Payer: Page 173
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False claims penalties set to double
The sharp increase in FCA penalties could raise constitutional concerns, one lawyer says.
By Meg Bryant • July 1, 2016 -
Is DOJ ready to scuttle the Anthem-Cigna merger?
If the deal falls though, Cigna may attempt to acquire smaller market players who specialize in government-funded plans.
By Meg Bryant • July 1, 2016 -
HHS' Oncology Care Model draws twice the anticipated participation
More than 200 physician groups and 17 insurers will participate.
By Heather Caspi • June 30, 2016 -
Aetna/Humana merger inches closer to closing with Illinois approval
Illinois insurance chief Melissa Dowd concluded the deal won’t harm competition in the Medicare Advantage market.
By Meg Bryant • June 29, 2016 -
Allina offers nurses new contact with concessions
The latest proposal would still require nurses to drop union-backed health plans for Allina’s coverage.
By Meg Bryant • June 29, 2016 -
Hacker posts 9.3M patient records for sale on dark net
In the face of growing ransomware attacks, HHS proposed steps healthcare entities can take to protect their databases.
By Meg Bryant • June 29, 2016 -
Cost sharing for hospitalizations has risen 37%. Will this trend last?
The quick pace at which insurers are shifting hospital costs to consumers could leave many in shock.
By Heather Caspi • June 29, 2016 -
Blue Shield of California defends MLR calculation in rebate fight
The insurer has rejected the complaint now under investigation.
By Heather Caspi • June 29, 2016 -
Deep Dive
Employers cut out insurers to control healthcare costs
Is direct contracting becoming a trend?
By Julie Henry • June 29, 2016 -
VA teams up with IBM's supercomputer Watson to expand precision medicine
The collaboration between the tech giant and the VA is a byproduct of Vice President Joe Biden's Cancer Moonshot efforts.
By Ned Pagliarulo • June 29, 2016 -
Home health agencies slated $180M Medicare cut
CMS' proposed rule also added information regarding the home health value-based purchasing model finalized in the 2016 Home Health Prospective Payment System rule.
By Heather Caspi • June 28, 2016 -
CMS proposal would boost 2017 dialysis payments
The proposed rule would raise overall payment to dialysis facilities in 2017 by about $50 million.
By Heather Caspi • June 28, 2016 -
CMS receives upwards of 3.8K MACRA comments
Monday was the last day to provide comment on the proposed MACRA implementation rule.
By Jeff Byers • June 28, 2016 -
Louisiana Medicaid expansion supporters celebrate signup of 225,900
Program officials are relying on innovative enrollment strategies to get the job done.
By Heather Caspi • June 28, 2016 -
Deep Dive
Should EDs collect, track patients' sexual orientation? This researcher thinks so
"The most important thing is to ensure we are treating everybody equally," Dr. Adil Haider of Brigham and Women's Health noted before this morning's presentation at AcademyHealth's Annual Research Meeting.
By Jeff Byers • June 28, 2016 -
Deep Dive
STDs are rising. What can providers do?
“We want doctors to discuss STDs and risk-reduction strategies with their patients,” says CDC epidemiologist Eloisa Llata.
By Meg Bryant • June 27, 2016 -
Montgomery County Planning Commission
In 11th hour, Aetna/Humana extend $37B merger deadline
The deal was supposed to close by Thursday.
By Jeff Byers • June 27, 2016 -
Illinois health co-op adds to litany of risk corridors lawsuits
The insurer said it is in severe financial distress after failing to receive the promised support.
By Heather Caspi • June 27, 2016 -
Blue Cross to slash, refocus Minnesota individual market offerings
Only its subsidiary Blue Plus will continue to serve the state's individual market.
By Heather Caspi • June 27, 2016 -
SCOTUS dismisses Texas abortion law in 5-3 decision
Some have called the case the first major abortion case in about 10 years.
By Ana Mulero • June 27, 2016 -
Kentucky's Bevin reveals Medicaid expansion waiver plans
In his campaign, Bevin said he would "reverse" Medicaid expansion but has since changed his strategy.
By Meg Bryant • June 24, 2016 -
California insurance commissioner makes opposition to Aetna/Humana merger official
His plea comes three days after the California Department of Managed Health Care approved the merger.
By Ana Mulero • June 24, 2016 -
Seven senators call on DOJ to block to insurance megamergers
Connecticut's legislators are taking a special interest in the deals as home to two of the players.
By Heather Caspi • June 23, 2016 -
Retrieved from Flickr.
Deep DiveMedicare fraudsters beware: The government is coming
Providers can update their compliance program to ensure no fraudulent, accidental or purposeful, billing occurs within their walls.
By Jeff Byers & Ana Mulero • June 23, 2016 -
Deep Dive
Payers, telehealth vendors getting value out of partnerships
Most states allow some form of telehealth services, and 29 have parity laws for private payers.
By Meg Bryant • June 23, 2016
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