Payer: Page 175
-
MedPAC proposals could bring reforms to Medicare Part D program
If implemented, the changes could bring both pros and cons for beneficiaries.
By Heather Caspi • June 15, 2016 -
Enough is enough: Maryland co-op sues feds over risk adjustment flaws
Evergreen wants to end the advantage of large insurers over small.
By Heather Caspi • June 15, 2016 -
Lack of patient data, quality measures slowing shift to value-based care
Only 33% of physicians believe the U.S. healthcare system should be value-based, according to a new study.
By Meg Bryant • June 15, 2016 -
ACA repeal would cause 53.5M to be uninsured, study finds
Employer-sponsored coverage is expected to decrease regardless of the presence of the ACA due to the costs of healthcare outpacing income.
By Heather Caspi • June 14, 2016 -
Deep DiveAntibiotic resistance: Can the clock be turned back?
For years, doctors took a “better safe than sorry” approach to antibiotics. That may be wrong, a CDC official posits.
By Meg Bryant • June 14, 2016 -
UnitedHealthcare to reimburse kidney donors up to $5K for travel, lodging
The move aims to reduce one of the financial barriers people face in becoming living donors.
By Heather Caspi • June 14, 2016 -
Deep Dive
You can't do that in healthcare: Antitrust compliance paramount in avoiding patient-steering suits
In light of the recent Carolinas HealthCare System antitrust suit, "the way things have always been done" is not sufficient to protect a provider from government investigations or civil suits.
By Julie Henry • June 14, 2016 -
Sebelius voices concern over pending insurance mergers
The former HHS secretary sees reduced competition as a threat to the intent of the ACA.
By Heather Caspi • June 13, 2016 -
Alex Wong via Getty Images
Deep DiveStudies tout progress toward value-based reimbursement
In a recent survey commissioned by McKesson, payers estimated nearly 60% of payments will be a mix of capitation/global payments, pay for performance, and bundled payments in five years.
By Jeff Byers • June 13, 2016 -
Health discrimination, antibiotic overuse on the chopping block in new CMS proposed rule
The agency estimates new antibiotic overuse reduction policies will save hospitals up to $284 million annually.
By Jeff Byers • June 13, 2016 -
HHS: ACA bumped health coverage in rural counties up 8%
While touting the progress achieved so far in rural communities, the agency argued more could be made if more states choose to expand Medicaid.
By Heather Caspi • June 13, 2016 -
Deep Dive
CMS' final rule on ACO benchmarks receives mixed reactions
One response claimed comparing ACOs to one another for benchmarking is against the original intent of the program.
By Julie Henry • June 13, 2016 -
Aetna touts smooth integration efforts with Humana
The pair are projecting a cool that contrasts with the contentious communication between the merger behind Anthem and Cigna.
By Heather Caspi • June 13, 2016 -
DOJ slams NC's biggest hospital chain with patient steering lawsuit
The lawyer representing Carolinas Healthcare System said, “The system is being sued for something that takes place on a regular basis across the country."
By Meg Bryant • June 10, 2016 -
CMS' Slavitt: Lessons learned during ACA market's experimentation phase
The agency's acting administrator encouraged insurers to partner with hospital systems that have seen significant benefits from the ACA to reduce costs for consumers.
By Ana Mulero • June 10, 2016 -
New limits on short-term plans lead HHS efforts to strengthen ACA risk pool
A proposed rule would halt the trend of limited plans being used in lieu of full coverage.
By Heather Caspi • June 9, 2016 -
AHIP announces first 'major restructuring' in 13 years
After losing two key members in the past year, the organization acknowledges changes are needed.
By Heather Caspi • June 9, 2016 -
Poll: Allscripts, athenahealth top ambulatory providers in EHR satisfaction, loyalty
Marshfield Clinic Information Services ranked top vendor among users in multispecialty clinics for the first time.
By Nina Flanagan • June 9, 2016 -
Medicaid expansion states see drop in debt sent to collections
The ACA is fulfilling at least part of its intent by reducing the incidence of debt, analysts say.
By Heather Caspi • June 9, 2016 -
New obesity study shares grim results
Obesity in women has grown while 5.8% of children were found to be morbidly obese.
By Meg Bryant • June 8, 2016 -
States continue to seek steep Obamacare rate hikes
The average weighted rate hike request across 29 state exchanges and the District of Columbia is 20.1%, analyst Charles Gaba says.
By Meg Bryant • June 8, 2016 -
Molina expanding Albuquerque operations by 160
Demand is growing for the insurer's New Mexico exchange business.
By Heather Caspi • June 8, 2016 -
L.A. hospital calls foul on insurer's payments to patients
The practice is a throwback that creates difficulties for providers, experts say.
By Heather Caspi • June 8, 2016 -
House mental health bill gets long-awaited markup date
The recent draft legislation for H.R. 2646 is hoping to gain more bipartisan support.
By Jeff Byers • June 8, 2016 -
State exchanges should look to California to contain premiums
California has held back premiums despite its low level of competition.
By Heather Caspi • June 8, 2016
Previous
