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

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

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

Amazon, JPM, Berkshire form new company to tackle health costs

The corporate giants gave few details about the new venture, but said the initial focus will be technology solutions to provide their stateside employees with high-quality, low-cost healthcare.

By Shannon Muchmore • Jan. 30, 2018

Aetna posts strong Q4 profits, awaiting CVS Health merger

Aetna's net income of $244 million represents a 76% increase compared to the $139 million of profit posted during Q4 2016.

By David Lim • Jan. 30, 2018

Medicare Advantage membership grows almost 8%

The market is still dominated by a handful of payers and online provider directory errors remain a problem for MA.  

By Les Masterson • Jan. 30, 2018

Healthcare earnings this week: A primer

HCA, Aetna and athenahealth are among the notable players to report fourth quarter earnings.

By Jeff Byers • Jan. 29, 2018

Most hospitals will see Part B revenue increase despite 340B cut

The findings from Avalere come as hospitals challenge the 340B drug payment cut in court.

By David Lim • Jan. 29, 2018

CMS cost measure makes some Medicare Advantage plans pricier

The authors of a new Health Affairs analysis suggest limiting benchmark cost data to Medicare beneficiaries enrolled in both Part A and Part B. 

By Meg Bryant • Jan. 26, 2018

HHS touts regulatory rollbacks under Trump's first year

A 37-page report highlights priorities for the Trump administration, most of which have sharply divided the industry.

By Shannon Muchmore • Jan. 26, 2018

Medicaid could play key role in addressing social factors in healthcare

Many Medicaid programs collect data for social determinants of health, but not often in an organized way, according to a report from the National Qualify Forum.

By Les Masterson • Jan. 26, 2018

Healthcare data breaches up but fewer records at risk

More than a third of all data breaches last year were due to insider error or wrongdoing, according to a report from Protenus and DataBreaches.net.

By Meg Bryant • Jan. 25, 2018

Blue Cross of North Carolina opposes Carolinas-UNC merger

In a letter to the two health systems, BCBS CEO Dr. Patrick Conway said the deal would increase patient costs.

By Shannon Muchmore • Jan. 25, 2018

Pent-up needs may fuel Medicaid expansion costs: Avalere

In other Medicaid news, a group of Kentucky residents is suing HHS over the recent work requirement waiver. 

By Les Masterson • Jan. 24, 2018

ACA helped reduce out-of-pocket costs: JAMA

Many low-income Americans, however, still face high out-of-pocket costs.  

By Les Masterson • Jan. 24, 2018

CMS, VA to share data to prevent healthcare fraud

The partnership is the latest in federal agency steps to increase healthcare fraud and misuse prevention efforts.

By Jeff Byers • Jan. 24, 2018

Providers make efforts, but cuts to low-value care elusive

Healthcare stakeholders know they should cut low-value services, but there are multiple obstacles to overcome.  

By Les Masterson • Jan. 24, 2018

New York proposes Medicaid payment cuts to payers with large reserves

Gov. Andrew Cuomo is also suggesting a 14% tax on for-profit payers and requesting New York get "a cut of the proceeds when nonprofit insurers convert to for-profit companies."  

By Les Masterson • Jan. 23, 2018