Payer: Page 167
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Amateria1121 [CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0)], from Wikimedia Commons
Oregon approves final 'mostly unchanged' 2017 premium hikes
Rate increases will be in the double digits, and some plans won't be back.
By Heather Caspi • July 5, 2016 -
Risk adjustment continues to slam small insurers
Several co-ops are among those slated to pay tens of millions into the program.
By Heather Caspi • July 5, 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 -
Montgomery County Planning Commission
Aetna sells MA assets to mitigate antitrust concerns over Humana merger
The move comes as a strategy to help ease antitrust concerns with the health insurance giant's pending $37 billion acquisition.
By Ana Mulero • July 5, 2016 -
South Carolina officials debate potential for ACA market collapse
Severely limited marketplace offerings are negating much of the intent of the ACA, some say.
By Heather Caspi • July 5, 2016 -
ACA plan drop-outs a 'tad higher' than expected
Officials had hoped to stem the losses by targeting problematic applications for attention.
By Heather Caspi • July 5, 2016 -
Deep Dive
How insurers use gamification for customer wellness
Interactive tools, such as gaming, can make payer products more attractive to consumers and motivate customers to adopt healthy habits.
By Julie Henry • July 5, 2016 -
Merger opponents prepared to play long game
Even if the insurance industry's top players can't merge together, opponents will be watching their next moves.
By Heather Caspi • July 5, 2016 -
Open Payments data reveal docs received $7.52B industry payments in 2015
The American Medical Association chided CMS for “continued data errors and registration challenges” in its program.
By Meg Bryant • July 1, 2016 -
Why Catholic Health is bowing out of the insurance field
In the first nine months of fiscal 2016, CHI’s QualChoice subsidiary lost $97 million.
By Meg Bryant • July 1, 2016 -
False claims penalties set to double
The sharp increase in FCA penalties could raise constitutional concerns, one lawyer says.
By Meg Bryant • July 1, 2016 -
Is DOJ ready to scuttle the Anthem-Cigna merger?
If the deal falls though, Cigna may attempt to acquire smaller market players who specialize in government-funded plans.
By Meg Bryant • July 1, 2016 -
HHS' Oncology Care Model draws twice the anticipated participation
More than 200 physician groups and 17 insurers will participate.
By Heather Caspi • June 30, 2016 -
Aetna/Humana merger inches closer to closing with Illinois approval
Illinois insurance chief Melissa Dowd concluded the deal won’t harm competition in the Medicare Advantage market.
By Meg Bryant • June 29, 2016 -
Allina offers nurses new contact with concessions
The latest proposal would still require nurses to drop union-backed health plans for Allina’s coverage.
By Meg Bryant • June 29, 2016 -
Hacker posts 9.3M patient records for sale on dark net
In the face of growing ransomware attacks, HHS proposed steps healthcare entities can take to protect their databases.
By Meg Bryant • June 29, 2016 -
Cost sharing for hospitalizations has risen 37%. Will this trend last?
The quick pace at which insurers are shifting hospital costs to consumers could leave many in shock.
By Heather Caspi • June 29, 2016 -
Blue Shield of California defends MLR calculation in rebate fight
The insurer has rejected the complaint now under investigation.
By Heather Caspi • June 29, 2016 -
Deep Dive
Employers cut out insurers to control healthcare costs
Is direct contracting becoming a trend?
By Julie Henry • June 29, 2016 -
VA teams up with IBM's supercomputer Watson to expand precision medicine
The collaboration between the tech giant and the VA is a byproduct of Vice President Joe Biden's Cancer Moonshot efforts.
By Ned Pagliarulo • June 29, 2016 -
Home health agencies slated $180M Medicare cut
CMS' proposed rule also added information regarding the home health value-based purchasing model finalized in the 2016 Home Health Prospective Payment System rule.
By Heather Caspi • June 28, 2016 -
CMS proposal would boost 2017 dialysis payments
The proposed rule would raise overall payment to dialysis facilities in 2017 by about $50 million.
By Heather Caspi • June 28, 2016 -
CMS receives upwards of 3.8K MACRA comments
Monday was the last day to provide comment on the proposed MACRA implementation rule.
By Jeff Byers • June 28, 2016 -
Louisiana Medicaid expansion supporters celebrate signup of 225,900
Program officials are relying on innovative enrollment strategies to get the job done.
By Heather Caspi • June 28, 2016 -
Deep Dive
Should EDs collect, track patients' sexual orientation? This researcher thinks so
"The most important thing is to ensure we are treating everybody equally," Dr. Adil Haider of Brigham and Women's Health noted before this morning's presentation at AcademyHealth's Annual Research Meeting.
By Jeff Byers • June 28, 2016 -
Deep Dive
STDs are rising. What can providers do?
“We want doctors to discuss STDs and risk-reduction strategies with their patients,” says CDC epidemiologist Eloisa Llata.
By Meg Bryant • June 27, 2016
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