Payer: Page 140
-
Another blow to Graham-Cassidy leaves repeal effort nearly dead
Maine Sen. Susan Collins said she would not support the proposal because of Medicaid cuts, weakened protections for people with pre-existing conditions and opposition from the healthcare industry.
By Shannon Muchmore • Sept. 26, 2017 -
Most Medicare members say they aren't getting recommendations about chronic conditions
More than 40% of survey respondents said their health plan never communicates with them at all about their condition.
By Les Masterson • Sept. 26, 2017 -
Survey: Trust in health insurance plans dips to all-time low
Two-thirds of ReviveHealth Trust Index respondents said they would prefer a “Medicare for all” healthcare system.
By Les Masterson • Sept. 25, 2017 -
Graham-Cassidy ACA repeal bill faces uphill battle
The authors of the legislation have drafted new text that further weakens any protections for people with pre-existing conditions. More changes could come as GOP leaders attempt to sway lawmakers still uncommitted.
By Shannon Muchmore • Sept. 25, 2017 -
HCA announces new freestanding ERs, urgent care centers in Florida
The move is another case of a health system transitioning to a healthcare environment that focuses on fewer inpatient admissions and more outpatient care.
By Les Masterson • Sept. 24, 2017 -
Deep Dive
Has the readmissions reduction program peaked?
“It’s not a one-size-fits-all approach,” says Advisory Board Company’s Rebecca Tyrell. “It requires you to dive deep and understand the risk factors for the individual patients.”
By Meg Bryant • Sept. 21, 2017 -
Last-ditch ACA repeal effort set for vote next week
Industry groups fiercely oppose the bill, which makes fundamental changes to how health insurance is funded and could result in about 30 million people losing coverage.
By Shannon Muchmore • Sept. 21, 2017 -
CMS seeks 'new direction' for innovation center
CMS Administrator Seema Verma said the agency wants to "move away from the assumption that Washington can engineer a more efficient healthcare system."
By Shannon Muchmore • Sept. 21, 2017 -
Study: Telemedicine cuts costs, wait times in pediatric sports medicine
The report found patient satisfaction was high, with 99% saying they would recommend telehealth to others.
By Meg Bryant • Sept. 20, 2017 -
More than half of Medicare patients don't know whether they have telehealth benefits
Nearly a third of respondents in a new survey say telehealth is not an option in their Medicare plan.
By Meg Bryant • Sept. 20, 2017 -
Consumers, physicians blame rising healthcare costs on insurers, drug companies
Survey respondents said two ways to reduce health spending is forcing those with poor health habits to pay more for their healthcare and to allow affordable catastrophic health insurance plans with limited benefits.
By Les Masterson • Sept. 20, 2017 -
Anthem acquiring HealthSun to boost Florida Medicare Advantage market presence
HealthSun currently serves 40,000 members through its Medicare Advantage plans in Miami-Dade and Broward counties.
By Jeff Byers • Sept. 20, 2017 -
Employer-based health insurance plan rates see 'modest increases' in 2017
While premiums aren't increasing as they were a decade ago, individuals are facing high deductibles.
By Les Masterson • Sept. 19, 2017 -
Study: Benefits of early childhood access to Medicaid extend for generations
Researchers found that a 10% increase in prenatal Medicaid eligibility can have long-term effects.
By Meg Bryant • Sept. 19, 2017 -
Insurers limiting access to safer pain medications because of cost
In response to news reports on the issue, the National Association of Attorneys General asked America’s Health Insurance Plans to work with its members to create better policies.
By Les Masterson • Sept. 18, 2017 -
Study: ACA market stabilization plan would reduce premiums, increase enrollment
A bipartisan group of lawmakers is working on legislation that includes cost-sharing reduction payments and a reinsurance package, but their talks could get crowded out by a last-chance shot at ACA repeal.
By Les Masterson • Sept. 18, 2017 -
Navicure, ZirMed announce merger
The two healthcare revenue cycle management companies said the merger will further accelerate innovation by leveraging cloud-based solutions.
By Les Masterson • Sept. 18, 2017 -
Kaiser Permanente, Target opening 31 more in-store clinics in southern California
The expanding partnership is part of a growing trend to bring healthcare to consumers and away from hospitals, emergency rooms and overbooked primary care physician offices.
By Les Masterson • Sept. 18, 2017 -
Deep Dive
What will be the fallout from Anthem's new imaging policy?
With payers looking to force more services to lower-cost settings, hospitals have to react to losing some of their main profit sources.
By Les Masterson • Sept. 18, 2017 -
Analysis makes case for dispute resolution in network adequacy regulation
Policy experts from Brookings and USC recommend a layered approach to ensuring a provider network isn't too limited, including combining qualitative and quantitative standards with external dispute resolution.
By Meg Bryant • Sept. 15, 2017 -
Alex Wong via Getty Images
CBO: ACA markets to see premium increases, stunted enrollment
The agency said scaled back outreach is a factor in its predictions. HHS has slashed funding for promotion of the ACA, including an overall budget cut of 90% and cuts of up to 98% for navigator groups.
By Shannon Muchmore • Sept. 15, 2017 -
Senators offer polar opposite plans for changing healthcare system
Some Republicans aren't giving up on repealing the ACA. Across the aisle, Democrats are embracing a single-payer plan.
By Shannon Muchmore • Sept. 14, 2017 -
Healthcare industry split on CMS' proposal to allow inpatient joint replacement surgeries
Providers at hospitals, which would see less revenue under the plan, say moving those procedures to outpatient settings would threaten patient safety.
By Les Masterson • Sept. 14, 2017 -
Centene expands NY market share with $3.8B Fidelis Care acquisition
Following the announcement, Centene's stock hit an all-time high.
By Jeff Byers • Sept. 13, 2017 -
Hospital groups oppose 340B cuts, site neutral payments in comments to CMS
The AHA suggested CMS suspend the star ratings program and electronic clinical quality measure reporting requirements as well as cancel Stage 3 of the Meaningful Use program.
By Shannon Muchmore • Sept. 13, 2017
Previous
