Payer: Page
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You're cordially invited to submit comments on the controversial Open Payments
Policy around required payment disclosures are set to get a second look.
By Heather Caspi • July 26, 2016 -
How UnitedHealthcare is making a purchase offer this Colorado insurer can't refuse
In exchange for access and a presence in Colorado's Medicaid market, the payer is investing to stabilize Rocky Mountain Health Plans.
By Ana Mulero • July 26, 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 -
Cigna to Chicago ACA market: We want in
As insurers are exiting the marketplaces across the country, Cigna sees an opportunity in the Windy City.
By Jeff Byers • July 26, 2016 -
Zenefits pays $62,500 fine in TN to continue operations in the state
Paying down fines and settling issues upfront could be the beginning of the firm's comeback.
By Tom Starner • July 26, 2016 -
Deep Dive
Are insurers ditching PPOs?
One insider says PPO plans make the transition to alternate value based-payment models difficult since patients are not necessarily tied to a particular provider.
By Julie Henry • July 26, 2016 -
DoD's Tricare cuts UnitedHealthcare from $58B contract collection
Humana stands to benefit big from UnitedHealthcare's loss.
By Heather Caspi • July 25, 2016 -
Hospital M&A activity up 6.1% so far against last year
Should federal regulators put a stop to industry consolidation?
By Jeff Byers • July 25, 2016 -
CMS dips further into Medicare bundled payments. This time with cardiac care
The agency released its final rule on bundled joint replacement payments last November.
By Jeff Byers • July 25, 2016 -
Slavitt details MACRA commentators' 5 priority areas
The CMS acting administrator touted record engagement in the policywriting process.
By Heather Caspi • July 25, 2016 -
Megamerger stocks ride out U.S. antitrust challenge
The American Medical Association praised the U.S. effort to block the megamergers.
By Meg Bryant • July 22, 2016 -
CMS teases latest star ratings with 102 hospitals netting 5 stars
Teaching hospitals had lower overall star ratings than non-teaching hospitals.
By Meg Bryant • July 22, 2016 -
Report finds high risk of harm in rehab hospitals
Nearly half of harmful incidents could have been prevented, a government report finds.
By Meg Bryant • July 22, 2016 -
As feds set to quash merger plans, Humana floats exit of most ACA exchanges in 2017
The decision comes as the health insurance giant reported better than anticipated second-quarter results for its individual Medicare Advantage and healthcare services businesses.
By Meg Bryant • July 22, 2016 -
Report finds one-third of insurers were profitable in first year of ACA
Medical claims for 2014 were 5.7% higher than insurers had projected.
By Heather Caspi • July 21, 2016 -
CMS announces savings of $42B from program integrity efforts
Spending to reduce medicare fraud and waste is paying off, big time.
By Heather Caspi • July 21, 2016 -
U.S. files suits against insurance megamergers
In response, Cigna on Thursday remarked, "In light of the DOJ’s decision, we do not believe the transaction will close in 2016 and the earliest it could close is 2017, if at all."
By Jeff Byers • July 21, 2016 -
Aetna prepared to battle feds in court for Humana merger
Aetna argues divestitures and a broader view on the MA market will ensure sufficient consumer choice.
By Heather Caspi • July 21, 2016 -
UnitedHealth's profits grew 13% in Q2, despite $200M Obamacare losses
Strong growth was fueled by Optum, which saw revenues jump 51.5% to $20.6 billion during the quarter.
By Meg Bryant • July 20, 2016 -
DOJ prepping insurance megamergers suits, sources say
News that the agency may challenge the mergers sent shares of Humana, Aetna, Cigna and Anthem tumbling Tuesday.
By Meg Bryant • July 20, 2016 -
Deep Dive
What providers can expect from California's new aid-in-dying legislation
A look at California's End of Life Option Act based on Oregon's own legislation shows negligible costs to insurers and state medical plans can be expected.
By Shalina Chatlani • July 20, 2016 -
Deep Dive
Controlling payer spending on end-of-life care
Some say major health plans should form a consortium to educate the public on four aspects of advance directives.
By Julie Henry • July 20, 2016 -
Deep Dive
The risks and benefits of employing physicians
One expert says the increase in physician employment by hospitals will not be successful in the long term.
By Julie Henry • July 20, 2016 -
Starbucks move raises visibility of private health exchanges
Will buy-in from Starbucks jumpstart the trend toward private exchanges?
By Heather Caspi • July 20, 2016 -
Study projects impact of Medicaid expansion in all 50 states
The 19 remaining holdouts have it in their power to reduce the uninsured rate by another 5 million.
By Heather Caspi • July 20, 2016 -
Covered California individual premium fairytale over with 13.2% rate hike
The state is no longer impervious to the rate increases seen around the rest of the U.S.
By Heather Caspi • July 19, 2016
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