Payer: Page 168
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Montgomery County Planning Commission
In 11th hour, Aetna/Humana extend $37B merger deadline
The deal was supposed to close by Thursday.
By Jeff Byers • June 27, 2016 -
Illinois health co-op adds to litany of risk corridors lawsuits
The insurer said it is in severe financial distress after failing to receive the promised support.
By Heather Caspi • June 27, 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 -
Blue Cross to slash, refocus Minnesota individual market offerings
Only its subsidiary Blue Plus will continue to serve the state's individual market.
By Heather Caspi • June 27, 2016 -
SCOTUS dismisses Texas abortion law in 5-3 decision
Some have called the case the first major abortion case in about 10 years.
By Ana Mulero • June 27, 2016 -
Kentucky's Bevin reveals Medicaid expansion waiver plans
In his campaign, Bevin said he would "reverse" Medicaid expansion but has since changed his strategy.
By Meg Bryant • June 24, 2016 -
California insurance commissioner makes opposition to Aetna/Humana merger official
His plea comes three days after the California Department of Managed Health Care approved the merger.
By Ana Mulero • June 24, 2016 -
Seven senators call on DOJ to block to insurance megamergers
Connecticut's legislators are taking a special interest in the deals as home to two of the players.
By Heather Caspi • June 23, 2016 -
Retrieved from Flickr.
Deep DiveMedicare fraudsters beware: The government is coming
Providers can update their compliance program to ensure no fraudulent, accidental or purposeful, billing occurs within their walls.
By Jeff Byers & Ana Mulero • June 23, 2016 -
Deep Dive
Payers, telehealth vendors getting value out of partnerships
Most states allow some form of telehealth services, and 29 have parity laws for private payers.
By Meg Bryant • June 23, 2016 -
Deep Dive
Supreme Court upholds implied certification theory under the FCA
Top priorities for all healthcare organizations should be to make sure appropriate resources are dedicated to compliance efforts and proactive compliance efforts are ongoing.
By Julie Henry • June 22, 2016 -
CMS sets sights on enrollment of young adults in 2017 marketplace
The effort aims to better balance the marketplace risk pool.
By Heather Caspi • June 22, 2016 -
More than 300 charged nationwide in massive $900M Medicare fraud sweep
It is "the largest in history, both in terms of the number of defendants charged and loss amount," DOJ reported.
By Jeff Byers • June 22, 2016 -
After 6 years, an outline of a plan to repeal the ACA hits the streets
The paper states the ACA "has proven unaffordable, unworkable, and intrusive in Americans’ everyday lives."
By Jeff Byers • June 22, 2016 -
HHS to fund small practices to help meet quality measures
Funded organizations will help small practices navigate issues such as which quality measures or EHR best meet their specific needs.
By Meg Bryant • June 22, 2016 -
Boeing seals direct contracting deal with major southern CA health system
Employers hope to reduce costs by bypassing insurance companies and contracting directly with health systems for employee benefits.
By Meg Bryant • June 22, 2016 -
KFF: Medicare Advantage networks come in all shapes, sizes & scope
Medicare Advantage enrollees in nine U.S. counties had no broad network options, a new report found.
By Meg Bryant • June 22, 2016 -
Healthcare shopping trends across U.S. all over the map
Women and adults ages 25 to 44 are most likely to shop for medical services, according to a new report by HealthSparq.
By Meg Bryant • June 22, 2016 -
Few consumers budgeting for healthcare, study finds
Most people don't know how much to expect to spend on their healthcare in a given year, a new report says.
By Heather Caspi • June 22, 2016 -
Elizabeth Regan/Healthcare Dive
RWJF estimates expect healthcare spending to reduce by $2.6T
The question is what factors are driving the difference.
By Heather Caspi • June 21, 2016 -
Public option poised to unite Democrats
Is it the ideal compromise, or just a mirage?
By Heather Caspi • June 21, 2016 -
Diabetes-related spending has gone up
A Health Care Cost Institute report shows people with diabetes had twice as many doctor and ER visits as people without the disease between 2012 and 2014.
By Ana Mulero • June 21, 2016 -
Deep Dive
4 forces that will influence medical cost trends in 2017
Consumers are increasingly likely to seek treatment at retail clinics, which will lead to increasing utilization and inflate costs in the future.
By Jeff Byers • June 21, 2016 -
CMS continues to shake up payer landscape, seeks adjustments to payment error rate measurements
A proposed rule could tighten up the programs that measure Medicaid improper payments and eligibility.
By Heather Caspi • June 21, 2016 -
Healthcare insecurity hits an all-time low
The number of American adults unable to afford healthcare dropped from 2013 to the first quarter of 2016, according to a new Gallup study.
By Jeff Byers • June 20, 2016 -
Montgomery County Planning Commission
CA reg grants Aetna/Humana merger approval, pins conditions to deal
Analysts expect the Humana/Aetna deal to have more of a fighting chance for regulatory approval than the Cigna/Anthem merger.
By Jeff Byers • June 20, 2016
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