Payer: Page 153
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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 Meg Bryant • 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”
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 -
Trump nominates Tom Price for HHS Secretary
The Republican orthopedic surgeon is a noted critic of the ACA.
By Jeff Byers • Nov. 29, 2016 -
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 Meg Bryant • 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 Meg Bryant • 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 Meg Bryant • 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 Jeff Byers • 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 Ana Mulero • 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 Ana Mulero • 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 Meg Bryant • 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 Meg Bryant • Nov. 18, 2016 -
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 Meg Bryant • 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 Jeff Byers • 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 Meg Bryant • Nov. 17, 2016 -
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 -
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 -
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 Meg Bryant • 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 -
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 Jeff Byers • Nov. 16, 2016 -
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