Payer: Page
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DC judge shuffles megamerger cases, hands off Anthem/Cigna suit
Anthem's case was reassigned to U.S. District Judge Amy Berman Jackson, court filings show.
By Ana Mulero • Aug. 5, 2016 -
NY's MVP Health Care seeks bigger footprint in Medicaid market
Managed care has been at the forefront of New York’s Medicaid population growth since the state expanded eligibility under the ACA.
By Meg Bryant • Aug. 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 -
UnitedHealth doles out $148 in value-based bonuses to docs
Over the past three years, UnitedHealthcare has paid out $48 billion to providers.
By Meg Bryant • Aug. 5, 2016 -
UnitedHealth appeals loss of $58B Tricare contract collection
If GAO agrees with UnitedHealth, the Department of Defense could reopen bidding or reconsider UnitedHealth’s proposals.
By Meg Bryant • Aug. 5, 2016 -
Aetna is also urging DOJ for speedy trial over pending Humana merger
While Aetna and Anthem are pushing for quick, separate trials over their megamergers, the Justice Department says it could be ready for trial as soon as February 17, 2017.
By Ana Mulero • Aug. 3, 2016 -
This may hurt a little: Readmission penalties expected to reach new record for hospitals
More than half a billion dollars in payments will be withheld from hospitals when the new penalties take effect in October.
By Ana Mulero • Aug. 3, 2016 -
Deep Dive
What the new mandatory bundled payments for cardiac care could mean for the industry
One expert believes the industry can expect to see similar models on the horizon for oncology and maternity care.
By Julie Henry • Aug. 3, 2016 -
Humana outlines ACA market withdrawal in Q2 earnings report
The carrier stated it's pulling back individual market operations to "no more than 156 counties" in 11 states.
By Jeff Byers • Aug. 3, 2016 -
CMS final rule 'permanently' removes controversial two-midnight payment cut
All in all, the agency estimated that total Medicare spending on inpatient hospital services will increase by about $746 million in FY 2017.
By Jeff Byers • Aug. 2, 2016 -
Appeals court: Maryland health co-op must make $24M risk adjustment payment
The co-op is optimistic it will be able to settle the balance.
By Ana Mulero • Aug. 2, 2016 -
Deep Dive
Consolidation in healthcare continues, but nontraditional alliances are also on the rise
More healthcare companies are looking to partner with organizations, rather than purchase them outright, an expert says.
By Meg Bryant • Aug. 2, 2016 -
Montgomery County Planning Commission
Aetna rethinks its ACA exchange strategy
The insurer, which plans to sell Medicare Advantage assets to Molina Healthcare, hopes the deal will ease antitrust concerns over the pending Humana merger.
By Jeff Byers • Aug. 2, 2016 -
New insurance data analysis shows how large the opioid epidemic is
Fair Health's analysis of claims data spanning 105 million individuals found medical services on an insurance claim with an opioid dependence diagnosis rose 3,203% from 2007 to 2014.
By Jeff Byers • Aug. 1, 2016 -
These 14 regions have been selected for CPC+
Practices can now apply to participate in the gamechanging primary care model.
By Jeff Byers • Aug. 1, 2016 -
Why DOJ is pushing against Anthem's speedy trial request over Cigna merger
Anthem hoped to meet its April target acquisition date by getting the trial over with.
By Heather Caspi • Aug. 1, 2016 -
Hospice, rehab, skilled-nursing facilities to face payment changes under 2017 Medicare rates
Payments will increase and new quality measures will be adopted once CMS' final rules become effective on October 1.
By Ana Mulero • Aug. 1, 2016 -
How to regulate insurance network adequacy?
Narrow health plan networks may offer consumers value, but they also pose risks.
By Meg Bryant • July 29, 2016 -
Not a good day for Cigna after Q2 earnings release
CEO David Cordani noted if the Justice Department is successful in blocking the pending Anthem merger, Cigna will have "$5 billion in deployable cash."
By Jeff Byers • July 29, 2016 -
Deep Dive
ZendyHealth doubles down on patient consumerism with Pick-Your-Price feature
“There's going to be room for a lot of players like this,” said Founder & Chief Medical Officer Vish Banthia.
By Jeff Byers • July 28, 2016 -
Seniors decry automatic enrollment in Medicare Advantage plans
CMS officials are not saying how long the process has been going on.
By Heather Caspi • July 28, 2016 -
Anthem Q2 profits drop amid uncertain transaction with Cigna
The insurance giant is grappling with increased medical spending on top of its fight with the DOJ. The insurer's CEO said the pending Cigna acquisition "will help stabilize pricing" in the ACA market.
By Heather Caspi • July 28, 2016 -
Centene suffers stock drop over Health Net despite strong Q2 profit
The acquisition of Health Net has posed problems for Centene in the second quarter. In addition, Centene is giving possible Humana/Aetna divestitures a hard pass.
By Heather Caspi • July 27, 2016 -
Oscar hopeful slashing NY provider network in half will help scaling efforts
Cutting its 2017 provider network in New York in half from 40,000 to 20,000, the insurance startup is really banking on its tech savvy to beef up profits.
By Heather Caspi • July 27, 2016 -
Zoom+, Blue Cross settle suit over logo similarity
Blue Cross had fought Zoom in 2015 over its adoption of a blue cross logo.
By Heather Caspi • July 27, 2016 -
All states now providing CHIP with Arizona back in program
The state has re-opened enrollment in the Children’s Health Insurance Program.
By Heather Caspi • July 26, 2016
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