Payer: Page 170
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AHIP announces first 'major restructuring' in 13 years
After losing two key members in the past year, the organization acknowledges changes are needed.
By Heather Caspi • June 9, 2016 -
Poll: Allscripts, athenahealth top ambulatory providers in EHR satisfaction, loyalty
Marshfield Clinic Information Services ranked top vendor among users in multispecialty clinics for the first time.
By Nina Flanagan • June 9, 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 -
Medicaid expansion states see drop in debt sent to collections
The ACA is fulfilling at least part of its intent by reducing the incidence of debt, analysts say.
By Heather Caspi • June 9, 2016 -
New obesity study shares grim results
Obesity in women has grown while 5.8% of children were found to be morbidly obese.
By Meg Bryant • June 8, 2016 -
States continue to seek steep Obamacare rate hikes
The average weighted rate hike request across 29 state exchanges and the District of Columbia is 20.1%, analyst Charles Gaba says.
By Meg Bryant • June 8, 2016 -
Molina expanding Albuquerque operations by 160
Demand is growing for the insurer's New Mexico exchange business.
By Heather Caspi • June 8, 2016 -
L.A. hospital calls foul on insurer's payments to patients
The practice is a throwback that creates difficulties for providers, experts say.
By Heather Caspi • June 8, 2016 -
House mental health bill gets long-awaited markup date
The recent draft legislation for H.R. 2646 is hoping to gain more bipartisan support.
By Jeff Byers • June 8, 2016 -
State exchanges should look to California to contain premiums
California has held back premiums despite its low level of competition.
By Heather Caspi • June 8, 2016 -
More docs paid for value-base care, but far from majority
Traditional fee-for-service care still dominates the southwestern U.S., driving costs up in that region.
By Meg Bryant • June 8, 2016 -
Connecticut admin refuses to provide records about Anthem/Cigna merger
The rejection comes a day after Anthem requested an average 26.8% premium increase for its individual plans.
By Ana Mulero • June 8, 2016 -
TV stunt thrusts medical debt into national spotlight
John Oliver's television spectacle has raised concern over medical costs and billing to a new level.
By Heather Caspi • June 7, 2016 -
Deep Dive
Video: A humorous look at 5 payer challenges and strategies for success
The fictional payer Dynamite Health Plan’s quarterly report shares some insights and laughs into insurers' operations.
By Julie Henry • June 7, 2016 -
AHIP EVP: Risk corridors necessary in healthcare
The trade group is defending the program as insurers take their claims to court.
By Heather Caspi • June 7, 2016 -
CMS puts finishing touches on incentives designed to help ACOs
A final rule revealed Monday established timeframes and other criteria to challenge CMS' initial determination of shared savings or shared losses.
By Ana Mulero • June 7, 2016 -
North Carolina, Oregon insurers latest to sue feds over risk corridors
The lawsuits are seeking timely and full payment of the money owed under the program.
By Heather Caspi & Ana Mulero • June 6, 2016 -
Far from over: Most insurers see opportunity in marketplaces, Commonwealth Fund finds
The majority of participating insurers in the ACA market plan to hold out for more profitable days ahead.
By Heather Caspi • June 6, 2016 -
California seeks to provide ACA benefits for undocumented immigrants — but will it work?
The California Assembly gave a green light for the state to apply for a federal waiver that would allow undocumented immigrants to buy health insurance through Covered California.
By Meg Bryant • June 3, 2016 -
Montgomery County Planning Commission
Aetna outlines plan to fund Humana merger
While the companies say the merger is on track to close this year, the proposal is facing stiff scrutiny from regulators.
By Meg Bryant • June 3, 2016 -
Deep Dive
Nursing scope of practice under the microscope in VA's controversial proposed rule
Whether or not advanced practice nurses should be able to practice without physician supervision has long been a hot button topic.
By Julie Henry • June 3, 2016 -
Obama admin downplays 2017 premium concerns
Recently, Blue Cross Blue Shield of Texas asked to raise rates by about 60% for its 603,000 individual policyholders.
By Meg Bryant • June 3, 2016 -
Deep Dive
How are algorithms changing healthcare?
“It’s not just about big data," says Apervita co-founder and Chief Marketing Officer Rick Halton. "It’s really small data that you’re putting into practice.”
By Meg Bryant • June 2, 2016 -
Alaska House aims to save individual market from collapse
A bill that would subsidize high risk plans now moves on to the state Senate.
By Heather Caspi • June 1, 2016 -
BlueCross subsidiary dropping bronze plans in Virginia
During 2016 open enrollment, about 23% of Obamacare enrollees opted for bronze plans, which pay about 60% of healthcare costs.
By Meg Bryant • June 1, 2016 -
UnitedHealth quits California ACA market after one year
The impact of its exit may not be huge as the insurer only has about 2,100 customers from Covered California.
By Meg Bryant • June 1, 2016
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