Payer: Page 184
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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 -
UnitedHealth's Harken Health to expand its unique healthcare model to other cities
Slowly and surely, Harken Health is expanding operations while UnitedHealthcare is throwing shade to the ACA exchanges.
By Nina Flanagan • March 15, 2016 -
Physician groups, AMA press Florida to refuse Aetna/Humana deal
The outcry comes after the state has already made some momentum toward acceptance.
By Heather Caspi • March 15, 2016 -
Deep Dive
Convenient care, but at what price? The rise in retail health clinics
More than 50% of the U.S. population lives within 10 miles of a CVS Health MinuteClinic. And healthcare consumers, athenahealth CEO Jonathan Bush notes, expect fast, accessible care and are “voting with their feet.”
By Meg Bryant • March 14, 2016 -
Alex Wong via Getty Images
Health privacy compliance experts predict OCR to conduct around 220 audits this year
HHS' Office of Inspector General criticized the organization's Office for Civil Rights for being lax in its health privacy compliance enforcement program.
By Nina Flanagan • March 14, 2016 -
ACA enrollment challenges persist, 2015 target missed
The Obama administration missed their 2015 enrollment goal by about 3%.
By Ana Mulero • March 14, 2016 -
Humana faces $3.1M penalty over Medicare violations
In addition, Humana CEO Bruce Broussard stands to receive a $40.2 million “golden parachute” paycheck if the Aetna merger closes.
By Meg Bryant • March 11, 2016 -
CMS' Slavitt calls Iowa, Nebraska co-op criticism 'fair'
The ACA co-ops' failure has resulted in a $1.2 billion debt in federal loans, the bulk of which will unlikely be recouped.
By Ana Mulero • March 11, 2016 -
HealthCare.gov CEO assuages marketplace fears, stresses stability
HealthCare.gov CEO Kevin Counihan recently addressed a health exchange forum and promoted the maturity of the marketplace.
By Nina Flanagan • March 10, 2016
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