Illinois Blues nixes credit card payments for individual policyholders

The payer is looking for ways to reduce administrative costs without impacting the quality of care.

By Meg Bryant • May 4, 2016

Newly expanded Medicaid program dubbed 'Healthy Louisiana'

The rebranding will play into promotional efforts throughout the state.

By Heather Caspi • May 4, 2016

Explore the Trendline➔

Payer/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

Tenet predicts competition will take UnitedHealth's ACA business

When UnitedHealth moves out in 2017, others will be happy to replace it, Tenet says.

By Heather Caspi • May 4, 2016

Humana to exit Virginia, Alabama ACA markets

The move will leave Blue Cross and Blue Shield of Alabama as the only choice in the state's ACA market.

By Jeff Byers • May 4, 2016

Breakdown of the MACRA Proposed Final Rule

As with most proposed rules, initial feedback has been mixed. 

By Julie Henry • May 4, 2016

Moda makes good on raising $115M to strengthen plan after state takeover

The company is getting back on financial track, though with fewer customers.

By Heather Caspi • May 3, 2016

UPMC, Jameson Health finalize merger, $75M facilities investment

Jameson, a rural hospital with 1,200 employees, had been looking to partner with a larger health system for years as its patient revenue has been dropping.

By Nina Flanagan • May 3, 2016

CMS takes feedback for finalized Quality Measure Development Plan

The plan provides a quality measure development framework that will be used to support MIPS and advanced alternative payment models.

By Heather Caspi • May 3, 2016

Industry offers mixed reactions to the Medicaid 'uber rule'

The finalized medical loss ratio at 85% has its share of supporters and opponents.

By Julie Henry • May 2, 2016

CMS previews rollout of 'Simple Choice Plans' and quality ratings

The agency will be seeking feedback regarding the best means to provide the quality rating information.

By Heather Caspi • May 1, 2016

Uber-a-docs: Changing the healthcare landscape for better or worse?

While convenient, some worry house-call apps could undermine the traditional relationship between patients and their primary care doctors.

By Meg Bryant • April 30, 2016

Aetna books strong Medicaid showing in Q1, declining net income

The health insurance giant said two-thirds of states have approved its acquisition of Humana, putting it on target to close in the second half of the year.

By Meg Bryant • April 29, 2016

CA insurance commissioner not so hot on Aetna-Humana merger

Over the past three years, Aetna has raised the ire of state health officials for ‘unreasonable’ increases in insurance premiums.

By Meg Bryant • April 29, 2016

Obama administration extends Medicaid coverage to 96K ex-inmates

New HHS guidance clarifies how individuals living in community halfway houses can receive Medicaid benefits.

By Ana Mulero • April 29, 2016

Report shows wide variations in prices for common procedures across U.S.

A review of 242 common medical services found prices were highest in Minnesota and Wisconsin and lowest in Florida and Minnesota.

By Meg Bryant • April 29, 2016

Maryland co-op triumphant in profitable first quarter

Evergreen has long been a bright spot among the troubled ACA health cooperatives.

By Heather Caspi • April 28, 2016

Pfizer settles Wyeth Medicaid rebate case for $784.6M

The Justice Department claimed Wyeth failed to accurately rebate Medicaid for two drugs. Pfizer purchased Wyeth in 2009, about three years after the alleged conduct ended.

By Nicole Gray • April 28, 2016

OIG report: More data security gaps at Medicare administrative contractors

The Office of Inspector Genera's annual review of health IT security programs for MACs showed an 8% increase in data security gaps from 2013 to 2014. 

By Nina Flanagan • April 28, 2016

PacLife has eyes for Genworth's term-life business

Genworth suspended its term-life insurance to focus on long-term care policies.

By Meg Bryant • April 27, 2016

Centene post-Health Net acquisition Q1 financials shares optimism for ACA markets

The company gained many of its 683,000 first quarter exchange members through its Health Net deal.

By Heather Caspi • April 27, 2016

CMS releases MACRA implementation final rule proposal

The rule has so far received mixed reviews from AHA and AMA.

By Jeff Byers & Ana Mulero • April 27, 2016

California considers selling coverage to undocumented immigrants

With no state or federal funding requested to back the legislation, the state's bill stands a good chance.

By Heather Caspi • April 27, 2016

UnitedHealth adds Iowa, Kentucky to ACA market exit list

The number of states being dumped by UnitedHealth is mounting.

By Heather Caspi • April 27, 2016

Anthem Q1 earnings drop 19% year-over-year

The insurer's Q1 earnings slipped to $2.63 per share despite increased revenue, with increased medical costs cited as the reason for the drop.

By Ana Mulero • April 27, 2016

Study questions ACA plans' sustainability when reinsurance ends

Insurers will have to count on premiums alone to cover health costs in 2017.

By Heather Caspi • April 26, 2016