Payer: Page
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HHS touts strides on delivery system reform goals
Public and private progress toward spending through alternative payment models is going strong.
By Heather Caspi • Oct. 26, 2016 -
Medicaid expansion, Health Net acquisition main drivers in Centene Q3 growth
Revenue grew year-over-year by 86%.
By Jeff Byers • Oct. 25, 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 pivots from Medicare Advantage auto-enrollment for internal review
The agency is not currently allowing any new insurers to use "seamless conversion," but disclosed 29 have already been approved.
By Heather Caspi • Oct. 25, 2016 -
CMS pushes for more MACRA participation with new Advanced APM options
An Oncology Care Model track will now qualify as an Advanced APM for the 2017 performance year.
By Ana Mulero • Oct. 25, 2016 -
AARP sues the EEOC over new wellness incentive rules
The advocacy group expressed concern that wellness program incentives may be too onerous for some employees.
By Kathryn Moody • Oct. 25, 2016 -
Elizabeth Regan/Healthcare Dive
PwC: Hospitals need to think like retailers
Nearly 40% of American adults said they shop around for healthcare prices.
By Meg Bryant • Oct. 25, 2016 -
Alex Wong via Getty Images
Deep Dive3 truths about the 2017 ACA marketplace
HHS confirmed an average 25% increase for next year's benchmark ACA plan premiums.
By Jeff Byers • Oct. 24, 2016 -
Cigna ends prior authorization policy for addiction meds
New York state is now asking that other insurers follow suit.
By Heather Caspi • Oct. 24, 2016 -
Study: Expanding Medicaid doesn't reduce stress on ERs
The findings are from a two-year analysis of an Oregon experiment, which expanded Medicaid through a random lottery.
By Meg Bryant • Oct. 21, 2016 -
STD rates in US hit new high
CDC estimates about 20 million new STD infections occur each year, accounting for close to $16 billion in healthcare costs.
By Meg Bryant • Oct. 21, 2016 -
Rural hospitals out-perform urban hospitals on key quality measures
The adoption of telemedicine in rural areas has helped increase access to care.
By Meg Bryant • Oct. 21, 2016 -
OIG: $358M worth of Medicare chiropractor payments officially 'unallowable'
Federal officials are at odds over implementing stronger controls to flag potentially improper billing.
By Heather Caspi • Oct. 20, 2016 -
Pilot for bundled maternity/birth/newborn care brings overdue coordination
An experiment in Texas can serve as a model, though expected savings have yet to be realized.
By Heather Caspi • Oct. 20, 2016 -
HHS projects 1.1M increase in 2017 marketplace enrollment
Insurers should expect robust enrollment growth if the government's projections pan out.
By Heather Caspi • Oct. 20, 2016 -
Blues taking heat in risk adjustment debate
Rivals argue the Blues plans are benefiting from their own inefficiencies.
By Heather Caspi • Oct. 19, 2016 -
UnitedHealth OPTUMistic in Q3 report showing 23% profit increase overall
The company saw its Optum revenues notably grow 34% year-to-date.
By Heather Caspi • Oct. 19, 2016 -
Deep Dive
How a new class of health insurance startups is trying to transform the industry
A lot of funds are being invested in dozens of new insurance startups. However, this new class of insurers is struggling similarly to large payers. Can they right the ship?
By Luke Gale • Oct. 19, 2016 -
Second round of CPC finds 4 of 7 regions sharing in savings with CMS
The second year was the charm for the initiative to generate net savings.
By Heather Caspi • Oct. 19, 2016 -
AHIP and National Consumers League join forces for patient education
While it may seem like an unlikely alliance, it is mutually beneficial.
By Luke Gale • Oct. 19, 2016 -
Omnicare to pay $28M over alleged kickbacks from Abbott
The nursing home pharmacy was accused of recommending the drug Depakote in exchange for disguised payments.
By Heather Caspi • Oct. 18, 2016 -
Deep Dive
How applying behavioral economics is beginning to influence healthcare
Although behavioral economics won’t result in a quick fix for the healthcare system’s woes, it can be used to design programs that influence behaviors here and there.
By Luke Gale • Oct. 18, 2016 -
Marketplace volatility highlights issue of coverage churn
Physicians face an ever-revolving door with patients being frequently forced to change plans.
By Heather Caspi • Oct. 18, 2016 -
Pulled ACA plans to leave 1.4 million enrollees stranded
...And that's only in the 32 states that provided numbers, leaving the full estimate even higher.
By Heather Caspi • Oct. 17, 2016 -
Deep Dive
Here are the MACRA final rule changes you need to know
CMS focused on patient care and flexibility when finalizing the proposed rule. The agency created a helpful website, too.
By Jeff Byers • Oct. 16, 2016 -
Breast cancer death rates dropped overall but racial disparities remain
Being physically active and maintaining a healthy diet and weight can help to reduce breast cancer risk
By Meg Bryant • Oct. 14, 2016
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