Payer: Page 150
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Anthem files motion to bar Cigna from terminating $54B merger
A hearing for the preliminary injunction has been set for May 8.
By Ana Mulero • April 24, 2017 -
Humana to focus on Medicare Part D and Medicare Advantage
The insurance company is pulling out of the ACA exchanges next year.
By Les Masterson • April 22, 2017 -
Wake Forest Baptist to transfer billing services to nThrive, affecting up to 650 jobs
The move will allow the integrated health system to focus more resources on clinical, academic and innovation efforts.
By Meg Bryant • April 21, 2017 -
Individual health market shows improvement but uncertainty remains, report finds
The Kaiser Family Foundation said individual market insurers’ medical loss ratio has improved 7 percentage points between 2015 and 2016.
By Les Masterson • April 21, 2017 -
Elizabeth Regan/Healthcare Dive
Study: Impact of price transparency in EHR unclear
“Price transparency alone may not lead to significant changes in clinician behavior,” a report published in JAMA Internal Medicine concluded.
By Meg Bryant • April 21, 2017 -
'Vast majority' of payers committed to exchanges despite no assurances from CMS
An Oliver Wyman survey found 70% of payers plan to stay in the Affordable Care Act exchanges for the 2018 coverage year.
By Les Masterson • April 19, 2017 -
Study: Patients with serious psychological distress still have more problems getting and paying for care
This finding came despite two pieces of legislation implemented over the past decade that include provisions to help those needing mental health services.
By Les Masterson • April 18, 2017 -
UnitedHealth posts stronger than expected revenue growth in Q1
The company reported first-quarter revenues of $48.7 billion, a 9.4% year-over-year increase from last year.
By Jeff Byers • April 18, 2017 -
Survey: Uncertainty about ACA future prevalent in healthcare industry
Nearly half of healthcare executives expect the ACA will be repaired rather than repealed and replaced, according to an annual survey by Venrock.
By Meg Bryant • April 17, 2017 -
Deep Dive
Why more providers are seeing value in medical scribes
"Medical scribes are EHR data managers that give back lost time to doctors," Physicians Angels President Kevin Brady said.
By Meg Bryant • April 13, 2017 -
Medicare Advantage payer Clover Health suffers financial losses
The San Francisco-based startup lost nearly $35 million in 2016 despite raising more than $300 million in venture capital.
By Les Masterson • April 12, 2017 -
Alex Wong via Getty Images
Continuation of cost-sharing subsidies won't ease insurers' uncertainty
Health insurance companies are still wondering about the long-term policy to cover the cost of insuring 7 million low-income Americans.
By Les Masterson • April 11, 2017 -
Gallup: Uninsured rate ticks up to 11.3% at the start of 2017
The uninsured rate reached a record low of 10.9% in the last two quarters of 2016, but it is unclear whether the recent uptick is temporary or a sign of things to come.
By Luke Gale • April 11, 2017 -
WellCare building AI-based analytics platform
A patient-facing artificial intelligence system is built into WellCare apps available to patients in three states and should be available nationwide by the end of the year.
By Luke Gale • April 11, 2017 -
ACA individual insurance market not in 'death spiral,' showed progress in 2016
Standard & Poor's Global Ratings give a positive outlook for the individual market, but it still needs time to mature.
By Les Masterson • April 8, 2017 -
Amino snags $25M in Series C funding round
The San Francisco-based startup’s database includes 9 billion insurance claims.
By Meg Bryant • April 7, 2017 -
32 organizations to pilot CMS Accountable Health Communities model
The organizations will implement and test the AHC Assistance and Alignment Tracks over a five-year period.
By Meg Bryant • April 7, 2017 -
Montgomery County Planning Commission
Aetna leaving Iowa ACA exchange market in 2018
The news comes just days after Wellmark Blue Cross Blue Shield announced plans to exit Iowa next year.
By Meg Bryant • April 7, 2017 -
AHCA amendment seeks $15B for high-risk pools
The move doesn't really change expectations for the bill as Congress heads for a two-week spring break.
By Les Masterson • April 7, 2017 -
AHIP spokesperson says MA rate increase 'doesn't move the needle'
The Medicare Advantage market is growing and payers are taking notice, but not just because of a recent rate increase from CMS.
By Luke Gale • April 7, 2017 -
IBM names blockchain adoption principles
Blockchain’s value increases as its network grows, the company says.
By Meg Bryant • April 6, 2017 -
Deep Dive
Cleveland Clinic CEO warns against consequences of ACA replacement
Toby Cosgrove said hospital consolidation is an important step in the transition toward promoting value over volume.
By Shannon Muchmore • April 6, 2017 -
Wellmark to exit Iowa individual insurance exchanges
After the announcement from Wellmark, only two payers are contemplating insurance exchanges in many parts of the Hawkeye State.
By Luke Gale • April 5, 2017 -
UnitedHealth can sue CMS over Medicare Advantage overpayment rule
The rule allows the CMS to treat overpayments like False Claims Act violations.
By Meg Bryant • April 4, 2017 -
Senate bill would expand Medicare-covered telehealth options
Telehealth models would be tested for cost, effectiveness and quality of care before being covered for all Medicare patients.
By Meg Bryant • April 4, 2017
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