Payer: Page 162
-
ACA's newly insured filling more Rxs, while seeing costs go down
Prescription use was highest among previously uninsured people who had at least one of five major conditions.
By Meg Bryant • Aug. 19, 2016 -
Feds hope to woo new consumers to Obamacare
A new outreach effort comes as several major insurers are scaling back participation in the public health exchange market.
By Meg Bryant • Aug. 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 -
EHR vendors continue to push the nation closer to interoperability
Carequality Interoperability Framework now covers more than 200 hospitals and 3,000 clinics in the U.S.
By Meg Bryant • Aug. 18, 2016 -
Florida Blue touts 'intimate' ACA market knowledge as key to success
The insurer poses a contrast to the major national insurers citing massive marketplace losses.
By Heather Caspi • Aug. 18, 2016 -
Deep Dive
'We were off': A view of the ACA markets from a regulator's side
In the wake of Aetna's ACA exit announcement, new federal action is making moves to help strengthen the markets.
By Jeff Byers • Aug. 18, 2016 -
Oscar discloses $52M in losses in New York state
The company is working to stem its losses after a rough first half to 2016.
By Heather Caspi • Aug. 18, 2016 -
Kaiser is 'absolutely' staying with ACA exchanges
Aetna and other insurance giants have recently announced they will be dropping out of some of the exchanges.
By Ana Mulero • Aug. 18, 2016 -
CMS supports modular approach to Medicaid IT improvements
The aim is to increase state’s ability to upgrade Medicaid Management Information Systems and speed access to enhanced federal financial support.
By Meg Bryant • Aug. 18, 2016 -
Deep Dive
Timeline: Anthem's pending $54B acquisition of Cigna
This is their story.
By Ana Mulero • Aug. 17, 2016 -
Alabama looks at lottery funding for Medicaid
Even if it passes, however, the question is how long it can solve the problem.
By Heather Caspi • Aug. 17, 2016 -
Montgomery County Planning Commission
Battle of the bulls: Aetna threatened ACA participation over Humana merger blockage
The Huffington Post reveals deeper motivations for Aetna's recent ACA exit.
By Jeff Byers • Aug. 17, 2016 -
Fake owner pleads guilty in $4.2M home health fraud scheme
The Medicare Fraud Strike Force has taken down another Florida scheme.
By Heather Caspi • Aug. 17, 2016 -
Aledade launches new Arkansas ACO
The company says it is the first primary care physician-led ACO in the state.
By Heather Caspi • Aug. 17, 2016 -
Sutter Health to employers: Waive rights to sue or pay the price
Some California employers face a difficult decision.
By Luke Gale • Aug. 17, 2016 -
First decision made in Iowa/HHS tussle over failed co-op funds
The health of the risk adjustment program appeared to take priority.
By Heather Caspi • Aug. 16, 2016 -
Deep Dive
Timeline: Aetna's pending $37B acquisition of Humana
Aetna and Humana say they are prepared to “vigorously defend their pending transaction” against an antitrust lawsuit in a court trial set to begin on December 5.
By Ana Mulero • Aug. 16, 2016 -
Montgomery County Planning Commission
Aetna to leave 536 individual markets in major ACA exchange withdrawal
The insurer is doubling down on reversing expansion plans in the individual market.
By Jeff Byers • Aug. 15, 2016 -
New York announces ACA plan enrollment total of 2.8 million
The state credits its new Essential Plan for much of its 2016 enrollment growth.
By Heather Caspi • Aug. 15, 2016 -
Anthem/Cigna merger under the gun with antitrust ruling expected in January 2017
It will be down to the wire and a hair behind the Aetna/Humana merger trial.
By Heather Caspi • Aug. 15, 2016 -
Shut it down: Blue Shield of California plans 4-day closure to help save $4M
The insurer is hoping to offset its ACA exchange losses.
By Heather Caspi • Aug. 15, 2016 -
From the frying pan to the fire: New Mexico insurance exchange CEO to call Molina new home
Amy Dowd is moving on after two years at beWellnm.
By Heather Caspi • Aug. 15, 2016 -
Math gaffe could cost Massachusetts hospitals $110M in Medicare funds
Rhode Island hospitals stand to lose $7 million, thanks to Massachusetts’ mistake.
By Meg Bryant • Aug. 12, 2016 -
New HHS data suggest risk pools are stabilizing but insurers stay skeptical
A CMS official suggests a new rule could be coming to help strengthen the ACA markets.
By Meg Bryant & Jeff Byers • Aug. 12, 2016 -
Court adopts Aetna/Humana-DOJ antitrust case schedule
The trial will last 13 days begining on December 5 and ending on December 21 - only 10 days before the insurers' contractual deadline.
By Ana Mulero • Aug. 12, 2016 -
Qui tam lawsuit to proceed against 5 Medicare Advantage participants
The lawsuit accuses UnitedHealthcare, Aetna and three other companies of submitting false certifications for Medicare Advantage payments.
By Meg Bryant • Aug. 12, 2016
Previous
