Payer: Page 154
-
Deep Dive
Healthcare reform can create confusion over compliance for providers
Providers have had to confront numerous changes in healthcare policy, rules and regulations in recent years, even as the government takes a more aggressive approach to enforcing compliance.
By Luke Gale • Feb. 7, 2017 -
ACA open enrollment rates drop for the first time
President Donald Trump recently indicated he may be fine with a longer period for repealing and replacing the law.
By Shannon Muchmore • Feb. 6, 2017 -
Slavitt: Medicaid expansions improved hospitals' financial health
The former CMS acting Administrator tweeted 39% of hospital executives are reducing hiring because of the uncertainty around the ACA's future.
By Ana Mulero • Feb. 6, 2017 -
Talk of 'repairing' the ACA: Is it real or rebranding?
House Speaker Paul Ryan told reporters Republicans are still focused on repeal-and-replace by the end of 2017's first quarter.
By Meg Bryant • Feb. 3, 2017 -
Advisory panel recommends including device identifiers on claims forms
Adding device identifiers to medical claims could help flag faulty devices and enable comparative outcomes analysis.
By Meg Bryant • Feb. 3, 2017 -
Cigna adds to insurers' ACA concerns, reports $39.7B in 2016
CEO David Cordani said the ACA's individual market is "fragile at best."
By Meg Bryant • Feb. 3, 2017 -
ACA open enrollment ends without usual marketing push
The new administration pulled advertising for open enrollment on the ACA exchanges in the final days, which is typically when the key demographic of younger consumers is most likely to sign up.
By Shannon Muchmore • Feb. 2, 2017 -
Anthem CEO: Participation in ACA exchanges after 2017 is conditional
Joseph Swedish suggested Anthem's future presence on the exchanges will depend on changes Congress makes to the healthcare law.
By Luke Gale • Feb. 2, 2017 -
CMS proposes Medicare Advantage 0.25% payment hike for 2018
MA enrollment from 2015 to 2016 increased by 5%, according to the Kaiser Family Foundation.
By Ana Mulero • Feb. 2, 2017 -
Deep Dive
Why the looming Cigna-Anthem merger ruling is different from Aetna-Humana
If the courts rule to block the Anthem-Cigna merger as it did with Aetna-Humana, experts say it could "draw a pretty deep line in the sand for future health insurance mergers."
By Luke Gale • Feb. 1, 2017 -
Aetna won't re-enter ACA exchange markets it left last year
It was a mostly positive fourth quarter earnings report for Aetna, but the biggest reverberations will come from its decision not to re-enter the ACA exchange markets it exited last year.
By Shannon Muchmore • Feb. 1, 2017 -
Hospital spending slowing in Maryland since shift to new payment model
Through the first two years of its experiment with global payments in its all-payer reimbursement model, Maryland is delivering impressive results.
By Luke Gale • Feb. 1, 2017 -
Koch brothers push targeted reforms to replace the ACA
A group backed by the Koch brothers is advocating for a series of individual reforms, many of them state-based.
By Kathleen Gilbert • Jan. 31, 2017 -
Healthcare feels the weight of Trump's new executive orders
The latest executive orders that require two regulations be revoked for every new one that is implemented and ban immigration from certain countries will cause massive ripple effects for physicians, hospitals and patients.
By Kathleen Gilbert • Jan. 31, 2017 -
Aetna faces new suit after shareholders lost billions over blocked Humana merger
Aetna’s stocks suffered as evidence revealed the company withdrew from ACA exchanges to improve its litigation position.
By Kathleen Gilbert • Jan. 30, 2017 -
Deep Dive
What Trump's executive order could mean for the ACA
On Thursday, the Trump administration announced it would cease advertising ACA coverage in the final days of the current open enrollment season.
By Meg Bryant • Jan. 27, 2017 -
Anthem tries to play Aetna-Humana defeat to its advantage
In a court filing, Anthem argued the Aetna-Humana case confirms that "the procompetitive effects generated by the efficiencies should be weighed against any possible anticompetitive effects."
By Meg Bryant • Jan. 27, 2017 -
ACA uncertainty causes insurers to 'rethink participation'
Without cost-sharing subsidies, many health insurance companies could exit the ACA marketplaces.
By Meg Bryant • Jan. 27, 2017 -
Deep Dive
How alternative settings unlock healthcare access — and eat into hospitals
It's all about the access. U.S. retail clinics have nearly tripled over the past decade and some providers are betting the trend toward consumerization will continue.
By Jeff Byers , Luke Gale • Jan. 26, 2017 -
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 -
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
Previous
