Payer: Page 135
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ER facility fees skyrocket faster than outpatient or overall healthcare spending
Vox and the Health Care Cost Institute analyzed 70 million insurance bills for ER visits and found ER fees increased by more than $3 billion between 2009 and 2015.
By Les Masterson • Dec. 5, 2017 -
Dive Awards
The Healthcare Dive Awards for 2017
The 2017 Healthcare Dive Awards recognize the industry’s top disruptors and innovators. These executives, companies and trends are transforming the industry and shaping the future.
By Jeff Byers , Shannon Muchmore • Dec. 4, 2017 -
UnitedHealthcare launches value-based Medicare Advantage program with Oak Street Health
About 20,000 MA enrollees in UnitedHealthcare plans in the greater Chicago area will have access to Oak Street Health's primary care clinics.
By Les Masterson • Dec. 4, 2017 -
Dive Awards
Theme of the Year: Uncertainty
Congress went back and forth all year on the issue of ACA repeal, and a changing of the guard in the White House has resulted in a lot of unanswered questions for the industry.
By Shannon Muchmore • Dec. 4, 2017 -
CMS releases shorter Measures Under Consideration list
The new MUC list includes 32 measures, down from nearly 100 last year.
By Les Masterson • Dec. 4, 2017 -
Montgomery County Planning Commission
CVS Health to buy Aetna in $69B deal
The deal would combine CVS's retail pharmacy services with Aetna's health insurance business, creating a healthcare giant with significant market power.
By Jeff Byers , Shannon Muchmore • Dec. 3, 2017 -
Senate passes tax bill that repeals individual mandate
Lawmakers will now attempt to work out the differences between the Senate bill and a House version passed last month that preserves the mandate.
By David Lim • Dec. 2, 2017 -
Retrieved from Lyft on October 17, 2017
Cigna-HealthSpring, Lyft tout Medicare Advantage ride numbers
Meanwhile, MedStar’s partnership with Uber, now in its second year, has lowered transportation costs to 60% of the cost of a cab ride, extending the reach of the nonemergency transport budget by 40%.
By Meg Bryant • Dec. 1, 2017 -
Avalere: Nearly 75% of 2018 exchange plans have restrictive networks
Average deductibles for silver plans will rise from $3,703 this year to $3,937 in 2018, according to the report.
By Meg Bryant • Dec. 1, 2017 -
Family physicians warming to value-based payments, but barriers remain
More than half of family physicians are now participating in value-based payment models, and some believe they lead to greater collaboration between primary care physicians and specialists.
By Les Masterson • Nov. 30, 2017 -
Physician ratings drop when patient requests denied, study says
The study suggests that improved communication between doctors and patients could help mitigate lower physician ratings, based on observational analysis.
By Meg Bryant • Nov. 30, 2017 -
CMS finalizes hip fracture and cardiac bundled payment program cancellations
The agency is also moving forward with proposed changes to reduce the mandatory geographic areas for the joint bundled program.
By Les Masterson • Nov. 30, 2017 -
Study raises questions over pay-for-performance program impacts
The article "should be the final nail in the coffin of the current generation of P4P," an accompanying editorial stated.
By Meg Bryant • Nov. 29, 2017 -
Care use, costs increase when doctors are connected to each other
The JAMA study found that patients whose physicians' networks included more primary care physicians saw more primary care visits but fewer specialists and emergency visits.
By Les Masterson • Nov. 29, 2017 -
UnitedHealth shares dip temporarily after projected earnings
The company's Optum unit announced it is launching Optum Ventures, a $250 million fund to develop healthcare startups.
By Les Masterson • Nov. 29, 2017 -
Deep Dive
5 payer trends to watch in 2018
Expect insurers to accelerate programs and policies that cut costs and to push for value-based contracting as consumers demand more transparency in healthcare pricing.
By Les Masterson • Nov. 28, 2017 -
Deep Dive
How Anthem's new PBM will impact pharma
David Henka, CEO of RxTE Health, sat down with BioPharma Dive to discuss the implications of a new pharmacy benefit manager entering the marketplace.
By Jacob Bell • Nov. 28, 2017 -
ACA enrollment up, but may not overcome shorter signup period
Nearly 2.3 million Americans signed up for ACA plan coverage through Nov. 18, which is about 200,000 more compared to the first 26 days of open enrollment last year.
By Les Masterson • Nov. 27, 2017 -
VA's Shulkin wants to boost use of private care
The VA has been moving toward more consumer choice in healthcare for some time.
By Meg Bryant • Nov. 22, 2017 -
Report: Supportive policies needed to advance connected health technologies
Top priorities include reimbursement, remote patient monitoring and interoperability.
By Meg Bryant • Nov. 22, 2017 -
States that run their own exchanges have lower uninsured rates
States using the federal exchange have double the uninsured rate through the first six months of this year compared to states that have their own exchange, according to the CDC.
By Les Masterson • Nov. 22, 2017 -
Optum gets caught up in Express Scripts, Anthem legal wranglings
The case involves a pricing proposal that Optum gave Anthem after the payer requested the information.
By Les Masterson • Nov. 21, 2017 -
Medicare beneficiaries to see some cost increases next year
Some Medicare Part B enrollees will see a premium increase in 2018.
By Les Masterson • Nov. 20, 2017 -
Deep Dive
Why payers are flocking to the Medicare Advantage market
The CMS predicts more than one-third of all Medicare enrollees will be in MA plans next year.
By Les Masterson • Nov. 20, 2017 -
CMS proposes Medicare Advantage, drug rebate changes
The number of plans available to individuals will increase from about 2,700 to more than 3,100, according to the agency.
By Jeff Byers , Ned Pagliarulo • Nov. 17, 2017
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