ICD-10 turns 1: Was it so bad?

The AMA continues to monitor for potential disruptions.

By Meg Bryant • Oct. 2, 2016

CMS bans forced arbitration clauses in nursing homes

Nursing homes and residents can still choose to use arbitration, so long as it’s made clear that such agreements are voluntary and victims of abuse can still talk to authorities.

By Meg Bryant • Sept. 30, 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

HHS names winners of better patient billing competition

RadNet and Sequence will get to test their solutions in six healthcare organizations nationwide.

By Meg Bryant • Sept. 29, 2016

Aetna to subsidize Apple Watch costs, launch iOS health apps

The carrier will also provide the devices for free to its own employees.

By Heather Caspi • Sept. 29, 2016

RWJF analysis weighs veteran uninsurance rate in light of ACA provisions

Veterans not covered under the VA health system stand to gain from Medicaid expansion, researchers say.

By Heather Caspi • Sept. 29, 2016

Aetna touts social support as next step to advance health

The insurer is positioning itself as a champion for community programs.

By Heather Caspi • Sept. 28, 2016

ACA enrollment campaign pulling out all stops to get millennials

Young adults could make the difference in improving the ACA's overly sick risk pool.

By Heather Caspi • Sept. 28, 2016

House passes individual mandate exemption for co-op closure victims

The White House says it will veto the measure.

By Heather Caspi • Sept. 28, 2016

Former Tuomey exec settles for $1M in false claims case

Ralph J. Cox III will also be excluded for four years from participating in federal healthcare programs, including providing management or administrative services paid for by federal healthcare programs. 

By Jeff Byers • Sept. 28, 2016

3 technologies payers are trying to figure out

Insurers are looking to tech to navigate the shift to value-based care and the consumerization of healthcare. 

By Luke Gale • Sept. 28, 2016

Patient ID mix-ups still a 'significant' problem, new analysis finds

Medical record errors occur in all healthcare settings and at every point in the patient journey.

By Meg Bryant • Sept. 27, 2016

Report: Top pay soars at Health Care Service Corp. amid ACA losses

The company's former CEO reportedly made more than $16 million in 2015 despite corporate net losses of $66 million.

By Heather Caspi • Sept. 27, 2016

Tennessee BlueCross BlueShield cuts ACA offerings

The move has added fuel to the fire around insurer abandonment of the ACA marketplaces.

By Heather Caspi • Sept. 27, 2016

Trump healthcare policy estimated to cut coverage for 20M Americans by 2018

Clinton's proposals, meanwhile, are expected to increase insurance coverage somewhere within the range of 400,000 to 9.6 million.

By Heather Caspi • Sept. 26, 2016

Average Medicare Advantage premium to drop $1.19 in 2017

Enrollees in Medicare Advantage plans can expect to see more supplemental benefits next year, CMS says.

By Meg Bryant • Sept. 23, 2016

CA insurance commissioner advocates public option

Critics say private insurers could exit the California exchange, rather than compete with a public option.

By Meg Bryant • Sept. 23, 2016

Bill seeks to limit Medicare beneficiaries' out-of-pocket spending

The legislation would provide a cap similar to those for Medicare Advantage and most private plans.

By Heather Caspi • Sept. 22, 2016

DOJ filing reveals how nasty Anthem & Cigna's bickering has gotten

The pair's contentious correspondence could spell the end for the deal.

By Heather Caspi • Sept. 22, 2016

Global analysis rates US 'moderate' in progress toward value-based healthcare

Points from the report could shed light on the path forward for the U.S.

By Heather Caspi • Sept. 22, 2016

Aetna, others appeal PA's estimated $5B Medicaid contract awards

Managed-care companies continue to vie for the contracts worth $5.4 billion in annual revenue.

By Heather Caspi • Sept. 21, 2016

ACO inside report details challenges of 'regulatory headwinds'

Regulatory "tweaks" could determine whether providers stay with the MSSP over the long haul, Aledade contends.

By Heather Caspi • Sept. 21, 2016

MACRA is coming: A quick once-over before the final rule

MACRA is set to make significant changes to provider payments and reporting requirements. Will these changes be effective and will providers even notice? 

By Luke Gale • Sept. 21, 2016

AHIP mobilizes industry opposition to public option

Though there is no imminent threat, support for the concept has leaped forward.

By Heather Caspi • Sept. 21, 2016

NAHC pays $30M to settle improper billing charges

The false billings were submitted to Medicare and TRICARE for unnecessary rehab services.

By Meg Bryant • Sept. 20, 2016

Study highlights relative affordability of ACA vs. employer premiums

The findings provide perspective to frame concerns over premium increases in the ACA marketplaces. 

By Heather Caspi • Sept. 20, 2016