Payer: Page 178
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CMS just got more time to justify the two-midnight payment cut
CMS maintains the 0.2% inpatient payment reduction is needed to counter an expected increase in inpatient cases under the two-midnight policy.
By Meg Bryant • March 23, 2016 -
Deep Dive
Are hybrid policies replacing long-term care insurance?
A major barrier to getting people to purchase long-term care policies continues to be a lack of education.
By Julie Henry • March 23, 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 -
$6.8B Centene/Health Net merger receives final merger approval
It's on.
By Jeff Byers • March 22, 2016 -
Cerner completes expansion phase that could create 16,000 jobs
The first building will have 11 floors and include training labs, while the second building will have eight floors and include a pharmacy and an associate gym.
By Ana Mulero • March 22, 2016 -
GAO: CMS isn't analyzing data services hub for public exchanges
The hub serves HealthCare.gov to determine applicant eligibility for exchange plan subsidies.
By Nina Flanagan • March 22, 2016 -
Salaries for top Maine co-op execs under the looking glass, to be scrutinized by regulators
The Maine co-op was profitable in 2014, but it lost more than $17 million last year.
By Ana Mulero • March 22, 2016 -
Anthem files suit against Express Scripts over pharma pricing issues
The insurer is also seeking the right to terminate its contract with the PBM, even though it hasn't decided whether it will do so.
By Jeff Byers • March 21, 2016 -
Supreme Court primed to review ACA contraception mandate this week
Without Scalia on the court, the justices are split evenly down the middle between conservatives and liberals.
By Jeff Byers • March 21, 2016 -
Proposed Aetna-Humana merger under antitrust regulatory fire
The megamerger will be "very, very carefully" scrutinized by federal regulators.
By Ana Mulero • March 21, 2016 -
HCA CEO gets a salary bump
All other HCA top executives included in the recent regulatory filing had bigger base salaries than Johnson in 2015.
By Ana Mulero • March 21, 2016 -
Covered California targets removal of poor-performing hospitals, draws ire from providers, insurers
The state's health insurance marketplace executive director hopes to improve quality of care and healthcare costs.
By Jeff Byers • March 20, 2016 -
Montgomery County Planning Commission
Aetna hired integration specialist to smooth Humana merger transition
Aetna's CEO believes Medicare Advantage plans could save the benefits program from insolvency.
By Meg Bryant • March 18, 2016 -
CMS unveils interactive tool to map disparities in care
The Mapping Medicare Disparities tool can be used to pinpoint disparities in health outcomes and spending by race, ethnicity, and geographic location.
By Meg Bryant • March 18, 2016 -
Vermont becomes first state to file ACA waiver
Vermont could serve as an example to other states, such as Kentucky, for how the ACA waivers work in practice.
By Jeff Byers • March 18, 2016 -
Humana ties exec bonuses to health metrics
The insurer is tapping into the concept of value-based care.
By Heather Caspi • March 17, 2016 -
Execs from closed co-ops try hand at another startup
Melody Health Insurance plans to open in two locations for 2017 enrollment.
By Heather Caspi • March 17, 2016 -
CMS program found a lower rate of prenatal births for participants
Enrollment in the agency's Strong Start program increased to a total of 23,000 women.
By Ana Mulero • March 17, 2016 -
At E&C hearing, CMS' Conway gives vague timeline for alternative payment models criteria
CMS' Patrick Conway commented on how CMS is changing the PQRS and alternative payment models.
By Ana Mulero • March 17, 2016 -
Intermountain Healthcare reports nearly $400M loss related to ACA
As of December, Intermountain Healthcare had recouped just $11.9 million through the ACA’s risk-corridor program.
By Meg Bryant • March 16, 2016 -
Group Health's voting members greenlight Kaiser Permanente merger
The deal is expected to expand Kaiser's footprint in the Northwest.
By Heather Caspi • March 16, 2016 -
Lawmakers seek implant IDs on Medicare claims forms
CMS has cited technological challenges in opposing inclusion of unique device identifiers on Medicare claims forms.
By Meg Bryant • March 16, 2016 -
Amid data protection questions, HHS clarifies HIPAA application to workplace wellness programs
After a spate of criticism, the agency seeks to clarify how developers and providers can comply with HIPAA in the mobile landscape.
By Heather Caspi • March 16, 2016 -
Oscar attracts former Google VP as new CTO
Allen Warren replaces Oscar's last CTO, Fredrik Nylander, who previously hailed from Tumblr.
By Heather Caspi • March 16, 2016 -
Chicago physician gets 9 months over drug kickbacks, excessive clozapine prescriptions
The psychiatrist, the highest-volume prescriber in the U.S. for clozapine, received almost $600,000 in kickbacks.
By Heather Caspi • March 15, 2016 -
Deep Dive
The profitable Maryland ACA co-op lays out 3 strategies for profitability in 2016
Evergreen is proving a beacon of success among the small ACA start-ups.
By Heather Caspi • March 15, 2016
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