Payer: Page 156
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Study: Some post-surgery destinations cost more than others
Hospitals that spend the most on post-surgery care for patients are spending on average more than two times as much as those that spend the least in some instances.
By Luke Gale • Jan. 11, 2017 -
Senate takes first big step to repeal ACA
President-elect Donald Trump said on Wednesday he would like for an ACA repeal and the implementation of a replacement coverage plan to occur "essentially simultaneously."
By Ana Mulero & Jeff Byers • Jan. 11, 2017 -
Cal INDEX-Empire Health Information Exchange merger will boost big data
The merger of these two California data exchanges will result in the country’s largest database of insurance claims and medical records.
By Kathleen Gilbert • Jan. 11, 2017 -
Health Affairs: Larger market share gives negotiation power to insurers but consumer benefits unclear
Insurers with market shares of 15% or higher are able to negotiate significantly lower prices for medical services, researchers found.
By Kathleen Gilbert • Jan. 10, 2017 -
CMS grants quality penalty relief due to ICD-10 snafu
Physician Quality Reporting System penalties are usually 2% of Medicare's physician fee schedule amount for a service.
By Ana Mulero • Jan. 10, 2017 -
Trump wants GOP to quickly repeal and replace Obamacare
"We have to get to business. Obamacare has been a catastrophic event."
By Jeff Byers • Jan. 10, 2017 -
Aledade raises $20M in recent round of funding
The company, founded by Dr. Farzad Mostashari, is “well-positioned” in a healthcare system that is increasingly rewarding physicians for providing high-value care, said Andy Jones, managing director for the Maryland Venture Fund.
By Luke Gale • Jan. 10, 2017 -
HHS Secretary poses 3 questions for GOP on ACA replacement
The damage to the individual insurance market would begin this spring with Republican's plan to repeal parts of the ACA, HHS Secretary Sylvia Mathews Burwell said during a National Press Club event.
By Ana Mulero • Jan. 9, 2017 -
UnitedHealth to grow portfolio with $2.3B Surgical Care Affiliates purchase
By combining the ambulatory surgery center chain with Optum's health services, UnitedHealth Group seeks to create a comprehensive platform of ambulatory care services.
By Ana Mulero • Jan. 9, 2017 -
Study: Hospitals vary in adverse outcome rates for joint replacement
Adverse outcome rates for joint and hip replacements top 20% at some of the worst performing hospitals.
By Luke Gale • Jan. 9, 2017 -
Oscar looks beyond the ACA for business
Whatever the ACA’s future may be, Oscar plans to stay in the health insurance game.
By Kathleen Gilbert • Jan. 8, 2017 -
Medicare backed off under pressure from health insurers
Audits of Medicare’s books show that it settled for recouping nearly $3.4 million in overpayments instead of the $128 million that it was owed from five health plans.
By Kathleen Gilbert • Jan. 8, 2017 -
NQF guidance aims to reduce quality measure variation
The guidance provides a decision-logic framework for determining if variation exists and how to address it.
By Meg Bryant • Jan. 6, 2017 -
HHS: Coverage of Americans with preexisting conditions up since ACA
Roughly 133 million nonelderly Americans — or 51% — have a preexisting medical condition.
By Meg Bryant • Jan. 6, 2017 -
Paul Ryan: ACA repeal would strip Planned Parenthood funding
The nonprofilt reproductive health services organization launched a petition this week to ask Congress for its support.
By Ana Mulero • Jan. 6, 2017 -
ACA Round-Up: Fault lines show as ACA battle wages on
Democrats work to rally public support while Republicans strive to move quickly to dismantle Obamacare in this political minefield.
By Kathleen McGuire Gilbert • Jan. 5, 2017 -
CMS joint bundle payments shoring up savings, researchers find
Though results have been mixed, CMS is forging ahead with expansions to the bundled payment program.
By Kathleen McGuire Gilbert • Jan. 5, 2017 -
Healthcare industry continues to weigh in on ACA reform
The Healthcare Leadership Council recommended actions that aim to "bolster the stability of the health insurance marketplace, encourage greater competition, and give all Americans enhanced choice and flexibility in their coverage."
By Ana Mulero • Jan. 5, 2017 -
Deep Dive
What's at stake across the industry for ACA repeal and delay
Let's take a beat to assess the storylines behind the new "if you like your plan, you can keep it" battle.
By Jeff Byers & Meg Bryant • Jan. 4, 2017 -
UnitedHealthcare partners with Fitbit to boost workplace wellness program participation
The managed care company will give participants the opportunity to benefit financially from meeting activity goals monitored by the wearable.
By Kathleen McGuire Gilbert • Jan. 4, 2017 -
Pop health vendors challenged by range of provider needs
“The world of population health is so vast that there is not one vendor that does it all for providers,” says KLAS’ Bradley Hunter.
By Meg Bryant • Jan. 4, 2017 -
Bizwomen: Johns Hopkins Hospital president not 'nervous' for healthcare over incoming White House admin
President Redonda Miller hopes portions of the ACA "that have been beneficial to patients" will be retained.
By Ana Mulero • Jan. 3, 2017 -
Deep Dive
What we're watching on the road ahead in 2017
Get ready; 2017 will go by faster than you think as the industry changes.
By Jeff Byers • Jan. 3, 2017 -
Judge rejects legal challenge to EEOC wellness program rule
The shift to value-based care has seen the proliferation of workplace wellness programs.
By Meg Bryant • Jan. 3, 2017 -
Antitrust trial over $37B Aetna-Humana merger nearing an end
The legal battle between the health insurance giants and the federal government has raged for months.
By Luke Gale • Jan. 3, 2017
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