Payer: Page 177
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CMS reveals plan to improve hospital patient safety, reduce readmissions
Hospital Improvement and Innovation Networks will help hospitals implement and spread proven evidence-based best practices for reducing patient harm.
By Meg Bryant • May 27, 2016 -
20 healthcare execs make top-earning CEO list
Centene’s Michael Neidorff, Universal Health Services’ Alan Miller, Cigna’s David Cordani, Aetna’s Mark Bertolini, among others, made the list.
By Meg Bryant • May 27, 2016 -
Justice Department joins lawsuit against Prime Healthcare
The company allegedly billed Medicare fraudulently for beneficiaries admitted into hospitals when they should have been treated as outpatients.
By Nina Flanagan • May 26, 2016 -
Missouri becomes first state to oppose Aetna/Humana merger
The state is giving the pair 30 days to address its antitrust concerns.
By Heather Caspi • May 26, 2016 -
Retrieved from Flickr.
Deep DiveTelemental health services on rise, but barriers remain
Next-generation fitness could measure your emotions, aiding telemental health practitioners.
By Meg Bryant • May 26, 2016 -
It now costs $25,826 to insure a family of four
Employee contributions to workplace plans grew a full percentage point more than the employer portion, according to the Milliman Medical Index.
By Meg Bryant • May 25, 2016 -
ACA rate hikes range wildly among states
National averages mean little given the localized nature of the markets, experts say.
By Heather Caspi • May 25, 2016 -
AHIP highlights insurer support of behavioral health
Numerous case studies illustrate a proactive stance.
By Heather Caspi • May 25, 2016 -
CareFirst supports telemedicine programs with $3M in funding
The insurer is hoping to knock down regional barriers to healthcare access.
By Heather Caspi • May 25, 2016 -
Medicare pilot program saves money, improves care via house calls
Independence at Home saved $25 million during its first year.
By Nina Flanagan • May 24, 2016 -
Improper Medicare, Medicaid payments cost $89B in 2015, official tells House panel
The improper payment rate under the Medicare fee-for-service plan was largely driven by documentation errors and ACA requirements, a CMS administrator said.
By Ana Mulero • May 24, 2016 -
Demand for short-term health insurance policies continues to grow
The Obama administration hoped to get rid of this kind of coverage with the ACA.
By Nina Flanagan • May 24, 2016 -
Majority of California counties expand care to undocumented adults
The state is also considering a bill to allow undocumented adults to buy plans through the state exchange.
By Heather Caspi • May 24, 2016 -
Bickering between Anthem and Cigna casts shadow on merger
Signs of frustration have been revealed as the pair tangle over merger tardiness, errors and more.
By Heather Caspi • May 24, 2016 -
USDA
Hospitals prop up 'grassroots' group opposing insurance mergers
The Campaign for Consumer Choice is not what it appears on the surface.
By Heather Caspi • May 23, 2016 -
Deep Dive
EEOC rules aim to clarify employer wellness programs
Do wellness programs in the workplace really save employers money?
By Nina Flanagan • May 23, 2016 -
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 -
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
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