Payer: Page 153


  • Study: Don't discount benefit of mammograms in older women

    Whether to continue breast cancer screenings should be based on personal choice and a woman’s health, researchers say.

    By Nov. 29, 2016
  • Rhode Island gets $129M to 'reinvent' Medicaid

    The state is authorized to spend the federal dollars over five years – upon renewed approval in 2018.

    By Heather Caspi • Nov. 29, 2016
  • Explore the Trendlineâž”
    Image attribution tooltip
    Yujin Kim/Healthcare Dive
    Image attribution tooltip
    Trendline

    Payer/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
  • A picture of the exterior of the US Department of Health and Human Services. In front of the building is a black sign designating the building's name.
    Image attribution tooltip
    Alex Wong via Getty Images
    Image attribution tooltip

    Trump nominates Tom Price for HHS Secretary

    The Republican orthopedic surgeon is a noted critic of the ACA.

    By Nov. 29, 2016
  • Image attribution tooltip
    Industry Dive
    Image attribution tooltip
    Deep Dive

    The 2016 Dive Awards for healthcare

    From administrator to feud of the year, Healthcare Dive reveals the winners and identifies trends shaping healthcare in 2016.

    By Jeff Byers and Ana Mulero • Nov. 29, 2016
  • A few tips to improve workplace wellness programs

    There are some simple steps employers can take to improve participation, but there is a lot to consider when it comes to their design. 

    By Luke Gale • Nov. 27, 2016
  • Experts outline new public health roadmap

    Life expectancy in the U.S. has been flat in the past three years, Karen DeSalvo and Georges Benjamin stated.

    By Nov. 23, 2016
  • Cleveland Clinic CEO: Hospitals' high risk of closure is driving consolidation

    U.S. hospitals are operating at only 65% occupancy, Toby Cosgrove said in an interview with FOX Business Network.

    By Nov. 23, 2016
  • Study: Millions of children in US lack essential healthcare

    Children who don’t get proper medical care may also lag academically and later on in the workforce, the Children’s Health Fund report concludes.

    By Nov. 22, 2016
  • HCCI: Healthcare spending up 4.6% in 2015

    Spending on prescription drugs grew faster than any other healthcare service in 2015, according to the Health Care Cost Institute.

    By Nov. 22, 2016
  • DOJ, Anthem square off in court over Cigna megamerger

    U.S. District Judge Amy Berman Jackson expects the case to be decided before January's end.

    By Nov. 21, 2016
  • Cigna launches anti-opioid prescribing initiative

    Opioid diagnoses increased 3,203% from 2007 to 2014, Fair Health reported.

    By Luke Gale • Nov. 21, 2016
  • Deep Dive

    5 financial considerations in the Anthem/Cigna-DOJ trial

    The antitrust trial begins today.

    By Nov. 21, 2016
  • Blue Shield of California staying the course on Obamacare

    “We wouldn’t be running for the hills,” Blue Shield of California CEO Paul Markovich told California Healthline.

    By Nov. 18, 2016
  • CMS releases API tool to ease MACRA reporting

    The tool is the first in a series of efforts aimed at relieving the burden of participating in the Quality Payment Program.

    By Nov. 18, 2016
  • Image attribution tooltip
    Fotolia
    Image attribution tooltip

    Access to care in US worse than other high-income nations, survey finds

    “The U.S. has far too many people who can’t afford the care they need, even when they have health insurance,” says lead author Robin Osborn.

    By Nov. 18, 2016
  • GOP leaders plan major Medicare overhaul

    Rumored HHS secretary candidate Tom Price (R-GA) said such a program reform could involve a reconciliation process.

    By Nov. 17, 2016
  • UnitedHealthcare still out from Tricare after appeal

    The nation's largest insurer has lost its lucrative role serving the military's Tricare system.

    By Heather Caspi • Nov. 17, 2016
  • Deep Dive

    Recognizing and preventing medical device fraud

    “The medical device area is particularly susceptible to kickbacks for physicians,” says Arnall Golden Gregory partner and former Justice Department attorney Sara Lord.

    By Nov. 17, 2016
  • Image attribution tooltip
    Fotolia
    Image attribution tooltip

    ACA market enrollment hits 1M in midst of repeal threat

    Despite the uncertainty around Obamacare – or perhaps because of it – consumers have flocked to HealthCare.gov.

    By Heather Caspi • Nov. 17, 2016
  • Image attribution tooltip
    Adobe Stock
    Image attribution tooltip

    Hospital consolidation drives increases in private payer rates, MedPAC finds

    The gap between reimbursement rates set by private payers and by Medicare is growing.   

    By Luke Gale • Nov. 17, 2016
  • Image attribution tooltip
    Adobe Stock
    Image attribution tooltip
    Deep Dive

    9 ways hospitals can reduce debt

    Many hospitals and health systems don’t have a complete handle on what their costs of care are and they’re losing money as a result, says BDO Consulting’s Patrick Pilch.

    By Nov. 16, 2016
  • Anthem, DOJ prep battle plans for next week's merger trial

    The DOJ suggests the deal is illegal regardless of what its impacts might be.

    By Heather Caspi • Nov. 16, 2016
  • Image attribution tooltip
    from Let's Talk Nevada (used with permission)
    Image attribution tooltip

    Obama challenges GOP to do better on healthcare

    The outgoing president said he'll be the first to congratulate the GOP if they can improve on the ACA.

    By Heather Caspi • Nov. 16, 2016
  • Deep Dive

    Who will be the next HHS secretary? Reader reactions, questions for a Trump presidency

    Many readers want to see more policy details for Trump's healthcare proposals.

    By Nov. 16, 2016
  • Image attribution tooltip
    Fotolia
    Image attribution tooltip

    Watch: ACEP parodies Cigna ad to highlight fair emergency care coverage issue

    "Many people don't realize how little insurance coverage they have until they visit the ER, and then they are shocked at how little their insurance company pays," ACEP President Rebecca Parker stated.

    By Luke Gale • Nov. 16, 2016