Payer: Page 171
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Insurer darling Oscar adds Arizona office to strategy in West
The insurer is counting on a ready local workforce to ramp up operations quickly.
By Heather Caspi • June 1, 2016 -
Louisiana pioneers new enrollment approach for Medicaid expansion
The state will use its existing SNAP data to determine eligibility.
By Heather Caspi • June 1, 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 -
IRS ruling presents hurdle for ACOs
The decision will be bad news for those seeking tax-exempt status.
By Heather Caspi • June 1, 2016 -
CMS reiterates guidance barring waiting periods for benefits
Now pediatric orthodontia is included in the CMS' updated policy.
By Heather Caspi • May 31, 2016 -
Ohio ACA health co-op latest to topple; 10 remain
InHealth Mutual doesn't have the funds to carry on, the state determined.
By Heather Caspi • May 31, 2016 -
Deep Dive
Premiums set to rise as insurers lose money on Obamacare plans
HMOs and plans with narrow networks have fared better than other types of plans on the ACA market.
By Julie Henry • May 31, 2016 -
CMS allows ACOs to join the CPC+ party
The CPC+ model will be rolled out in up to 20 regions and encompass more than 20,000 providers.
By Jeff Byers • May 31, 2016 -
Startup insurer Bright Health teams with Centura on Colorado exchange
Centura will serve as the insurer's exclusive provider of choice.
By Heather Caspi • May 30, 2016 -
Aetna, Texas Health to launch integrated health plan
The firms will offer new insurance products in 14 North Texas counties beginning January 2017.
By Meg Bryant • May 27, 2016 -
CMS reveals plan to improve hospital patient safety, reduce readmissions
Hospital Improvement and Innovation Networks will help hospitals implement and spread proven evidence-based best practices for reducing patient harm.
By Meg Bryant • May 27, 2016 -
20 healthcare execs make top-earning CEO list
Centene’s Michael Neidorff, Universal Health Services’ Alan Miller, Cigna’s David Cordani, Aetna’s Mark Bertolini, among others, made the list.
By Meg Bryant • May 27, 2016 -
Justice Department joins lawsuit against Prime Healthcare
The company allegedly billed Medicare fraudulently for beneficiaries admitted into hospitals when they should have been treated as outpatients.
By Nina Flanagan • May 26, 2016 -
Missouri becomes first state to oppose Aetna/Humana merger
The state is giving the pair 30 days to address its antitrust concerns.
By Heather Caspi • May 26, 2016 -
Retrieved from Flickr.
Deep DiveTelemental health services on rise, but barriers remain
Next-generation fitness could measure your emotions, aiding telemental health practitioners.
By Meg Bryant • May 26, 2016 -
It now costs $25,826 to insure a family of four
Employee contributions to workplace plans grew a full percentage point more than the employer portion, according to the Milliman Medical Index.
By Meg Bryant • May 25, 2016 -
ACA rate hikes range wildly among states
National averages mean little given the localized nature of the markets, experts say.
By Heather Caspi • May 25, 2016 -
AHIP highlights insurer support of behavioral health
Numerous case studies illustrate a proactive stance.
By Heather Caspi • May 25, 2016 -
CareFirst supports telemedicine programs with $3M in funding
The insurer is hoping to knock down regional barriers to healthcare access.
By Heather Caspi • May 25, 2016 -
Medicare pilot program saves money, improves care via house calls
Independence at Home saved $25 million during its first year.
By Nina Flanagan • May 24, 2016 -
Improper Medicare, Medicaid payments cost $89B in 2015, official tells House panel
The improper payment rate under the Medicare fee-for-service plan was largely driven by documentation errors and ACA requirements, a CMS administrator said.
By Ana Mulero • May 24, 2016 -
Demand for short-term health insurance policies continues to grow
The Obama administration hoped to get rid of this kind of coverage with the ACA.
By Nina Flanagan • May 24, 2016 -
Majority of California counties expand care to undocumented adults
The state is also considering a bill to allow undocumented adults to buy plans through the state exchange.
By Heather Caspi • May 24, 2016 -
Bickering between Anthem and Cigna casts shadow on merger
Signs of frustration have been revealed as the pair tangle over merger tardiness, errors and more.
By Heather Caspi • May 24, 2016 -
USDA
Hospitals prop up 'grassroots' group opposing insurance mergers
The Campaign for Consumer Choice is not what it appears on the surface.
By Heather Caspi • May 23, 2016 -
Deep Dive
EEOC rules aim to clarify employer wellness programs
Do wellness programs in the workplace really save employers money?
By Nina Flanagan • May 23, 2016
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