Payer: Page 155
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Deep Dive
Healthcare M&A down but not out in 2016, PwC finds
While the number of deals decreased 1.4% year-over-year, healthcare is still a very active market, Thad Kresho, U.S. Health Services Deals Leader at PwC, told Healthcare Dive.
By Jeff Byers • Jan. 24, 2017 -
Banner Health, Philips underscore telehealth value in high-cost populations
The electronics company's Intensive Ambulatory Care pilot program helped cut hospitalizations and overall costs.
By Meg Bryant • Jan. 24, 2017 -
Cigna ordered to reverse its policies on autism coverage
Being forced to comply with mental health parity laws is bound to be expensive, adding to Cigna’s financial woes.
By Kathleen Gilbert • Jan. 23, 2017 -
Judge blocks Aetna-Humana merger
A federal judge stopped the proposed $37 billion merger between insurance giants Aetna and Humana over antitrust concerns. The news comes as another mega-merger between insurers — Cigna and Anthem — also faces scrutiny.
By Ana Mulero • Jan. 23, 2017 -
Judge blocks Aetna-Humana merger
A federal judge stopped the proposed $37 billion merger between insurance giants Aetna and Humana over antitrust concerns. The news comes as another mega-merger between insurers — Cigna and Anthem — also faces scrutiny.
By Ana Mulero • Jan. 23, 2017 -
$54B Anthem-Cigna deal could be blocked
Anthem is extending the deadline for completion of its merger agreement with Cigna, which is considering its options.
By Kathleen Gilbert • Jan. 23, 2017 -
On Day One, Trump starts unwinding ACA
In an executive order issued on Friday, federal healthcare agencies are instructed to "waive, defer, grant exemptions from or delay implementation of any provision or requirement" that imposes a burden on individuals, payers, healthcare providers, among others.
By Ana Mulero • Jan. 23, 2017 -
US recovered $3.3B in fraudulent healthcare claims in 2016
One of the year’s biggest settlements was with Tenet Healthcare for $390 million.
By Meg Bryant • Jan. 20, 2017 -
Providing primary care in the home saves money, CMS says
While home-based primary care services can reduce costs of caring for elderly patients by reducing the need for hospitalizations, they are not widely available to those who could benefit the most.
By Luke Gale • Jan. 20, 2017 -
CMS reins in pass-through payments
Safety-net hospitals, clinics and physicians will be looking for new income streams to replace billions in payments that are being phased out.
By Kathleen Gilbert • Jan. 19, 2017 -
We may be able to avoid casualties in the ACA battle, according to one proposed replacement plan
A new set of ideas offers more detail than we’ve seen before but will require buy-in from employers.
By Kathleen Gilbert • Jan. 19, 2017 -
Retail clinics thriving despite little use by the individually insured, study shows
Retail clinics are less expensive and more convenient than emergency room visits, but surprisingly, the individually insured are not the ones fueling their popularity.
By Kathleen Gilbert • Jan. 19, 2017 -
UnitedHealth Group ends 2016 on a high note amid ACA uncertainty
The company posted more than $13 billion in operating earnings – a performance driven largely by its pharmacy benefits management and technology services lines of business.
By Luke Gale • Jan. 18, 2017 -
Deep Dive
No punches pulled during Tom Price's HHS courtesy hearing
From healthcare stocks and ACA repeal to EHRs, committee members weren't shy while interrogating Trump's HHS Secretary nominee.
By Ana Mulero • Jan. 18, 2017 -
ONC, CMS offer roadmap for continued shift to value-based payments
Barriers and frustrations around the digitization of healthcare remain, National Coordinator for Health IT Dr. Vindell Washington and CMS acting Administrator Andy Slavitt wrote in a recent blog post.
By Meg Bryant • Jan. 18, 2017 -
Can Baker get Massachusetts' rising healthcare costs under control?
Facing dramatic price variations and unsustainable financing challenges, Massachusetts Gov. Charlie Baker proposes to take drastic action to rein in healthcare costs in the state.
By Kathleen Gilbert • Jan. 18, 2017 -
Deep Dive
How Maryland is quietly protecting its rural hospitals from financial pressures
Created to help control the costs of care, the total patient revenue model is helping to insulate the state’s rural hospitals from the financial pressures causing acute care hospitals in other states to close their doors.
By Kathleen Gilbert • Jan. 17, 2017 -
CBO: 18M would lose coverage, premiums would rise first year after Obamacare repeal
The report used HR 3762 to estimate how an ACA repeal could affect health insurance coverage.
By Ana Mulero • Jan. 17, 2017 -
Study: Excess charges leave patients prone to surprise medical bills
CMS has been putting pressure on providers and payers to address the issue of excess medical charges, which often leaves patients footing the bill for surprisingly high medical charges.
By Luke Gale • Jan. 17, 2017 -
Mobile health trackers could have potential new measures, study finds
Although it remains to be seen whether mobile health devices prove to be useful aids for weight loss and fitness over time, Stanford researchers have found the devices can reveal emerging health issues by monitoring subtle physiological changes.
By Kathleen Gilbert • Jan. 15, 2017 -
Elizabeth Regan/Healthcare Dive
Uncompensated hospital costs reach new low
The ACA has helped hospitals by reducing the burden of uncompensated care, but all bets are off if it is repealed without a replacement.
By Kathleen Gilbert • Jan. 15, 2017 -
Wider adoption of electronic transactions could save healthcare $9.4B, report says
While CAQH makes the case for the fiscal benefits of digital transactions, implementing an electronic workflow has seen some struggles in provider settings.
By Meg Bryant • Jan. 13, 2017 -
NYU Langone finds redesigning bills helped reduce patient complaints
Healthcare has been all about trying to make patient bills easier to understand in recent years.
By Luke Gale • Jan. 12, 2017 -
Cigna turns to cheaper option than the brand name Mylan EpiPen
The pharmaceutical company that raised prices around 500% in six years on its EpiPen has recently been dealt several blows.
By Luke Gale • Jan. 12, 2017 -
Health IT start-up Nuna takes Medicaid into the Cloud
CMS acting Administrator Andy Slavitt called the database “near historic” in providing a broad-brush view of the Medicaid program.
By Meg Bryant • Jan. 12, 2017
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