Payer: Page 146
-
Feds disclose False Claims Act investigation into multiple payers
UnitedHealth, Aetna, Bravo Health, Cigna, Health Net and Humana have all been named in a lawsuit that alleges the payers cheated the government out of hundreds of millions of dollars.
By Luke Gale • March 20, 2017 -
Reports: Trump to pick former Anthem lobbyist to head DOJ antitrust division
The lobbying firm White House Deputy Counsel Makan Delrahim worked for, Brownstein Hyatt Farber Schreck, participated in the “antitrust issues associated with Anthem's proposed acquisition of Cigna.”
By Ana Mulero • March 20, 2017 -
Explore the Trendline➔
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 -
AHA: Anthem-Cigna would hinder innovation needed for value-based care shift
The organization says court documents suggest "Anthem has been less willing than Cigna to innovate to develop value-based reimbursement systems."
By Ana Mulero • March 17, 2017 -
WSJ: Clover Health eyes $120M to join the unicorns
Investors have delivered serious amounts of cash to health insurance startups in recent years.
By Luke Gale • March 16, 2017 -
Deep Dive
How to get better value from telehealth
“If you give consumers a convenient alternative, they will take advantage of it,” RAND Corporation’s Scott Ashwood said.
By Meg Bryant • March 16, 2017 -
Mayo Clinic to give preferential treatment to privately insured patients
The decision was driven by rising uncompensated care costs associated with treating Medicaid patients and low Medicaid reimbursement rates.
By Luke Gale • March 16, 2017 -
Math gaffe resulted in $133M Medicare overpayment in Massachusetts
Nantucket Cottage Hospital overstated wages and wage-related costs by $232,365, HHS' Office of Inspector General found.
By Jeff Byers • March 15, 2017 -
HSA providers stand to benefit under Republican-led healthcare reform
There will be more than 27 million active HSAs with upwards of $53 billion in total assets by the end of next year, according to Devinir Research.
By Luke Gale • March 15, 2017 -
UPMC sets sights on central PA health system
Blue Cross and Highmark, which dominate the Harrisburg market, could see new competition from UPMC’s health insurance plan.
By Meg Bryant • March 14, 2017 -
DOJ presses on against Anthem-Cigna appeal
"Anthem had no real plan to achieve" the medical cost savings it claimed the combined company would create, according to the new brief filed with the Court of Appeals.
By Ana Mulero • March 14, 2017 -
Higher physician spending not associated with lower admission rates
To reduce wasteful healthcare spending, policies targeting both physicians and hospitals may be more effective than solely focusing on hospitals, researchers suggest.
By Jeff Byers • March 13, 2017 -
Children's Minnesota, Blue Cross contract dispute could affect 70,000
The dispute stems from Blue Cross' demands the hospital system agree to discounts for patients covered by the state’s Medicaid program.
By Meg Bryant • March 10, 2017 -
Deep Dive
Payers of the future will need to play nice with providers for the patient's sake
Changing market dynamics around consumerism and big data is shaping five new insurer models, PricewaterhouseCoopers finds.
By Jeff Byers • March 9, 2017 -
Corporate leadership at Humana goes on stock selling spree
Humana executives sell thousands of their shares – so far totaling $83 million – as Congress considers a new Republican healthcare reform plan.
By Luke Gale • March 8, 2017 -
Negative reactions roll in for Republican ACA replacement bill
Members of the House Freedom Caucus said at a press conference that they plan to introduce the original ACA repeal bill from 2015 this week.
By Jeff Byers • March 7, 2017 -
Deep Dive
3 Republican concepts for replacing the ACA — and what they mean
Republicans are scrambling to quell fears as they act on their long-held promise to repeal the ACA. But the plans put forward would do little for those with high healthcare needs and low or moderate incomes.
By Shannon Muchmore • March 7, 2017 -
Study: Telehealth use could drive up costs
Average annual spending on acute respiratory illness rose $45 per telehealth user largely due to new utilization, RAND researchers concluded in a new study published in Health Affairs.
By Meg Bryant • March 7, 2017 -
Humana shaves jobs in realignment
The cuts will not affect the size of Humana’s Louisville headquarters.
By Meg Bryant • March 3, 2017 -
GOP expected to introduce ACA repeal bill this week
A draft of the bill dated February 24 was leaked on Friday following Sen. Rand Paul’s quest on Thursday for the document.
By Shannon Muchmore • March 3, 2017 -
Cigna reverses course, says Anthem merger should be approved
Cigna now agrees the court decision that blocked its $54 billion merger with Anthem should be reversed after the U.S. Court of Appeals granted the motion to expedite the appeal process.
By Ana Mulero • March 3, 2017 -
CDC: Patients with multiple chronic conditions face barriers to healthcare
While fewer patients with multiple chronic conditions are delaying care for reasons related to cost, more are delaying care for other reasons.
By Luke Gale • March 2, 2017 -
Report predicts 6% increase in healthcare costs in 2017
Employers are looking beyond cost-sharing to solve increases as the Cadillac tax faces repeal and workers struggle to pay for health plans with high deductibles.
By Valerie Bolden-Barrett • March 1, 2017 -
Deep Dive
Growing attention on surprise medical bills highlights need for legislative action
Surprise medical bills have caught the attention of journalists and researchers. As more and more information becomes available, it seems there is a growing appetite for federal legislation to address the problem.
By Luke Gale • March 1, 2017 -
Opinion
Three priorities for Seema Verma as she nears CMS confirmation
ChenMed's Dr. Jeffrey Kang believes Verma could strengthen Medicare Advantage in part by increasing access to seniors with low incomes.
By Dr. Jeffrey Kang • Feb. 28, 2017 -
Study: Hip, knee implants cost insurers twice as much as hospitals
The difference between what hospitals and insurers pay for such implants totaled about $425 million, researchers at the Boston Children's Hospital found.
By Jeff Byers • Feb. 28, 2017
Previous
