Payer: Page 143
-
Zacks Investment Research downgrades Molina Healthcare after C-suite shake-up
Out of 13 brokerages that recently issued a ratings update for Molina, eight suggested “hold.” None of them rated the stock a “sell."
By Les Masterson • May 15, 2017 -
Deep Dive
What the last nail in the Anthem-Cigna coffin means for the healthcare industry
The end of the Anthem-Cigna merger gives other large payers "a chance to see how the Trump administration redefines the rules of the game,” Michael Abrams, managing partner at Numerof & Associates, told Healthcare Dive.
By Ana Mulero • May 15, 2017 -
Explore the Trendlineâž”
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 -
More than 800K physicians get MACRA reporting reprieve for 2017
The change came after the CMS used an updated formula to estimate providers' Medicare revenue.
By Les Masterson • May 14, 2017 -
Geisinger, Highmark announce joint venture
The companies plan on building a new medical campus in rural Montoursville, Pennsylvania with the aim of improving population health.
By Meg Bryant • May 12, 2017 -
Anthem terminates Cigna merger
The two insurance giants have been battling over the proposed $54 billion merger in courthouses for several months.
By Ana Mulero • May 12, 2017 -
BCBS and Lyft team up to reduce patient no-shows
The collaboration will target communities that lack viable transportation alternatives.
By Meg Bryant • May 11, 2017 -
Cigna could soon end proposed $54B Anthem merger after latest court ruling
"We look forward to closing this final chapter,” a Cigna representative said. A Delaware court on Thursday denied Anthem's request to block Cigna from terminating the merger.
By Ana Mulero • May 11, 2017 -
Deep Dive
MACRA: Why cloud-based solutions could be the answer for small practices
Most (80%) of the medical practices with 15 physicians or fewer that were recently surveyed by Healthcare Informatics said they were not ready for MACRA or needed help.
By Meg Bryant • May 11, 2017 -
Montgomery County Planning Commission
Aetna will not participate in ACA exchanges at all next year
The insurer said it is pulling out because of financial losses, adding that its individual commercial products lost nearly $700 million between 2014 and 2016 and could lose another $200 million this year.
By Shannon Muchmore • May 11, 2017 -
Feds would need to modify risk adjustment program if changes are made to ACA exchanges
The American Academy of Actuaries said some of the changes could include “major structural modifications.”
By Les Masterson • May 11, 2017 -
BCBS of TN steps forward to fill ACA exchange gap
The insurer said it will participate in ACA exchanges covering 16 eastern Tennessee counties that currently have no payer in place for next year.
By Les Masterson • May 9, 2017 -
With 'long-shot' appeal pending, Anthem seeks extension of restraining order on Cigna
An Anthem attorney argued the company could come to an agreement with the presidential administration after its officials are confirmed to have its $54 billion transaction go through.
By Ana Mulero • May 9, 2017 -
Justice Department appeals Moda Health risk corridor decision
The CMS has not paid insurers the full amount owed through the risk corridor program, instead paying a proportional allocation.
By Les Masterson • May 9, 2017 -
AHCA backers want to use payer unease over exchanges, rates to their advantage
Payers still don't know if they will continue to receive cost-sharing reduction payments, but they face deadlines for setting 2018 rates and deciding whether to participate in ACA exchanges.
By Les Masterson • May 8, 2017 -
AHA president calls on Senate to 'reset' ACA repeal discussion
The House passed the AHCA last week despite heavy opposition from top lobbying organizations in the healthcare industry.
By Ana Mulero • May 8, 2017 -
Deep Dive
Some hospitals may not survive AHCA: 3 thoughts on the House vote from a healthcare attorney
"We're going to see a crisis in access to care. We're going to have care deserts," if the AHCA is passed as written, said Delphine O'Rourke, a managing partner at Hall, Render, Killian, Heath & Lyman.
By Jeff Byers • May 5, 2017 -
Anthem takes proposed Cigna merger to Supreme Court
Anthem was expected to call off the merger after failing to demonstrate that the claimed efficiencies would offset any potential harm on competition in the health insurance market.
By Ana Mulero • May 5, 2017 -
UPMC operating revenues grow to $11B
The growth bucks a current trend where hospitals and health systems are experiencing a decrease in operating revenues.
By Jeff Byers , Les Masterson • May 4, 2017 -
Study: Telemental health use remains low, varies across states
The number of virtual visits grew on average 45.1% annually among Medicare patients diagnosed with a mental illness, a new study in Health Affairs concluded.
By Meg Bryant • May 3, 2017 -
Humana: Failed Aetna merger boosted Q1 profits
The Louisville-based payer received a $947 million pre-tax payment as part of the failed $37 billion merger with Aetna.
By Les Masterson • May 3, 2017 -
Molina Healthcare abruptly removes outspoken CEO after 'disappointing financial performance'
The insurance company’s board of directors removed President and CEO Dr. J. Mario Molina and CFO John C. Molina from their positions.
By Les Masterson • May 2, 2017 -
Montgomery County Planning Commission
Aetna loses $381M in Q1, to leave VA exchange market in 2018
Company officials called the first quarter a “strong start to the year despite costs associated with the termination of the Humana merger agreement.”
By Les Masterson • May 2, 2017 -
JAMA: Physicians received $2.4B in industry-related payments in 2015
Surgeons received a “higher value of payments” than primary care doctors, as did male physicians compared to female physicians.
By Les Masterson • May 2, 2017 -
Deep Dive
Why Anthem and Cigna can't convince judges they should merge
The $54 billion deal to create the largest health insurance company in the country is still on because, although Cigna has been at best a reluctant participant for months, Anthem won’t give up.
By Ana Mulero • May 2, 2017 -
WellCare purchases Universal American Corp., grows Medicare Advantage members
WellCare will gain Universal American Corp.'s 119,000 Medicare Advantage members in Texas, New York and Maine. Universal American Corp’s President and CEO Richard Barasch will also leave the company as part of the acquisition.
By Les Masterson • May 1, 2017
Previous
