Payer: Page
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Judge splits Anthem/Cigna merger lawsuit in two for faster ruling
The U.S. Department of Justice argued the health insurance giants have been accusing one another of breaches in their merger agreement.
By Ana Mulero • Oct. 5, 2016 -
States accuse CMS of 'jumping the line' to recoup co-op liquidation dollars
An Iowa lawsuit against the federal government could prove an important test case.
By Heather Caspi • Oct. 5, 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 -
Revolving door between insurance industry and regulators raises questions
Do industry perks, friends, and future job prospects cloud commissioners impartiality?
By Heather Caspi • Oct. 4, 2016 -
Shining Maryland co-op forced to go for-profit to survive
The tide turned for Evergreen Health as a result of its $24.2 million risk adjustment assessment.
By Heather Caspi • Oct. 4, 2016 -
HHS disputes GAO reinsurance report siding with GOP
The debate over reinsurance funding pits the administration against Congress' investigative authority.
By Heather Caspi • Oct. 3, 2016 -
UnitedHealth subsidiary Harken Health dumps ACA markets
The insurer's model failed to catch on or make money.
By Heather Caspi • Oct. 3, 2016 -
Vermont receives preliminary approval for all-payer health system
The state would aim to attract providers into a single accountable care organization.
By Heather Caspi • Oct. 3, 2016 -
Deep Dive
ICD-10 turns 1: Was it so bad?
The AMA continues to monitor for potential disruptions.
By Meg Bryant • Oct. 2, 2016 -
CMS bans forced arbitration clauses in nursing homes
Nursing homes and residents can still choose to use arbitration, so long as it’s made clear that such agreements are voluntary and victims of abuse can still talk to authorities.
By Meg Bryant • Sept. 30, 2016 -
HHS names winners of better patient billing competition
RadNet and Sequence will get to test their solutions in six healthcare organizations nationwide.
By Meg Bryant • Sept. 29, 2016 -
Retrieved from Apple on March 02, 2015
Aetna to subsidize Apple Watch costs, launch iOS health apps
The carrier will also provide the devices for free to its own employees.
By Heather Caspi • Sept. 29, 2016 -
RWJF analysis weighs veteran uninsurance rate in light of ACA provisions
Veterans not covered under the VA health system stand to gain from Medicaid expansion, researchers say.
By Heather Caspi • Sept. 29, 2016 -
ACA enrollment campaign pulling out all stops to get millennials
Young adults could make the difference in improving the ACA's overly sick risk pool.
By Heather Caspi • Sept. 28, 2016 -
House passes individual mandate exemption for co-op closure victims
The White House says it will veto the measure.
By Heather Caspi • Sept. 28, 2016 -
Aetna touts social support as next step to advance health
The insurer is positioning itself as a champion for community programs.
By Heather Caspi • Sept. 28, 2016 -
Former Tuomey exec settles for $1M in false claims case
Ralph J. Cox III will also be excluded for four years from participating in federal healthcare programs, including providing management or administrative services paid for by federal healthcare programs.
By Jeff Byers • Sept. 28, 2016 -
Deep Dive
3 technologies payers are trying to figure out
Insurers are looking to tech to navigate the shift to value-based care and the consumerization of healthcare.
By Luke Gale • Sept. 28, 2016 -
Report: Top pay soars at Health Care Service Corp. amid ACA losses
The company's former CEO reportedly made more than $16 million in 2015 despite corporate net losses of $66 million.
By Heather Caspi • Sept. 27, 2016 -
Patient ID mix-ups still a 'significant' problem, new analysis finds
Medical record errors occur in all healthcare settings and at every point in the patient journey.
By Meg Bryant • Sept. 27, 2016 -
Tennessee BlueCross BlueShield cuts ACA offerings
The move has added fuel to the fire around insurer abandonment of the ACA marketplaces.
By Heather Caspi • Sept. 27, 2016 -
Trump healthcare policy estimated to cut coverage for 20M Americans by 2018
Clinton's proposals, meanwhile, are expected to increase insurance coverage somewhere within the range of 400,000 to 9.6 million.
By Heather Caspi • Sept. 26, 2016 -
Average Medicare Advantage premium to drop $1.19 in 2017
Enrollees in Medicare Advantage plans can expect to see more supplemental benefits next year, CMS says.
By Meg Bryant • Sept. 23, 2016 -
CA insurance commissioner advocates public option
Critics say private insurers could exit the California exchange, rather than compete with a public option.
By Meg Bryant • Sept. 23, 2016 -
Bill seeks to limit Medicare beneficiaries' out-of-pocket spending
The legislation would provide a cap similar to those for Medicare Advantage and most private plans.
By Heather Caspi • Sept. 22, 2016 -
DOJ filing reveals how nasty Anthem & Cigna's bickering has gotten
The pair's contentious correspondence could spell the end for the deal.
By Heather Caspi • Sept. 22, 2016
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