Payer: Page 163
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Court official sides with DOJ on contentious Anthem, Cigna letters
The DOJ argued the correspondence in which the insurance giants accused each other of breaching their $48 billion merger agreement should be introduced as evidence in the antitrust trial.
By Heather Caspi • Oct. 10, 2016 -
Global health checkup shows progress, but not enough
Declines in early childhood deaths are offset by increases in obesity, noncommunicable diseases and alcohol and drug abuse.
By Meg Bryant • Oct. 7, 2016 -
NCQA praises WellCare's Kentucky Medicare & Medicaid offerings
With its experience in managed care markets, the company is using Medicaid expansion as an opportunity for growth.
By Luke Gale • Oct. 7, 2016 -
Slavitt offers tips on what it will take to succeed in U.S. healthcare market
The ACA set a transformation in motion, bringing millions of newly insured into the healthcare system and shifting the focus to value-based care.
By Meg Bryant • Oct. 7, 2016 -
Aetna accuses DOJ of obstructing Humana merger case
The government's actions are blocking the insurers from preparing their defense, Aetna's lawyer said.
By Heather Caspi • Oct. 6, 2016 -
HHS suggests more marketplace tweaks to come
Will the effort be sufficient, or too little too late, to help stabilize the struggling marketplaces?
By Heather Caspi • Oct. 6, 2016 -
Analysis confirms 5% higher cost for special enrollment customers
The data bolster suspicions of SEP abuse by customers who buy and drop coverage as needed.
By Heather Caspi • Oct. 6, 2016 -
OIG calls for medical device identifiers in claims forms
Medicare paid $1.5 billion in replacement costs associated with seven faulty cardiac devices.
By Meg Bryant • Oct. 6, 2016 -
Kentucky to scrap state exchange for Healthcare.gov
While the governor argued it added no value, the CMS noted its loss will be a step down in functionality.
By Heather Caspi • Oct. 5, 2016 -
HHS: Up to 2.5 million off-marketplace consumers eligible for ACA tax credits
Millions more people could save if they switched from off-market plans for 2017.
By Heather Caspi • Oct. 5, 2016 -
Judge splits Anthem/Cigna merger lawsuit in two for faster ruling
The U.S. Department of Justice argued the health insurance giants have been accusing one another of breaches in their merger agreement.
By Ana Mulero • Oct. 5, 2016 -
States accuse CMS of 'jumping the line' to recoup co-op liquidation dollars
An Iowa lawsuit against the federal government could prove an important test case.
By Heather Caspi • Oct. 5, 2016 -
Revolving door between insurance industry and regulators raises questions
Do industry perks, friends, and future job prospects cloud commissioners impartiality?
By Heather Caspi • Oct. 4, 2016 -
Shining Maryland co-op forced to go for-profit to survive
The tide turned for Evergreen Health as a result of its $24.2 million risk adjustment assessment.
By Heather Caspi • Oct. 4, 2016 -
HHS disputes GAO reinsurance report siding with GOP
The debate over reinsurance funding pits the administration against Congress' investigative authority.
By Heather Caspi • Oct. 3, 2016 -
UnitedHealth subsidiary Harken Health dumps ACA markets
The insurer's model failed to catch on or make money.
By Heather Caspi • Oct. 3, 2016 -
Vermont receives preliminary approval for all-payer health system
The state would aim to attract providers into a single accountable care organization.
By Heather Caspi • Oct. 3, 2016 -
Deep Dive
ICD-10 turns 1: Was it so bad?
The AMA continues to monitor for potential disruptions.
By Meg Bryant • Oct. 2, 2016 -
CMS bans forced arbitration clauses in nursing homes
Nursing homes and residents can still choose to use arbitration, so long as it’s made clear that such agreements are voluntary and victims of abuse can still talk to authorities.
By Meg Bryant • Sept. 30, 2016 -
HHS names winners of better patient billing competition
RadNet and Sequence will get to test their solutions in six healthcare organizations nationwide.
By Meg Bryant • Sept. 29, 2016 -
Retrieved from Apple on March 02, 2015
Aetna to subsidize Apple Watch costs, launch iOS health apps
The carrier will also provide the devices for free to its own employees.
By Heather Caspi • Sept. 29, 2016 -
RWJF analysis weighs veteran uninsurance rate in light of ACA provisions
Veterans not covered under the VA health system stand to gain from Medicaid expansion, researchers say.
By Heather Caspi • Sept. 29, 2016 -
Aetna touts social support as next step to advance health
The insurer is positioning itself as a champion for community programs.
By Heather Caspi • Sept. 28, 2016 -
ACA enrollment campaign pulling out all stops to get millennials
Young adults could make the difference in improving the ACA's overly sick risk pool.
By Heather Caspi • Sept. 28, 2016 -
House passes individual mandate exemption for co-op closure victims
The White House says it will veto the measure.
By Heather Caspi • Sept. 28, 2016
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