Payer: Page 160
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CMS puts weight behind 2017 ACA enrollment
Grants totaling $63 million will help fund "navigators" to walk consumers through their marketplace experience.
By Heather Caspi • Sept. 7, 2016 -
Deep Dive
What's what in the 2018 Notice of Benefit and Payment Parameters
There are no proposals that are likely to be ineffective, according to Timothy Jost, a professor at the Washington and Lee University School of Law.
By Luke Gale • Sept. 7, 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 -
ACA's 'free' birth control still elusive to many
Choice limitations and administrative barriers still delay or block some women seeking prescriptions.
By Heather Caspi • Sept. 7, 2016 -
Study: Medicaid expansion not impacting length of stay or mortality
While Medicaid expansion may be impacting the healthcare landscape, it does not appear to be impacting these two measures.
By Heather Caspi • Sept. 6, 2016 -
'Simple choice plans' may not be so simple
The rollout of “simple choice plans” will depend on a few factors, including which regions will still have sufficient insurer participation to support choices in the first place.
By Heather Caspi • Sept. 6, 2016 -
Anthem to reward providers for integrated care certification
The Joint Commission began the integrated care certification program in July 2015.
By Meg Bryant • Sept. 2, 2016 -
St. Luke's, Geisinger team up to hold down costs
The agreement includes plans for a new Medicare Advantage plan.
By Meg Bryant • Sept. 2, 2016 -
Taxpayers cover 71% of health costs in California
Medi-Cal comprised the largest chunk of public spending at 27%.
By Meg Bryant • Sept. 2, 2016 -
Obesity rates drop in four states — but don't celebrate yet
Thirty-eight percent of Americans meet the criteria to be labeled obese.
By Meg Bryant • Sept. 2, 2016 -
Health insurers seek protection from long-term care financial fallout
UnitedHealth is leading a push for lower health insurer accountability across the long-term care industry.
By Heather Caspi • Sept. 1, 2016 -
ACA enrollment projections missed mark for multiple reasons
The strong continuation of employer-based health coverage is just one piece of the puzzle.
By Heather Caspi • Sept. 1, 2016 -
Oregon tackles housing as foundation for health outcomes
Housing providers and coordinated care organizations are on the case to reduce homelessness.
By Heather Caspi • Sept. 1, 2016 -
Insurer ACA exits set to wallop rural states hardest
Competition is down across the board but rural areas will see the most monopolies.
By Heather Caspi • Sept. 1, 2016 -
ONC blockchain challenge winners show breadth of potential uses
Fifteen winners were selected from more than 70 submissions.
By Meg Bryant • Sept. 1, 2016 -
Clinton sweeping mental health plan would enforce parity laws
The Democratic presidential nominee also seeks to fully integrate the mental and physical healthcare systems.
By Heather Caspi • Aug. 31, 2016 -
Deep Dive
Public option back on the block?: What it means for private payers
With private payers leaving ACA exchanges en masse and with premiums expected to rise, many have reissued calls for a public option. However, opposition remains as stiff as ever.
By Luke Gale • Aug. 31, 2016 -
Pennsylvania picks 3 insurers for estimated $5B long-term care program contracts
The organizations will handle the state's new Community HealthChoices (CHC) program.
By Heather Caspi • Aug. 31, 2016 -
Christie touts success of N.J. Medicaid expansion to 'naysayers'
The governor says expansion is saving the state money.
By Heather Caspi • Aug. 31, 2016 -
Medicare Advantage plan audits illustrate overcharging
An analysis found overpayments for unsupported medical diagnoses exceeded $10,000 per patient for more than 150 patients across 37 audits.
By Heather Caspi • Aug. 30, 2016 -
CA lawmakers send legislation against surprise medical bills to Gov. Brown
Hospitals in the state may be required to notify patients if they are receiving observation care beginning Jan. 1, 2017.
By Ana Mulero • Aug. 30, 2016 -
Here's how many ACA enrollees KFF estimates will face insurer monopolies for 2017
Fewer marketplace consumers will be able to "shop around."
By Heather Caspi • Aug. 30, 2016 -
CMS proposes standards to strengthen 2018 ACA market
The proposed rule includes some changes to improve risk adjustment policies.
By Jeff Byers • Aug. 29, 2016 -
UPMC insures a fair amount of people now
The provider ended its fiscal year by netting $12.8 billion in operating revenues.
By Jeff Byers • Aug. 29, 2016 -
Uwe Reinhardt: Adverse risk selection crippling Obamacare
National health spending is projected to grow just 4.8% this year, according to CMS.
By Meg Bryant • Aug. 26, 2016 -
Medicare ACOs saved $466M in 2015. Only a third earned shared savings
On the quality front, the organizations improved on 84% of the quality measures reported from 2014 to 2015.
By Jeff Byers • Aug. 26, 2016
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