Payer: Page 166
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Obesity rates drop in four states — but don't celebrate yet
Thirty-eight percent of Americans meet the criteria to be labeled obese.
By Meg Bryant • Sept. 2, 2016 -
Health insurers seek protection from long-term care financial fallout
UnitedHealth is leading a push for lower health insurer accountability across the long-term care industry.
By Heather Caspi • Sept. 1, 2016 -
ACA enrollment projections missed mark for multiple reasons
The strong continuation of employer-based health coverage is just one piece of the puzzle.
By Heather Caspi • Sept. 1, 2016 -
Oregon tackles housing as foundation for health outcomes
Housing providers and coordinated care organizations are on the case to reduce homelessness.
By Heather Caspi • Sept. 1, 2016 -
Insurer ACA exits set to wallop rural states hardest
Competition is down across the board but rural areas will see the most monopolies.
By Heather Caspi • Sept. 1, 2016 -
ONC blockchain challenge winners show breadth of potential uses
Fifteen winners were selected from more than 70 submissions.
By Meg Bryant • Sept. 1, 2016 -
Clinton sweeping mental health plan would enforce parity laws
The Democratic presidential nominee also seeks to fully integrate the mental and physical healthcare systems.
By Heather Caspi • Aug. 31, 2016 -
Deep Dive
Public option back on the block?: What it means for private payers
With private payers leaving ACA exchanges en masse and with premiums expected to rise, many have reissued calls for a public option. However, opposition remains as stiff as ever.
By Luke Gale • Aug. 31, 2016 -
Pennsylvania picks 3 insurers for estimated $5B long-term care program contracts
The organizations will handle the state's new Community HealthChoices (CHC) program.
By Heather Caspi • Aug. 31, 2016 -
Christie touts success of N.J. Medicaid expansion to 'naysayers'
The governor says expansion is saving the state money.
By Heather Caspi • Aug. 31, 2016 -
Medicare Advantage plan audits illustrate overcharging
An analysis found overpayments for unsupported medical diagnoses exceeded $10,000 per patient for more than 150 patients across 37 audits.
By Heather Caspi • Aug. 30, 2016 -
CA lawmakers send legislation against surprise medical bills to Gov. Brown
Hospitals in the state may be required to notify patients if they are receiving observation care beginning Jan. 1, 2017.
By Ana Mulero • Aug. 30, 2016 -
Here's how many ACA enrollees KFF estimates will face insurer monopolies for 2017
Fewer marketplace consumers will be able to "shop around."
By Heather Caspi • Aug. 30, 2016 -
CMS proposes standards to strengthen 2018 ACA market
The proposed rule includes some changes to improve risk adjustment policies.
By Jeff Byers • Aug. 29, 2016 -
UPMC insures a fair amount of people now
The provider ended its fiscal year by netting $12.8 billion in operating revenues.
By Jeff Byers • Aug. 29, 2016 -
Uwe Reinhardt: Adverse risk selection crippling Obamacare
National health spending is projected to grow just 4.8% this year, according to CMS.
By Meg Bryant • Aug. 26, 2016 -
Medicare ACOs saved $466M in 2015. Only a third earned shared savings
On the quality front, the organizations improved on 84% of the quality measures reported from 2014 to 2015.
By Jeff Byers • Aug. 26, 2016 -
Obesity risks scale to 13 cancers, research finds
The research review, in the New England Journal of Medicine, also found limited evidence tying obesity to three other cancers.
By Meg Bryant • Aug. 26, 2016 -
Kentucky seeks waiver to overhaul expanded Medicaid program
The governor is looking to reel in costs before the state is required to start paying its share.
By Heather Caspi • Aug. 25, 2016 -
Alex Wong via Getty Images
HHS: Medicaid expansion helped lower ACA premiums by 7%
The analysis shows premiums in non-expansion states reflect a different risk pool.
By Jeff Byers • Aug. 25, 2016 -
Nosedive in insurer ACA participation leaves many with just one choice
Healthcare.gov is expected to be less competitive in 2017 than when it launched in 2014.
By Heather Caspi • Aug. 25, 2016 -
Deep Dive
How does geography impact C-section rates
A Blue Cross Blue Shield Association analysis found C-section rates varied from 25% to 50% from July 2010 through June 2015.
By Ana Mulero • Aug. 25, 2016 -
'Overwhelming majority' of ACA consumers to have affordable choices, HHS says
Will consumer choice pan out as a tactic for finding affordable plans?
By Heather Caspi • Aug. 25, 2016 -
Deep Dive
ACA woes grow as insurers back out. Is a Medicaid managed care model the answer?
The nation's largest private payers are losing faith and millions of dollars in ACA exchanges. Payers offering low cost plans with narrow networks may end up driving their success.
By Luke Gale • Aug. 24, 2016 -
Humana's Broussard predicts blockchain technology to transform healthcare
While too soon to tell, Humana's top dog is touting the technology's potential transformation to the industry.
By Heather Caspi • Aug. 24, 2016
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