across the board. The execution required to achieve that, however, is complex and takes time.
By Shannon Muchmore • Dec. 21, 2017 -
Congress delays decision on CHIP renewal until next year
The program will run out of money in early 2018 if Congress doesn’t find a way to extend funding.
By Linda Jacobson • Dec. 21, 2017 -
Elizabeth Regan/Healthcare Dive
HHS falls short on cybersecurity, OIG says
OIG plans to audit HHS’ cybersecurity capabilities again in 2018.
By Meg Bryant • Dec. 21, 2017 -
Democratic lawmakers raise concerns about 'skinny' health plans
A few members of Congress sent letters to the National Association of Insurance Commissioners, Xpress Healthcare and Apex Management Group.
By Meg Bryant • Dec. 21, 2017 -
Fewer families struggling to pay medical bills, survey finds
The National Center for Health Statistics found 16% of people under 65 were in families that had problems paying medical bills in the first half of 2017.
By Jeff Byers • Dec. 20, 2017 -
UPDATED: Congress passes massive tax bill that nixes individual mandate
The legislation cuts the corporate tax rate from 35% to 21%. That should benefit health insurers and hospitals, which tend to pay higher effective tax rates.
By Kim Dixon • Dec. 20, 2017 -
Penn State Health, Highmark Health forge alliance
The new partnership may be a response to University of Pittsburgh Medical Center's recent expansion into their territory.
By Les Masterson • Dec. 19, 2017 -
Salesforce, Geneia launch app aimed at value-based care
The partnership seeks to help healthcare stakeholders spot gaps in care and reduce admissions and claims costs.
By Les Masterson • Dec. 18, 2017 -
Getty / Edited by Industry Dive
Deep DiveHow the GOP tax bill could affect healthcare
Here's a cheat sheet showing what the tax bill means for healthcare and other industries.
By Shannon Muchmore • Dec. 18, 2017 -
ACA coverage gains at risk, Commonwealth says
The report warned that political headwinds in D.C. “could jeopardize the gains made to date," citing the lack of action on CHIP, the potential repeal of the individual mandate and the reduced open enrollment period.
By Les Masterson • Dec. 18, 2017 -
Fitch Ratings: Healthcare sector stable, but providers face headwinds
Regulatory uncertainties, growing consumerism, payer consolidation and a move from fee-for-service to value-based payments are all issues for providers.
By Les Masterson • Dec. 18, 2017
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