Payer: Page 171
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UnitedHealth's profits grew 13% in Q2, despite $200M Obamacare losses
Strong growth was fueled by Optum, which saw revenues jump 51.5% to $20.6 billion during the quarter.
By Meg Bryant • July 20, 2016 -
DOJ prepping insurance megamergers suits, sources say
News that the agency may challenge the mergers sent shares of Humana, Aetna, Cigna and Anthem tumbling Tuesday.
By Meg Bryant • July 20, 2016 -
Deep Dive
What providers can expect from California's new aid-in-dying legislation
A look at California's End of Life Option Act based on Oregon's own legislation shows negligible costs to insurers and state medical plans can be expected.
By Shalina Chatlani • July 20, 2016 -
Deep Dive
Controlling payer spending on end-of-life care
Some say major health plans should form a consortium to educate the public on four aspects of advance directives.
By Julie Henry • July 20, 2016 -
Deep Dive
The risks and benefits of employing physicians
One expert says the increase in physician employment by hospitals will not be successful in the long term.
By Julie Henry • July 20, 2016 -
Starbucks move raises visibility of private health exchanges
Will buy-in from Starbucks jumpstart the trend toward private exchanges?
By Heather Caspi • July 20, 2016 -
Study projects impact of Medicaid expansion in all 50 states
The 19 remaining holdouts have it in their power to reduce the uninsured rate by another 5 million.
By Heather Caspi • July 20, 2016 -
Covered California individual premium fairytale over with 13.2% rate hike
The state is no longer impervious to the rate increases seen around the rest of the U.S.
By Heather Caspi • July 19, 2016 -
Deep Dive
Case alleging overcharging by Sutter to seek class-action status
The plaintiff's lawyer believes the suit is a bellwether case for powerful health systems' tying arrangements.
By Heather Caspi & Jeff Byers • July 19, 2016 -
Deep Dive
iFHP cost report highlights cause for concern over lack of provider competition
The average hospital cost per day is $5,220 in the U.S. and only $424 in Spain, the researchers found.
By Jeff Byers • July 19, 2016 -
Dissolving Oregon co-op's members can apply out-of-pocket costs to new carriers
About 20,600 soon-to-be former Health CO-OP policyholders will need to find new health coverage by Aug. 1.
By Jeff Byers • July 18, 2016 -
Blue Shield of California slapped with class action lawsuit in rebate flap
Members argue the company owes them another $35 million in rebates from 2014.
By Heather Caspi • July 18, 2016 -
Anthem's $460K in political donations raises questions
The insurance commissioners tasked with reviewing the pending Anthem-Cigna merger are, in many states, appointed by their governors.
By Heather Caspi • July 18, 2016 -
Aetna-Humana fall closure predictions circle around potential MA assets sale
The approval might require Aetna to pare down its Medicare Advantage plans to reduce antitrust concerns.
By Ana Mulero • July 18, 2016 -
MedPAC: Unified post-acute payment system is 'within reach'
The report projects 2016 Medicare Advantage payments will be 102% of fee-for-service spending.
By Heather Caspi • July 18, 2016 -
End-of-life cost report suggests providers focus on treating younger over older seniors
More than half of all Medicare beneficiaries who died in 2014 were 80 or older, a Kaiser Family Foundation report says.
By Meg Bryant • July 15, 2016 -
CMS, FDA want device identifiers on Medicare claims forms
Collecting UDI data on claims forms would let providers and payers compare costs and outcomes of implants at the model level.
By Meg Bryant • July 15, 2016 -
Employer-sponsored insurance stable under ACA, survey states
The ACA may so far be more of a help than a hindrance to the take-up of employer-sponsored insurance.
By Heather Caspi • July 14, 2016 -
New Mexico's largest health plan drops out of ACA for 2017
Presbyterian is ditching the market after finding its ACA enrollees to be using 30% more healthcare than others.
By Heather Caspi • July 13, 2016 -
CMS projects hospital spending to grow 5.8% annually over 2015-2025
Overall, national health expenditures are estimated to have reached $3.2 trillion in 2015.
By Jeff Byers • July 13, 2016 -
With New York's greenlight, Aetna/Humana merger has 90% states approval
Most of the necessary state regulators support the deal -- but the feds remain the big question.
By Heather Caspi • July 13, 2016 -
Deep Dive
Will risk-adjustment payments be the end for co-ops?
The program seems to be having a domino effect on the remaining carriers created under the ACA.
By Julie Henry • July 13, 2016 -
Struggling ACA co-op Land of Lincoln to liquidate
The Illinois insurer had about 50,000 policyholders.
By Jeff Byers • July 13, 2016 -
CMS pushes back against 'misleading' analyses of ACA plan costs
ACA plan deductibles are more affordable -- and less relevant -- than they appear, according to the agency.
By Heather Caspi • July 13, 2016 -
High cost claimants key to controlling healthcare spending
This group forms the top health cost driver for 43% of large employers.
By Heather Caspi • July 12, 2016
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