Payer: Page 159
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CMS bundled payment evaluation 'encouraging' yet inconclusive
Only time – and more data – will tell what the true savings and quality impacts will be.
By Heather Caspi • Sept. 20, 2016 -
North Carolina levies record fine against BCBS over IT fiasco
Despite the size of the fine, it pales in comparison to the insurer's other expenses in cleaning up its mess.
By Heather Caspi • Sept. 19, 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 -
Aetna claims confidence during merger trial preparation
The health insurance giant believes it has a strong case but it is preparing for the decision to go either way.
By Heather Caspi • Sept. 19, 2016 -
Centene plans to expand participation in Arizona exchange
The insurer may be the only one offering health plans on the ACA exchange in Maricopa County next year.
By Luke Gale • Sept. 16, 2016 -
GOP Senate proposal addresses lack of options on exchanges
There are dueling ideas on the Senate floor for dealing with lack of competition on the insurance exchanges.
By Luke Gale • Sept. 16, 2016 -
Employers shift costs with 12% surge in deductibles
The move has helped hold down premiums, but at what other expense?
By Heather Caspi • Sept. 15, 2016 -
House committees detail harsh co-op, marketplace lessons learned
While the marketplace may be on course for a correction, it's less certain whether any co-ops will remain to participate.
By Heather Caspi • Sept. 15, 2016 -
Census: ACA adds an assist to insure more Americans
The percentage of uninsured Americans dipped from 2014 to 2015 to a total of 9.1% of the population under age 65.
By Heather Caspi • Sept. 14, 2016 -
GAO details fraud, satisfaction in marketplace performance reports
Room for improvement remains in the areas of fraud prevention and consumer satisfaction.
By Heather Caspi • Sept. 14, 2016 -
CMS: Nearly all states reduced preventable hospital readmissions
Vermont was the only state where the rate increased in 2015.
By Ana Mulero • Sept. 14, 2016 -
Study: Patients with consumer-driven health plans pay more, consume less
Total spending on patients with consumer-driven health plans is lower than average, but patients pay much more out-of-pocket.
By Luke Gale • Sept. 14, 2016 -
Aetna's Bertolini counters accusation of power play against DOJ
The company did not present antitrust officials with an ultimatum, just "reality," its CEO says.
By Heather Caspi • Sept. 14, 2016 -
HHS risk corridors update invites insurer litigation
Legal action may be insurers' best bet for recovering unpaid funds owed to them under the program.
By Heather Caspi • Sept. 13, 2016 -
Risk adjustment debt of $46M forces another co-op to drop
Health Republic Insurance of New Jersey's exit will reduce options for ACA coverage from five this year to only two in the state.
By Ana Mulero • Sept. 13, 2016 -
Help: Obama looks to insurers for upcoming ACA marketplace enrollment period
The president met on Monday with the heads of select insurance companies to discuss ACA marketplace participation, stabilization.
By Jeff Byers • Sept. 13, 2016 -
Oscar names new chief medical officer in midst of strategy adjustment
Shaden Marzouk enters as the company looks toward its own health center and a slashed provider network.
By Heather Caspi • Sept. 13, 2016 -
Waterborne infection hospitalizations for Medicare beneficiaries may reach $2 billion
Hospitals that provided treatment for three studied infections received a total of $9 billion from 1991 through 2006.
By Ana Mulero • Sept. 12, 2016 -
New York regulators urged to reject Anthem/Cigna deal
Opponents argue the proposed megamerger would be "bad medicine" for New Yorkers.
By Heather Caspi • Sept. 12, 2016 -
Aetna faces probe over 'politically motivated' Obamacare exit
The company is accused of trying to force DOJ antitrust regulators to accept its merger with Humana.
By Heather Caspi • Sept. 12, 2016 -
New ACA attacks aim to put cracks in individual mandate
Two new proposals could allow widespread exemptions for consumers facing certain marketplace conditions.
By Heather Caspi • Sept. 9, 2016 -
Study supports surgery at high quality hospitals for lower overall spending
Investing up front can save money down stream, researchers have shown.
By Heather Caspi • Sept. 9, 2016 -
Cigna can't resolve sanctions in time for 2017 Medicare Advantage enrollment
Investors didn't indicate any alarm over the news.
By Heather Caspi • Sept. 8, 2016 -
While uninsured rate hits historic low, young adults still not sold
CMS will need to attract more of this demographic to help balance the risk pools for ACA health plans.
By Heather Caspi • Sept. 8, 2016 -
CMS fills in regulatory gaps in emergency preparedness with final rule
Medicare and Medicaid providers will be required to meet four new standards based on emergency planning, policies and procedures, a communication plan, as well as training and testing programs.
By Ana Mulero • Sept. 8, 2016 -
Mylan accused of overcharging Medicaid for EpiPen
If the product is found to have been misclassified as a generic, will a full review follow?
By Heather Caspi • Sept. 8, 2016
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