Payer: Page 180


  • Medicaid expansion approved for Flint residents affected by lead exposure

    Michigan's demonstration to expand Medicaid coverage and services in Flint will last for five years. 

    By March 4, 2016
  • CMS to terminate Medicare contract for IHS hospital

    The Rosebud Indian Health Service (IHS) hospital has two weeks to correct its patient safety problems.

    By Heather Caspi • March 3, 2016
  • Explore the Trendline
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    Yujin Kim/Healthcare Dive
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    Trendline

    Payer/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
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    Fotolia
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    Long-term solution sought for ACA health insurer tax

    State Medicaid agencies say the current one-year suspension should only be viewed as a start.

    By Heather Caspi • March 3, 2016
  • Medical Mutual acquires HealthSpan's insurance

    HealthSpan, a former Kaiser Permanente of Ohio insurance company, said their operation was too small to be viable in the market. 

    By Nina Flanagan • March 3, 2016
  • Chicago co-op loses $90.8M in 2015

    Land of Lincoln Health, a Chicago-based health insurance company, operates as the only co-op in Illinois. 

    By Nina Flanagan • March 3, 2016
  • Obama administration ties 30% of Medicare payments to quality

    Its timeline for shifting Medicare payments from quantity to quality of care is ahead of schedule as the goal was to reach this percentage by the end of the year.

    By March 3, 2016
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    HIMSS
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    Deep Dive

    HIMSS16: Arien Malec warns MACRA preparation needs to begin now

    Every dollar for how you’re going to get paid by CMS is going to change, Malec says.

    By March 3, 2016
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    Blue Shield of CA pink slips up to 460 employees

    The California health plan said reducing administrative costs will help make plans more affordable.

    By March 2, 2016
  • Wisconsin turns heads with ACA fee challenge, rejection of funding

    Instead of raising objections to the ACA, some suggest Wisconsin cash in on the millions available to it.

    By Heather Caspi • March 2, 2016
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    EmblemHealth partners with NYC

    The insurer says it will give city employees better access to care.

    By Heather Caspi • March 2, 2016
  • AHA urges DOJ to challenge Anthem-Cigna merger

    The group warns the merger could lead to Blue Cross Blue Shield dominance in the insurance market.  

    By Heather Caspi • March 2, 2016
  • Universal Health may opt out of Medicare bundle payments

    Medicare's Bundled Payments for Care Improvement Initiative includes 2,100 acute care hospitals. 

    By Nina Flanagan • March 1, 2016
  • HMOs making a comeback, seeking new identity

    The presence of HMOs on ACA exchanges is increasing as insurers are changing some of their features.

    By Heather Caspi • March 1, 2016
  • Deep Dive

    How do slashed ACA commissions affect insurers and brokers?

    The tactic is impacting enrollment and the ACA landscape, experts say.

    By Heather Caspi • March 1, 2016
  • Aetna CEO backs exchanges despite losses

    Earlier this month, Aetna CEO Mark Bertolini questioned the stability of the insurance exchanges and said Aetna lost money in individual coverage last year.

    By Feb. 29, 2016
  • CMS reveals final changes to 2017 ACA marketplace

    Under the rule, released Monday, CMS aims to reduce the number of consumers who have surprise out-of-pocket costs at in-network facilities. 

    By Feb. 29, 2016
  • California moves on new insurer tax package

    If it passes, the tax would hit nine health plans that the state does not currently tax.

    By Heather Caspi • Feb. 29, 2016
  • Blue Cross firms ducking out on ACA commissions

    Blue Cross insists its commitment to offering health plans under Obamacare is unchanged. 

    By Feb. 26, 2016
  • Private insurance data illuminates potential areas for cost savings

    Research shows that consolidation of outpatient practices leads to higher cancer treatment costs.

    By Feb. 26, 2016
  • More insured not translating to less bad debt for hospitals

    The number of people enrolled in high deductible health plans has grown under the ACA.

    By Feb. 26, 2016
  • Zenefits aims to 'grow in a controlled way' by laying off 17% of workforce

    It's part of new CEO David Sack's continued mission to 'refocus' the controversy-plagued tech company.

    By Kathryn Moody • Feb. 26, 2016
  • UPMC argues for liability insurer to pony up $12.5M for antitrust settlement

    UPMC is trying to move a settlement forward and pass the bill to United Educators Insurance.

    By Heather Caspi • Feb. 25, 2016
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    FDA
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    Deep Dive

    Precision medicine: So close, yet so far away

    “Just on a chemical basis, some targets are easy and some targets are hard … and the hard ones require more cost for a company."

    By Feb. 25, 2016
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    Wikimedia
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    Health Republic Insurance slams feds with $5B suit; claims withheld ACA funds

    The insurer filed an action lawsuit against the U.S. for not coming through with promised ACA funds.

    By Shalina Chatlani • Feb. 25, 2016
  • Kansas' $1B price tag for not expanding Medicaid

    The Kansas Hospital Administration says the state is losing $1 billion in federal funds by not expanding Medicaid. 

    By Nina Flanagan • Feb. 25, 2016