Payer: Page 172
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Intermountain Healthcare selects Cleveland Clinic exec as president, CEO
Dr. A. Marc Harrison, who has served as chief of international business development for Cleveland Clinic and as the CEO of Cleveland Clinic Abu Dhabi, will assume his new positions when Dr. Charles W. Sorenson retires on October 15.
By Ana Mulero • May 23, 2016 -
Lawmakers pitch Obamacare alternative
Every U.S. adult would get a $2,500 tax credit to purchase health insurance under the proposal.
By Meg Bryant • May 20, 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 -
Insurer exit RU: UnitedHealth to leave NJ, Humana exits CO
The decision to pull out of New Jersey marks the 27th state exchange that UnitedHealth will leave next year.
By Meg Bryant • May 20, 2016 -
Mental health gets top billing for US medical expenditures
The fastest spending growth is in diseases of the liver, pancreas and gallbladder, a Health Affairs study notes.
By Meg Bryant • May 20, 2016 -
Bipartisan bill seeks fairer way to adjust for hospital readmissions
The proposed legislation would compare hospitals with similar Medicare and Medicaid populations to determine readmissions adjustments.
By Meg Bryant • May 20, 2016 -
Deep Dive
MACRA backers tell providers: Now is your last chance to sway the outcome
As the deadline for public comment approaches, industry insiders such as Farzad Mostashari, Sen. Sheldon Whitehouse and Arien Malec discuss their reactions to MACRA and why providers need to weigh in on the proposed rule.
By Jeff Byers • May 20, 2016 -
Indiana surgery centers sue UnitedHealthcare over unpaid bills
The question is what passes for payment.
By Heather Caspi • May 19, 2016 -
New York insurers request to raise ACA individual plan rates by 17%
The increases raise concerns that the ACA will face stronger backlash.
By Heather Caspi • May 19, 2016 -
Deep Dive
CMS rule change may be key for ACA co-ops' survival
The 11 remaining co-ops now have access to additional sources of funding. Will it be enough to make them profitable?
By Nina Flanagan • May 19, 2016 -
Cerner hit with fourth overtime lawsuit
The supplier allegedly failed to pay overtime to help desk employees who were asked to work 48 hours a week.
By Nina Flanagan • May 19, 2016 -
Harken Health digs in, adds health centers in Atlanta, Chicago
UnitedHealth invested $65 million to get Harken Health and its enhanced primary care model up and running.
By Meg Bryant • May 18, 2016 -
US uninsured rate hits all-time low in 2015
Will 2017's projected premium increases send the 9.1% rate back up?
By Heather Caspi • May 18, 2016 -
Highmark sues feds for $196M in owed ACA risk corridors payments
The insurer is taking little consolation in the government's promise to backfill payments in future years.
By Heather Caspi • May 18, 2016 -
Transgender surgery increasingly covered by U.S. employers
One in 10 companies with 500 or more employees cover transgender surgery, according to a recent survey.
By Meg Bryant • May 18, 2016 -
Deep Dive
HHS issues rule against transgender discrimination
Here's what providers need to know.
By Julie Henry • May 18, 2016 -
Oscar requests an individual plan rate increase of up to 30%
The insurance darling said the proposed increase is due to rising medical costs and shuttering government financial assistance.
By Ana Mulero • May 18, 2016 -
Deep Dive
Will Medicaid expansion holdouts finally give in?
HHS Secretary Sylvia Burwell cites two main reasons why non-expansion states will eventually get on board.
By Julie Henry • May 18, 2016 -
Oklahoma makes surprising move towards Medicaid expansion
With a gaping $1.3 billion budget hole, Oklahoma embraces Medicaid expansion after years of strong ObamaCare resistance.
By Nina Flanagan • May 17, 2016 -
Losses on ACA plans doubled in 2015, analysis finds
As filings become available, about 650 counties are expected to have only one ACA plan option in 2017, compared to 225 in 2016.
By Heather Caspi • May 17, 2016 -
JAMA study: More exercise, less risk for cancer
About 2.5 hours of moderate physical activity a week can help lower risk of 13 cancer types, the research found.
By Nina Flanagan • May 17, 2016 -
Deep Dive
Mobile wellness app execs weigh in on 'Biggest Loser' obesity study
The research shines a light on the need for incremental behavioral changes when trying to lose weight, wellness innovators stated.
By Jeff Byers • May 16, 2016 -
One Maryland insurer wants to raise individual plan rates by nearly 30%
State insurers are beginning to release their proposed individual premium rates...and they don't look cheap.
By Heather Caspi • May 16, 2016 -
Blue Cross affiliate, behavioral health startup aim to integrate care, referrals
Highmark, with 5.2 million enrollees in Pennsylvania, Delaware, and West Virginia, will first roll out the behavioral health program in western Pennsylvania.
By Heather Caspi • May 16, 2016 -
EEOC issues final rules for employer wellness programs
The rules, which go into effect in 2017, provide guidance on wellness data privacy and program incentives.
By Jeff Byers, Ana Mulero & Kathryn Moody • May 16, 2016 -
SCOTUS kicks ACA contraception case back to lower courts
A compromise to separate religious organizations from providing birth control appears in sight.
By Heather Caspi • May 16, 2016
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