Payer: Page 162
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UnitedHealth OPTUMistic in Q3 report showing 23% profit increase overall
The company saw its Optum revenues notably grow 34% year-to-date.
By Heather Caspi • Oct. 19, 2016 -
Deep Dive
How a new class of health insurance startups is trying to transform the industry
A lot of funds are being invested in dozens of new insurance startups. However, this new class of insurers is struggling similarly to large payers. Can they right the ship?
By Luke Gale • Oct. 19, 2016 -
Second round of CPC finds 4 of 7 regions sharing in savings with CMS
The second year was the charm for the initiative to generate net savings.
By Heather Caspi • Oct. 19, 2016 -
AHIP and National Consumers League join forces for patient education
While it may seem like an unlikely alliance, it is mutually beneficial.
By Luke Gale • Oct. 19, 2016 -
Omnicare to pay $28M over alleged kickbacks from Abbott
The nursing home pharmacy was accused of recommending the drug Depakote in exchange for disguised payments.
By Heather Caspi • Oct. 18, 2016 -
Deep Dive
How applying behavioral economics is beginning to influence healthcare
Although behavioral economics won’t result in a quick fix for the healthcare system’s woes, it can be used to design programs that influence behaviors here and there.
By Luke Gale • Oct. 18, 2016 -
Marketplace volatility highlights issue of coverage churn
Physicians face an ever-revolving door with patients being frequently forced to change plans.
By Heather Caspi • Oct. 18, 2016 -
Pulled ACA plans to leave 1.4 million enrollees stranded
...And that's only in the 32 states that provided numbers, leaving the full estimate even higher.
By Heather Caspi • Oct. 17, 2016 -
Deep Dive
Here are the MACRA final rule changes you need to know
CMS focused on patient care and flexibility when finalizing the proposed rule. The agency created a helpful website, too.
By Jeff Byers • Oct. 16, 2016 -
Breast cancer death rates dropped overall but racial disparities remain
Being physically active and maintaining a healthy diet and weight can help to reduce breast cancer risk
By Meg Bryant • Oct. 14, 2016 -
The 2,398-page MACRA implementation rule has landed
It's going to be a long weekend.
By Jeff Byers • Oct. 14, 2016 -
States implementing reforms to confront rise in Medicaid spending
A new Kaiser Family Foundation report finds the federal government is scaling back on its contributions to the costs of Medicaid expansion, so states are searching for new strategies to rein in spending.
By Luke Gale • Oct. 13, 2016 -
Despite coverage, 1 in 4 Americans fear costs and delay care
A new poll indicates high-deductible health plans are discouraging consumers from obtaining care.
By Heather Caspi • Oct. 13, 2016 -
Coalition pushes Congress to block risk corridor payments
The groups are asking for legislation to stop HHS from settling insurer lawsuits using taxpayer dollars.
By Heather Caspi • Oct. 13, 2016 -
Opinion
Jog before you run: Why health insurers should take a discerning approach to value-based care
Health insurers need to move into this new reality, members of PricewaterhouseCoopers' network say.
By Jay Godla, Joyjit Saha Choudhury, Jennifer Yaggy & John Andrewes • Oct. 13, 2016 -
Humana, Cigna stocks fall in face of lower CMS' updated Medicare star ratings
Humana attributed a decrease in the percentage of its Medicare membership in 4- or 5-star plans to the lower scores it received.
By Ana Mulero • Oct. 13, 2016 -
IBM adds Watson's cancer suite to employee benefits package
Employees battling cancer will get insights on treatment options and clinical trials.
By Meg Bryant • Oct. 13, 2016 -
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 -
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
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