Payer: Page 165
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Slavitt details MACRA commentators' 5 priority areas
The CMS acting administrator touted record engagement in the policywriting process.
By Heather Caspi • July 25, 2016 -
Megamerger stocks ride out U.S. antitrust challenge
The American Medical Association praised the U.S. effort to block the megamergers.
By Meg Bryant • July 22, 2016 -
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 -
CMS teases latest star ratings with 102 hospitals netting 5 stars
Teaching hospitals had lower overall star ratings than non-teaching hospitals.
By Meg Bryant • July 22, 2016 -
Report finds high risk of harm in rehab hospitals
Nearly half of harmful incidents could have been prevented, a government report finds.
By Meg Bryant • July 22, 2016 -
As feds set to quash merger plans, Humana floats exit of most ACA exchanges in 2017
The decision comes as the health insurance giant reported better than anticipated second-quarter results for its individual Medicare Advantage and healthcare services businesses.
By Meg Bryant • July 22, 2016 -
Report finds one-third of insurers were profitable in first year of ACA
Medical claims for 2014 were 5.7% higher than insurers had projected.
By Heather Caspi • July 21, 2016 -
CMS announces savings of $42B from program integrity efforts
Spending to reduce medicare fraud and waste is paying off, big time.
By Heather Caspi • July 21, 2016 -
U.S. files suits against insurance megamergers
In response, Cigna on Thursday remarked, "In light of the DOJ’s decision, we do not believe the transaction will close in 2016 and the earliest it could close is 2017, if at all."
By Jeff Byers • July 21, 2016 -
Aetna prepared to battle feds in court for Humana merger
Aetna argues divestitures and a broader view on the MA market will ensure sufficient consumer choice.
By Heather Caspi • July 21, 2016 -
UnitedHealth's profits grew 13% in Q2, despite $200M Obamacare losses
Strong growth was fueled by Optum, which saw revenues jump 51.5% to $20.6 billion during the quarter.
By Meg Bryant • July 20, 2016 -
DOJ prepping insurance megamergers suits, sources say
News that the agency may challenge the mergers sent shares of Humana, Aetna, Cigna and Anthem tumbling Tuesday.
By Meg Bryant • July 20, 2016 -
Deep Dive
What providers can expect from California's new aid-in-dying legislation
A look at California's End of Life Option Act based on Oregon's own legislation shows negligible costs to insurers and state medical plans can be expected.
By Shalina Chatlani • July 20, 2016 -
Deep Dive
Controlling payer spending on end-of-life care
Some say major health plans should form a consortium to educate the public on four aspects of advance directives.
By Julie Henry • July 20, 2016 -
Deep Dive
The risks and benefits of employing physicians
One expert says the increase in physician employment by hospitals will not be successful in the long term.
By Julie Henry • July 20, 2016 -
Starbucks move raises visibility of private health exchanges
Will buy-in from Starbucks jumpstart the trend toward private exchanges?
By Heather Caspi • July 20, 2016 -
Study projects impact of Medicaid expansion in all 50 states
The 19 remaining holdouts have it in their power to reduce the uninsured rate by another 5 million.
By Heather Caspi • July 20, 2016 -
Covered California individual premium fairytale over with 13.2% rate hike
The state is no longer impervious to the rate increases seen around the rest of the U.S.
By Heather Caspi • July 19, 2016 -
Deep Dive
Case alleging overcharging by Sutter to seek class-action status
The plaintiff's lawyer believes the suit is a bellwether case for powerful health systems' tying arrangements.
By Heather Caspi & Jeff Byers • July 19, 2016 -
Deep Dive
iFHP cost report highlights cause for concern over lack of provider competition
The average hospital cost per day is $5,220 in the U.S. and only $424 in Spain, the researchers found.
By Jeff Byers • July 19, 2016 -
Dissolving Oregon co-op's members can apply out-of-pocket costs to new carriers
About 20,600 soon-to-be former Health CO-OP policyholders will need to find new health coverage by Aug. 1.
By Jeff Byers • July 18, 2016 -
Blue Shield of California slapped with class action lawsuit in rebate flap
Members argue the company owes them another $35 million in rebates from 2014.
By Heather Caspi • July 18, 2016 -
Anthem's $460K in political donations raises questions
The insurance commissioners tasked with reviewing the pending Anthem-Cigna merger are, in many states, appointed by their governors.
By Heather Caspi • July 18, 2016 -
Aetna-Humana fall closure predictions circle around potential MA assets sale
The approval might require Aetna to pare down its Medicare Advantage plans to reduce antitrust concerns.
By Ana Mulero • July 18, 2016 -
MedPAC: Unified post-acute payment system is 'within reach'
The report projects 2016 Medicare Advantage payments will be 102% of fee-for-service spending.
By Heather Caspi • July 18, 2016 -
End-of-life cost report suggests providers focus on treating younger over older seniors
More than half of all Medicare beneficiaries who died in 2014 were 80 or older, a Kaiser Family Foundation report says.
By Meg Bryant • July 15, 2016
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