Payer: Page 157
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Physicians question mandated coverage for preventive care
Required preventive care is subject to lobbying and can drive up costs for other services, according to commentary in the Annals of Internal Medicine.
By Heather Caspi • Oct. 12, 2016 -
Aetna partners with Merck to improve diabetics' health outcomes
The deal is the latest in a line of value-based pricing agreements between payers and pharmaceutical companies.
By Luke Gale • Oct. 12, 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 -
Growth forecast at 11% for global health insurance market
The surge in the aging population is expected to drive the market until 2020.
By Heather Caspi • Oct. 12, 2016 -
Founder of Cigna-HealthSpring sets November retirement
Herbert Fritch will continue to advise the company, which is currently trying to resolve sanctions by CMS, until December 2017.
By Heather Caspi • Oct. 12, 2016 -
DOJ hits back at Aetna, Humana with trial accusations
UnitedHealthcare is caught awkwardly in the middle of the fray over document sharing.
By Heather Caspi • Oct. 11, 2016 -
ACA marketplaces: Narrow networks named key in coverage expansion
The strategy is one of the "last remaining" to help insurers offer more affordable plan designs, according to researchers at the University of Pennsylvania.
By Heather Caspi • Oct. 11, 2016 -
Tenet Medicaid settlement triggers class action lawsuit
The hospital chain finalized a $514 million settlement last week over alleged Medicaid kickbacks at four of its hospitals.
By Meg Bryant • Oct. 11, 2016 -
Gallup: Number of uninsured Americans drops to new low
The findings echo that of the CDC's most recent National Health Interview Survey.
By Heather Caspi • Oct. 10, 2016 -
Court official sides with DOJ on contentious Anthem, Cigna letters
The DOJ argued the correspondence in which the insurance giants accused each other of breaching their $48 billion merger agreement should be introduced as evidence in the antitrust trial.
By Heather Caspi • Oct. 10, 2016 -
Global health checkup shows progress, but not enough
Declines in early childhood deaths are offset by increases in obesity, noncommunicable diseases and alcohol and drug abuse.
By Meg Bryant • Oct. 7, 2016 -
NCQA praises WellCare's Kentucky Medicare & Medicaid offerings
With its experience in managed care markets, the company is using Medicaid expansion as an opportunity for growth.
By Luke Gale • Oct. 7, 2016 -
Slavitt offers tips on what it will take to succeed in U.S. healthcare market
The ACA set a transformation in motion, bringing millions of newly insured into the healthcare system and shifting the focus to value-based care.
By Meg Bryant • Oct. 7, 2016 -
Aetna accuses DOJ of obstructing Humana merger case
The government's actions are blocking the insurers from preparing their defense, Aetna's lawyer said.
By Heather Caspi • Oct. 6, 2016 -
HHS suggests more marketplace tweaks to come
Will the effort be sufficient, or too little too late, to help stabilize the struggling marketplaces?
By Heather Caspi • Oct. 6, 2016 -
Analysis confirms 5% higher cost for special enrollment customers
The data bolster suspicions of SEP abuse by customers who buy and drop coverage as needed.
By Heather Caspi • Oct. 6, 2016 -
OIG calls for medical device identifiers in claims forms
Medicare paid $1.5 billion in replacement costs associated with seven faulty cardiac devices.
By Meg Bryant • Oct. 6, 2016 -
Kentucky to scrap state exchange for Healthcare.gov
While the governor argued it added no value, the CMS noted its loss will be a step down in functionality.
By Heather Caspi • Oct. 5, 2016 -
HHS: Up to 2.5 million off-marketplace consumers eligible for ACA tax credits
Millions more people could save if they switched from off-market plans for 2017.
By Heather Caspi • Oct. 5, 2016 -
Judge splits Anthem/Cigna merger lawsuit in two for faster ruling
The U.S. Department of Justice argued the health insurance giants have been accusing one another of breaches in their merger agreement.
By Ana Mulero • Oct. 5, 2016 -
States accuse CMS of 'jumping the line' to recoup co-op liquidation dollars
An Iowa lawsuit against the federal government could prove an important test case.
By Heather Caspi • Oct. 5, 2016 -
Revolving door between insurance industry and regulators raises questions
Do industry perks, friends, and future job prospects cloud commissioners impartiality?
By Heather Caspi • Oct. 4, 2016 -
Shining Maryland co-op forced to go for-profit to survive
The tide turned for Evergreen Health as a result of its $24.2 million risk adjustment assessment.
By Heather Caspi • Oct. 4, 2016 -
HHS disputes GAO reinsurance report siding with GOP
The debate over reinsurance funding pits the administration against Congress' investigative authority.
By Heather Caspi • Oct. 3, 2016 -
UnitedHealth subsidiary Harken Health dumps ACA markets
The insurer's model failed to catch on or make money.
By Heather Caspi • Oct. 3, 2016 -
Vermont receives preliminary approval for all-payer health system
The state would aim to attract providers into a single accountable care organization.
By Heather Caspi • Oct. 3, 2016
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