Payer: Page
-
CMS proposes site-neutral outpatient payment rates, flexibility in EHR program
The American Hospital Association is not happy with the decision over the proposed rule.
By Heather Caspi • July 7, 2016 -
CBO: Murphy's mental health bill would trim Medicaid spending by $5M over 10 years
The House could vote on the Helping Families in Mental Health Crisis Act as early as today.
By Meg Bryant • July 6, 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 -
Business agility key to surviving in today's fast-paced marketplace
Despite technological advances, communication remains a key challenge in managing a project team, a recent survey shows.
By Meg Bryant • July 6, 2016 -
Insurers move toward broader coverage of Hep C drugs
Restrictive policies are going by the wayside as legal fights conclude cost is insufficent reason to withhold a cure.
By Heather Caspi • July 6, 2016 -
UnitedHealth fight highlights third-party payment question
UnitedHealth says American Renal Associates' billing strategy amounts to fraud.
By Heather Caspi • July 6, 2016 -
Connecticut co-op toppled by latest risk-adjustment mandate
An obligation to pay $13.4 million into the federal risk adjustment program was the tipping point for HealthyCT.
By Heather Caspi • July 6, 2016 -
Wyoming ACA enrollment continues upward
Some, but not all of the new enrollment is attributed to layoffs around the state.
By Heather Caspi • July 5, 2016 -
Deep Dive
CMS' ACA premium stabilization data reveals gains, losses for small insurers
As of now, CMS estimates the reinsurance program will pay out around $7.8 billion to 497 insurers nationwide.
By Julie Henry • July 5, 2016 -
Amateria1121 [CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0)], from Wikimedia Commons
Oregon approves final 'mostly unchanged' 2017 premium hikes
Rate increases will be in the double digits, and some plans won't be back.
By Heather Caspi • July 5, 2016 -
Risk adjustment continues to slam small insurers
Several co-ops are among those slated to pay tens of millions into the program.
By Heather Caspi • July 5, 2016 -
Montgomery County Planning Commission
Aetna sells MA assets to mitigate antitrust concerns over Humana merger
The move comes as a strategy to help ease antitrust concerns with the health insurance giant's pending $37 billion acquisition.
By Ana Mulero • July 5, 2016 -
ACA plan drop-outs a 'tad higher' than expected
Officials had hoped to stem the losses by targeting problematic applications for attention.
By Heather Caspi • July 5, 2016 -
Deep Dive
How insurers use gamification for customer wellness
Interactive tools, such as gaming, can make payer products more attractive to consumers and motivate customers to adopt healthy habits.
By Julie Henry • July 5, 2016 -
South Carolina officials debate potential for ACA market collapse
Severely limited marketplace offerings are negating much of the intent of the ACA, some say.
By Heather Caspi • July 5, 2016 -
Merger opponents prepared to play long game
Even if the insurance industry's top players can't merge together, opponents will be watching their next moves.
By Heather Caspi • July 5, 2016 -
Open Payments data reveal docs received $7.52B industry payments in 2015
The American Medical Association chided CMS for “continued data errors and registration challenges” in its program.
By Meg Bryant • July 1, 2016 -
Why Catholic Health is bowing out of the insurance field
In the first nine months of fiscal 2016, CHI’s QualChoice subsidiary lost $97 million.
By Meg Bryant • July 1, 2016 -
False claims penalties set to double
The sharp increase in FCA penalties could raise constitutional concerns, one lawyer says.
By Meg Bryant • July 1, 2016 -
Is DOJ ready to scuttle the Anthem-Cigna merger?
If the deal falls though, Cigna may attempt to acquire smaller market players who specialize in government-funded plans.
By Meg Bryant • July 1, 2016 -
HHS' Oncology Care Model draws twice the anticipated participation
More than 200 physician groups and 17 insurers will participate.
By Heather Caspi • June 30, 2016 -
Aetna/Humana merger inches closer to closing with Illinois approval
Illinois insurance chief Melissa Dowd concluded the deal won’t harm competition in the Medicare Advantage market.
By Meg Bryant • June 29, 2016 -
Allina offers nurses new contact with concessions
The latest proposal would still require nurses to drop union-backed health plans for Allina’s coverage.
By Meg Bryant • June 29, 2016 -
Hacker posts 9.3M patient records for sale on dark net
In the face of growing ransomware attacks, HHS proposed steps healthcare entities can take to protect their databases.
By Meg Bryant • June 29, 2016 -
Cost sharing for hospitalizations has risen 37%. Will this trend last?
The quick pace at which insurers are shifting hospital costs to consumers could leave many in shock.
By Heather Caspi • June 29, 2016 -
Blue Shield of California defends MLR calculation in rebate fight
The insurer has rejected the complaint now under investigation.
By Heather Caspi • June 29, 2016
Previous
