Payer: Page 162


  • Anthem, DOJ prep battle plans for next week's merger trial

    The DOJ suggests the deal is illegal regardless of what its impacts might be.

    By Heather Caspi • Nov. 16, 2016
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    from Let's Talk Nevada (used with permission)
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    Obama challenges GOP to do better on healthcare

    The outgoing president said he'll be the first to congratulate the GOP if they can improve on the ACA.

    By Heather Caspi • Nov. 16, 2016
  • Explore the Trendline
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    Yujin Kim/Healthcare Dive
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    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
  • Deep Dive

    Who will be the next HHS secretary? Reader reactions, questions for a Trump presidency

    Many readers want to see more policy details for Trump's healthcare proposals.

    By Nov. 16, 2016
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    Fotolia
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    Watch: ACEP parodies Cigna ad to highlight fair emergency care coverage issue

    "Many people don't realize how little insurance coverage they have until they visit the ER, and then they are shocked at how little their insurance company pays," ACEP President Rebecca Parker stated.

    By Luke Gale • Nov. 16, 2016
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    Fotolia
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    Deep Dive

    Diving into the MIPS timeline, performance categories & scoring

    Around 600,000 providers will be affected by the new reporting requirements. 

    By Luke Gale • Nov. 16, 2016
  • States eye tweaks to Medicaid expansion as they await GOP policy

    Stakeholders are betting the new administration will put more power in states' hands to design their own programs.

    By Heather Caspi • Nov. 16, 2016
  • Court rejects Illinois co-op's 'risk corridor' lawsuit

    The decision could be a sign of how similar lawsuits may fare.

    By Nov. 15, 2016
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    Alex Wong / Getty Images
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    HHS Secretary Burwell: Obamacare 'now woven into the fabric of our nation'

    The head of HHS provided an inside perspective on the potential demise of the ACA.

    By Heather Caspi • Nov. 15, 2016
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    Adobe Stock
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    Cerner looking to branch out with genomics testing

    Eighty-two Cerner employees have volunteered their DNA profiles for the company's pilot program that aims to prevent illnesses or reduce their effects.

    By Nov. 15, 2016
  • Paul Ryan sets sights on Medicare as part of ACA fight

    The House Speaker is attempting to lump the programs together in a single healthcare overhaul.

    By Heather Caspi • Nov. 15, 2016
  • Collision of ACA repeal plans, open enrollment add urgency to insurance uncertainty

    Conflicting messages are coming as the Obama administration continues to push ACA signups during its final months.

    By Heather Caspi • Nov. 14, 2016
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    Dollar Photo Club
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    ACA repeal considerations stump states that expanded Medicaid

    Officials in some Medicaid expansion states have vowed to work with the Trump administration to maintain coverage levels.

    By Nov. 11, 2016
  • Study: Multisector partnerships lower death rates in communities

    Fragmented delivery and financing systems for public health and social services have limited the effectiveness of population health efforts, the University of Kentucky researchers say.

    By Nov. 11, 2016
  • Lawmaker seeks answers to CMS' delay on EpiPen Medicaid rebate dodge

    The Senate Judiciary Committee has scheduled a Nov. 30 hearing to discuss Mylan’s settlement with the Department of Justice.

    By Nov. 10, 2016
  • Deep Dive

    How the GOP could try to repeal or change the ACA

    Numerous health organizations took forward-looking stances Wednesday that suggested advancements toward value-based care may be here to stay, ACA or no ACA.

    By Heather Caspi • Nov. 9, 2016
  • Trump victory spells tough times ahead for ACA

    Some healthcare stocks didn't take the win well.

    By Nov. 9, 2016
  • Enrollment activity already straining Healthcare.gov

    Many customers have been in for a virtual wait before being able to process an application.

    By Heather Caspi • Nov. 9, 2016
  • BCBSA joins FDA initiative to speed up medical device approvals

    The agency created a task force to speed up approvals by allowing pre-submission meetings to help design clinical trials that meet regulatory and medical coverage requirements. 

    By Luke Gale • Nov. 9, 2016
  • Ryan accepts ACA here to stay – if Clinton wins

    The conservative war against Obamacare could soon wane, if Ryan has anything to say about it.

    By Heather Caspi • Nov. 8, 2016
  • Highmark rocks Pennsylvania with massive marketplace pullback

    The insurer will withdraw from more than half the counties where it participated this year.

    By Heather Caspi • Nov. 7, 2016
  • $1B Medicare fraudster gets September 2017 trial date

    Nursing home operator Philip Esformes allegedly drove patients to his facilities using a network of corrupt providers.

    By Nov. 4, 2016
  • Cigna ACA expansion plans stall as profits fall

    Losses stemming from a CMS ban levied in January on Medicare participation continue to cost Cigna. 

    By Luke Gale • Nov. 4, 2016
  • CDC: Uninsured rates falling, deductibles rising under ACA

    The Affordable Care Act has helped more than 20 million get health insurance, but many more remain uninsured. 

    By Luke Gale • Nov. 4, 2016
  • Anthem floats 2018 ACA exit amid profit slip, lawsuits

    The health insurance giant may follow its rivals out of the marketplace if adjustments to healthcare policy aren't made.

    By Heather Caspi • Nov. 3, 2016
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    Getty Images
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    Deep Dive

    An ACA primer: Much more than insurance

    A major focus of the ACA is increasing access to primary care.

    By Nov. 2, 2016