Payer: Page
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Deep Dive
Employers cut out insurers to control healthcare costs
Is direct contracting becoming a trend?
By Julie Henry • June 29, 2016 -
VA teams up with IBM's supercomputer Watson to expand precision medicine
The collaboration between the tech giant and the VA is a byproduct of Vice President Joe Biden's Cancer Moonshot efforts.
By Ned Pagliarulo • June 29, 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 -
Home health agencies slated $180M Medicare cut
CMS' proposed rule also added information regarding the home health value-based purchasing model finalized in the 2016 Home Health Prospective Payment System rule.
By Heather Caspi • June 28, 2016 -
CMS proposal would boost 2017 dialysis payments
The proposed rule would raise overall payment to dialysis facilities in 2017 by about $50 million.
By Heather Caspi • June 28, 2016 -
CMS receives upwards of 3.8K MACRA comments
Monday was the last day to provide comment on the proposed MACRA implementation rule.
By Jeff Byers • June 28, 2016 -
Louisiana Medicaid expansion supporters celebrate signup of 225,900
Program officials are relying on innovative enrollment strategies to get the job done.
By Heather Caspi • June 28, 2016 -
Deep Dive
Should EDs collect, track patients' sexual orientation? This researcher thinks so
"The most important thing is to ensure we are treating everybody equally," Dr. Adil Haider of Brigham and Women's Health noted before this morning's presentation at AcademyHealth's Annual Research Meeting.
By Jeff Byers • June 28, 2016 -
Deep Dive
STDs are rising. What can providers do?
“We want doctors to discuss STDs and risk-reduction strategies with their patients,” says CDC epidemiologist Eloisa Llata.
By Meg Bryant • June 27, 2016 -
Montgomery County Planning Commission
In 11th hour, Aetna/Humana extend $37B merger deadline
The deal was supposed to close by Thursday.
By Jeff Byers • June 27, 2016 -
Illinois health co-op adds to litany of risk corridors lawsuits
The insurer said it is in severe financial distress after failing to receive the promised support.
By Heather Caspi • June 27, 2016 -
Blue Cross to slash, refocus Minnesota individual market offerings
Only its subsidiary Blue Plus will continue to serve the state's individual market.
By Heather Caspi • June 27, 2016 -
SCOTUS dismisses Texas abortion law in 5-3 decision
Some have called the case the first major abortion case in about 10 years.
By Ana Mulero • June 27, 2016 -
Kentucky's Bevin reveals Medicaid expansion waiver plans
In his campaign, Bevin said he would "reverse" Medicaid expansion but has since changed his strategy.
By Meg Bryant • June 24, 2016 -
California insurance commissioner makes opposition to Aetna/Humana merger official
His plea comes three days after the California Department of Managed Health Care approved the merger.
By Ana Mulero • June 24, 2016 -
Seven senators call on DOJ to block to insurance megamergers
Connecticut's legislators are taking a special interest in the deals as home to two of the players.
By Heather Caspi • June 23, 2016 -
Retrieved from Flickr.
Deep DiveMedicare fraudsters beware: The government is coming
Providers can update their compliance program to ensure no fraudulent, accidental or purposeful, billing occurs within their walls.
By Jeff Byers & Ana Mulero • June 23, 2016 -
Deep Dive
Payers, telehealth vendors getting value out of partnerships
Most states allow some form of telehealth services, and 29 have parity laws for private payers.
By Meg Bryant • June 23, 2016 -
Deep Dive
Supreme Court upholds implied certification theory under the FCA
Top priorities for all healthcare organizations should be to make sure appropriate resources are dedicated to compliance efforts and proactive compliance efforts are ongoing.
By Julie Henry • June 22, 2016 -
CMS sets sights on enrollment of young adults in 2017 marketplace
The effort aims to better balance the marketplace risk pool.
By Heather Caspi • June 22, 2016 -
More than 300 charged nationwide in massive $900M Medicare fraud sweep
It is "the largest in history, both in terms of the number of defendants charged and loss amount," DOJ reported.
By Jeff Byers • June 22, 2016 -
After 6 years, an outline of a plan to repeal the ACA hits the streets
The paper states the ACA "has proven unaffordable, unworkable, and intrusive in Americans’ everyday lives."
By Jeff Byers • June 22, 2016 -
Healthcare shopping trends across U.S. all over the map
Women and adults ages 25 to 44 are most likely to shop for medical services, according to a new report by HealthSparq.
By Meg Bryant • June 22, 2016 -
Boeing seals direct contracting deal with major southern CA health system
Employers hope to reduce costs by bypassing insurance companies and contracting directly with health systems for employee benefits.
By Meg Bryant • June 22, 2016 -
HHS to fund small practices to help meet quality measures
Funded organizations will help small practices navigate issues such as which quality measures or EHR best meet their specific needs.
By Meg Bryant • June 22, 2016 -
KFF: Medicare Advantage networks come in all shapes, sizes & scope
Medicare Advantage enrollees in nine U.S. counties had no broad network options, a new report found.
By Meg Bryant • June 22, 2016
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