Payer: Page 149
-
Telehealth increasingly seen as criteria for choosing primary doc, study finds
Most willing to switch doctors were parents of children under age 18 and 35 to 44 year olds, American Well stated.
By Meg Bryant • Jan. 26, 2017 -
AMA-led coalition calls for reforming management tools
Fed up with the burden of utilization management tools like prior authorization, a group representing healthcare providers and patients has made it clear that they want to see big changes from payers.
By Kathleen Gilbert • Jan. 26, 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 -
Insurers proposing ideas for Obamacare replacement
Companies are making a case to Republicans to preserve some aspects of the ACA, but the devil is in the details.
By Kathleen Gilbert • Jan. 26, 2017 -
New bariatric surgery clinic opening highlights business opportunities
There’s no question that the number of Americans who are candidates for bariatric surgery is increasing. But in a turbulent insurance market, how many will pay for the procedure?
By Kathleen Gilbert • Jan. 26, 2017 -
After court block, Aetna and Humana consider next steps
The prospects for a successful appeal of Monday’s decision don’t look great, but the health insurance giants say they’re considering all possibilities.
By Kathleen Gilbert • Jan. 25, 2017 -
Minorities with a chronic condition lack coverage even under ACA
The authors of a new study published in the Annals of Internal Medicine suggest an ACA replacement plan most likely to provide both coverage and access to care for those with a chronic illness would be a “comprehensive Medicare-for-All” plan.
By Kathleen Gilbert • Jan. 25, 2017 -
Deep Dive
Healthcare M&A down but not out in 2016, PwC finds
While the number of deals decreased 1.4% year-over-year, healthcare is still a very active market, Thad Kresho, U.S. Health Services Deals Leader at PwC, told Healthcare Dive.
By Jeff Byers • Jan. 24, 2017 -
Banner Health, Philips underscore telehealth value in high-cost populations
The electronics company's Intensive Ambulatory Care pilot program helped cut hospitalizations and overall costs.
By Meg Bryant • Jan. 24, 2017 -
Cigna ordered to reverse its policies on autism coverage
Being forced to comply with mental health parity laws is bound to be expensive, adding to Cigna’s financial woes.
By Kathleen Gilbert • Jan. 23, 2017 -
Judge blocks Aetna-Humana merger
A federal judge stopped the proposed $37 billion merger between insurance giants Aetna and Humana over antitrust concerns. The news comes as another mega-merger between insurers — Cigna and Anthem — also faces scrutiny.
By Ana Mulero • Jan. 23, 2017 -
Judge blocks Aetna-Humana merger
A federal judge stopped the proposed $37 billion merger between insurance giants Aetna and Humana over antitrust concerns. The news comes as another mega-merger between insurers — Cigna and Anthem — also faces scrutiny.
By Ana Mulero • Jan. 23, 2017 -
$54B Anthem-Cigna deal could be blocked
Anthem is extending the deadline for completion of its merger agreement with Cigna, which is considering its options.
By Kathleen Gilbert • Jan. 23, 2017 -
On Day One, Trump starts unwinding ACA
In an executive order issued on Friday, federal healthcare agencies are instructed to "waive, defer, grant exemptions from or delay implementation of any provision or requirement" that imposes a burden on individuals, payers, healthcare providers, among others.
By Ana Mulero • Jan. 23, 2017 -
US recovered $3.3B in fraudulent healthcare claims in 2016
One of the year’s biggest settlements was with Tenet Healthcare for $390 million.
By Meg Bryant • Jan. 20, 2017 -
Providing primary care in the home saves money, CMS says
While home-based primary care services can reduce costs of caring for elderly patients by reducing the need for hospitalizations, they are not widely available to those who could benefit the most.
By Luke Gale • Jan. 20, 2017 -
CMS reins in pass-through payments
Safety-net hospitals, clinics and physicians will be looking for new income streams to replace billions in payments that are being phased out.
By Kathleen Gilbert • Jan. 19, 2017 -
We may be able to avoid casualties in the ACA battle, according to one proposed replacement plan
A new set of ideas offers more detail than we’ve seen before but will require buy-in from employers.
By Kathleen Gilbert • Jan. 19, 2017 -
Retail clinics thriving despite little use by the individually insured, study shows
Retail clinics are less expensive and more convenient than emergency room visits, but surprisingly, the individually insured are not the ones fueling their popularity.
By Kathleen Gilbert • Jan. 19, 2017 -
UnitedHealth Group ends 2016 on a high note amid ACA uncertainty
The company posted more than $13 billion in operating earnings – a performance driven largely by its pharmacy benefits management and technology services lines of business.
By Luke Gale • Jan. 18, 2017 -
Deep Dive
No punches pulled during Tom Price's HHS courtesy hearing
From healthcare stocks and ACA repeal to EHRs, committee members weren't shy while interrogating Trump's HHS Secretary nominee.
By Ana Mulero • Jan. 18, 2017 -
ONC, CMS offer roadmap for continued shift to value-based payments
Barriers and frustrations around the digitization of healthcare remain, National Coordinator for Health IT Dr. Vindell Washington and CMS acting Administrator Andy Slavitt wrote in a recent blog post.
By Meg Bryant • Jan. 18, 2017 -
Can Baker get Massachusetts' rising healthcare costs under control?
Facing dramatic price variations and unsustainable financing challenges, Massachusetts Gov. Charlie Baker proposes to take drastic action to rein in healthcare costs in the state.
By Kathleen Gilbert • Jan. 18, 2017 -
Deep Dive
How Maryland is quietly protecting its rural hospitals from financial pressures
Created to help control the costs of care, the total patient revenue model is helping to insulate the state’s rural hospitals from the financial pressures causing acute care hospitals in other states to close their doors.
By Kathleen Gilbert • Jan. 17, 2017 -
CBO: 18M would lose coverage, premiums would rise first year after Obamacare repeal
The report used HR 3762 to estimate how an ACA repeal could affect health insurance coverage.
By Ana Mulero • Jan. 17, 2017 -
Study: Excess charges leave patients prone to surprise medical bills
CMS has been putting pressure on providers and payers to address the issue of excess medical charges, which often leaves patients footing the bill for surprisingly high medical charges.
By Luke Gale • Jan. 17, 2017
Previous
