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We may be able to avoid casualties in the ACA battle, according to one proposed replacement plan
A new set of ideas offers more detail than we’ve seen before but will require buy-in from employers.
By Kathleen Gilbert • Jan. 19, 2017 -
Retail clinics thriving despite little use by the individually insured, study shows
Retail clinics are less expensive and more convenient than emergency room visits, but surprisingly, the individually insured are not the ones fueling their popularity.
By Kathleen Gilbert • Jan. 19, 2017 -
Explore the Trendline➔
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 -
UnitedHealth Group ends 2016 on a high note amid ACA uncertainty
The company posted more than $13 billion in operating earnings – a performance driven largely by its pharmacy benefits management and technology services lines of business.
By Luke Gale • Jan. 18, 2017 -
Deep Dive
No punches pulled during Tom Price's HHS courtesy hearing
From healthcare stocks and ACA repeal to EHRs, committee members weren't shy while interrogating Trump's HHS Secretary nominee.
By Ana Mulero • Jan. 18, 2017 -
ONC, CMS offer roadmap for continued shift to value-based payments
Barriers and frustrations around the digitization of healthcare remain, National Coordinator for Health IT Dr. Vindell Washington and CMS acting Administrator Andy Slavitt wrote in a recent blog post.
By Meg Bryant • Jan. 18, 2017 -
Can Baker get Massachusetts' rising healthcare costs under control?
Facing dramatic price variations and unsustainable financing challenges, Massachusetts Gov. Charlie Baker proposes to take drastic action to rein in healthcare costs in the state.
By Kathleen Gilbert • Jan. 18, 2017 -
Deep Dive
How Maryland is quietly protecting its rural hospitals from financial pressures
Created to help control the costs of care, the total patient revenue model is helping to insulate the state’s rural hospitals from the financial pressures causing acute care hospitals in other states to close their doors.
By Kathleen Gilbert • Jan. 17, 2017 -
CBO: 18M would lose coverage, premiums would rise first year after Obamacare repeal
The report used HR 3762 to estimate how an ACA repeal could affect health insurance coverage.
By Ana Mulero • Jan. 17, 2017 -
Study: Excess charges leave patients prone to surprise medical bills
CMS has been putting pressure on providers and payers to address the issue of excess medical charges, which often leaves patients footing the bill for surprisingly high medical charges.
By Luke Gale • Jan. 17, 2017 -
Mobile health trackers could have potential new measures, study finds
Although it remains to be seen whether mobile health devices prove to be useful aids for weight loss and fitness over time, Stanford researchers have found the devices can reveal emerging health issues by monitoring subtle physiological changes.
By Kathleen Gilbert • Jan. 15, 2017 -
Elizabeth Regan/Healthcare Dive
Uncompensated hospital costs reach new low
The ACA has helped hospitals by reducing the burden of uncompensated care, but all bets are off if it is repealed without a replacement.
By Kathleen Gilbert • Jan. 15, 2017 -
Wider adoption of electronic transactions could save healthcare $9.4B, report says
While CAQH makes the case for the fiscal benefits of digital transactions, implementing an electronic workflow has seen some struggles in provider settings.
By Meg Bryant • Jan. 13, 2017 -
NYU Langone finds redesigning bills helped reduce patient complaints
Healthcare has been all about trying to make patient bills easier to understand in recent years.
By Luke Gale • Jan. 12, 2017 -
Cigna turns to cheaper option than the brand name Mylan EpiPen
The pharmaceutical company that raised prices around 500% in six years on its EpiPen has recently been dealt several blows.
By Luke Gale • Jan. 12, 2017 -
Health IT start-up Nuna takes Medicaid into the Cloud
CMS acting Administrator Andy Slavitt called the database “near historic” in providing a broad-brush view of the Medicaid program.
By Meg Bryant • Jan. 12, 2017 -
Study: Some post-surgery destinations cost more than others
Hospitals that spend the most on post-surgery care for patients are spending on average more than two times as much as those that spend the least in some instances.
By Luke Gale • Jan. 11, 2017 -
Senate takes first big step to repeal ACA
President-elect Donald Trump said on Wednesday he would like for an ACA repeal and the implementation of a replacement coverage plan to occur "essentially simultaneously."
By Ana Mulero & Jeff Byers • Jan. 11, 2017 -
Cal INDEX-Empire Health Information Exchange merger will boost big data
The merger of these two California data exchanges will result in the country’s largest database of insurance claims and medical records.
By Kathleen Gilbert • Jan. 11, 2017 -
Health Affairs: Larger market share gives negotiation power to insurers but consumer benefits unclear
Insurers with market shares of 15% or higher are able to negotiate significantly lower prices for medical services, researchers found.
By Kathleen Gilbert • Jan. 10, 2017 -
CMS grants quality penalty relief due to ICD-10 snafu
Physician Quality Reporting System penalties are usually 2% of Medicare's physician fee schedule amount for a service.
By Ana Mulero • Jan. 10, 2017 -
Trump wants GOP to quickly repeal and replace Obamacare
"We have to get to business. Obamacare has been a catastrophic event."
By Jeff Byers • Jan. 10, 2017 -
Aledade raises $20M in recent round of funding
The company, founded by Dr. Farzad Mostashari, is “well-positioned” in a healthcare system that is increasingly rewarding physicians for providing high-value care, said Andy Jones, managing director for the Maryland Venture Fund.
By Luke Gale • Jan. 10, 2017 -
HHS Secretary poses 3 questions for GOP on ACA replacement
The damage to the individual insurance market would begin this spring with Republican's plan to repeal parts of the ACA, HHS Secretary Sylvia Mathews Burwell said during a National Press Club event.
By Ana Mulero • Jan. 9, 2017 -
UnitedHealth to grow portfolio with $2.3B Surgical Care Affiliates purchase
By combining the ambulatory surgery center chain with Optum's health services, UnitedHealth Group seeks to create a comprehensive platform of ambulatory care services.
By Ana Mulero • Jan. 9, 2017 -
Study: Hospitals vary in adverse outcome rates for joint replacement
Adverse outcome rates for joint and hip replacements top 20% at some of the worst performing hospitals.
By Luke Gale • Jan. 9, 2017
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