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

Diving into the MIPS timeline, performance categories & scoring

Around 600,000 providers will be affected by the new reporting requirements. 

By Luke Gale • Nov. 16, 2016

Explore the 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

States eye tweaks to Medicaid expansion as they await GOP policy

Stakeholders are betting the new administration will put more power in states' hands to design their own programs.

By Heather Caspi • Nov. 16, 2016

Court rejects Illinois co-op's 'risk corridor' lawsuit

The decision could be a sign of how similar lawsuits may fare.

By Meg Bryant • Nov. 15, 2016

HHS Secretary Burwell: Obamacare 'now woven into the fabric of our nation'

The head of HHS provided an inside perspective on the potential demise of the ACA.

By Heather Caspi • Nov. 15, 2016

Cerner looking to branch out with genomics testing

Eighty-two Cerner employees have volunteered their DNA profiles for the company's pilot program that aims to prevent illnesses or reduce their effects.

By Meg Bryant • Nov. 15, 2016

Paul Ryan sets sights on Medicare as part of ACA fight

The House Speaker is attempting to lump the programs together in a single healthcare overhaul.

By Heather Caspi • Nov. 15, 2016

Collision of ACA repeal plans, open enrollment add urgency to insurance uncertainty

Conflicting messages are coming as the Obama administration continues to push ACA signups during its final months.

By Heather Caspi • Nov. 14, 2016

ACA repeal considerations stump states that expanded Medicaid

Officials in some Medicaid expansion states have vowed to work with the Trump administration to maintain coverage levels.

By Meg Bryant • Nov. 11, 2016

Study: Multisector partnerships lower death rates in communities

Fragmented delivery and financing systems for public health and social services have limited the effectiveness of population health efforts, the University of Kentucky researchers say.

By Meg Bryant • Nov. 11, 2016

Lawmaker seeks answers to CMS' delay on EpiPen Medicaid rebate dodge

The Senate Judiciary Committee has scheduled a Nov. 30 hearing to discuss Mylan’s settlement with the Department of Justice.

By Meg Bryant • Nov. 10, 2016

How the GOP could try to repeal or change the ACA

Numerous health organizations took forward-looking stances Wednesday that suggested advancements toward value-based care may be here to stay, ACA or no ACA.

By Heather Caspi • Nov. 9, 2016

Trump victory spells tough times ahead for ACA

Some healthcare stocks didn't take the win well.

By Jeff Byers • Nov. 9, 2016

Enrollment activity already straining Healthcare.gov

Many customers have been in for a virtual wait before being able to process an application.

By Heather Caspi • Nov. 9, 2016

BCBSA joins FDA initiative to speed up medical device approvals

The agency created a task force to speed up approvals by allowing pre-submission meetings to help design clinical trials that meet regulatory and medical coverage requirements. 

By Luke Gale • Nov. 9, 2016

Ryan accepts ACA here to stay – if Clinton wins

The conservative war against Obamacare could soon wane, if Ryan has anything to say about it.

By Heather Caspi • Nov. 8, 2016

Highmark rocks Pennsylvania with massive marketplace pullback

The insurer will withdraw from more than half the counties where it participated this year.

By Heather Caspi • Nov. 7, 2016

$1B Medicare fraudster gets September 2017 trial date

Nursing home operator Philip Esformes allegedly drove patients to his facilities using a network of corrupt providers.

By Meg Bryant • Nov. 4, 2016

Cigna ACA expansion plans stall as profits fall

Losses stemming from a CMS ban levied in January on Medicare participation continue to cost Cigna. 

By Luke Gale • Nov. 4, 2016

CDC: Uninsured rates falling, deductibles rising under ACA

The Affordable Care Act has helped more than 20 million get health insurance, but many more remain uninsured. 

By Luke Gale • Nov. 4, 2016

Anthem floats 2018 ACA exit amid profit slip, lawsuits

The health insurance giant may follow its rivals out of the marketplace if adjustments to healthcare policy aren't made.

By Heather Caspi • Nov. 3, 2016

An ACA primer: Much more than insurance

A major focus of the ACA is increasing access to primary care.

By Meg Bryant • Nov. 2, 2016

Why selling insurance across state lines is an unlikely solution

Proposals to allow the sale of health insurance across state lines make a lot of promises that would likely go unfulfilled. 

By Luke Gale • Nov. 2, 2016

CMS issues final rule on hospital payment rates for 2017

The agency followed through on a proposal to remove patient survey answers as part of pain management care in the Value-Based Purchasing program.

By Luke Gale • Nov. 2, 2016

Updated payment process aims to reshape RAC program

Along with new contracts come updates to how RACs are paid, audit timelines and the review process. 

By Heather Caspi • Nov. 2, 2016