Payer: Page 184
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State takeover of Moda shakes up Oregon insurance market
The company says it will exit the individual market though little impact was expected in its group insurance.
By Heather Caspi • Feb. 1, 2016 -
Poll finds majority of adults happy with their health insurance
The findings suggest narrow networks are not generally an issue for consumers.
By Heather Caspi • Feb. 1, 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 -
CMS proposes sharing of claims data with 'qualified entities'
A new proposed rule encourages data sharing in an effort to improve healthcare and health spending.
By Heather Caspi • Feb. 1, 2016 -
NHPC16: The troubling physician transition to a new healthcare model
Physicians are likely to be burdened by changes to the practices during the transition to value-based care.
By Ana Mulero • Feb. 1, 2016 -
This Architrave Health co-founder filed suit against the company he helped create
The lawsuit alleges the former CEO was ousted after blowing the whistle on a fraudulent Medicare scheme.
By Meg Bryant • Jan. 29, 2016 -
CMS proposes ACO evaluation shake-up with new rule
The agency hopes the proposed changes will increase the number of ACOs.
By Ana Mulero • Jan. 29, 2016 -
Amid state insurance disruption, new Kentucky coalition seeks to tackle poor health outcomes head on
As Kynect is set to shut down, the collaboration will share best practices and help reduce care costs.
By Meg Bryant • Jan. 29, 2016 -
Fidelity Investments steps into the private health exchange ring
Despite slow growth in exchange adoption, big benefits companies are showing big interest in the space.
By Heather Caspi • Jan. 28, 2016 -
Anthem Q4 profits plunge from ACA plans
Despite the expenses of its individual market members, the company came in with strong overall earnings for the year.
By Heather Caspi • Jan. 28, 2016 -
How a California initiative aims to cap hospital executives' pay
While hospitals execs would be impacted by the caps, the state would also need to formulate a plan to enforce them.
By Heather Caspi • Jan. 28, 2016 -
CMS gives telehealth green light for face-to-face Medicaid visits
In addition, CMS recently launched its first home health patient experience of care star ratings.
By Ana Mulero • Jan. 28, 2016 -
N.Y. slows Medicaid spending growth to 1.4%
Though costs are being better contained, debate over funding remains.
By Heather Caspi • Jan. 27, 2016 -
Centene misplaces hard drives; 950,000 affected
The bad news comes as Centene is working to close a merger deal with HealthNet.
By Meg Bryant • Jan. 27, 2016 -
Cruz control: GOP candidate fesses up to having health insurance
The cheapest option for the Cruz family would be to find coverage through the Washington, DC, healthcare exchange, but that would amount to an endorsement of Obamacare.
By Meg Bryant • Jan. 27, 2016 -
How some insurers are tackling opioid abuse through social work
The plans are betting beefing up their social worker ranks will enable real recoveries and cut costs.
By Heather Caspi • Jan. 27, 2016 -
CMS puts preventable readmissions of minorities, poor under the microscope
A new CMS guide offers strategies for addressing the underlying reasons for such readmissions.
By Heather Caspi • Jan. 27, 2016 -
After delays, Iowa's Medicaid privatization poised for March 1 launch
The federal government delayed the original launch date by two months due to low provider sign-up in the new managed care system.
By Meg Bryant • Jan. 27, 2016 -
Healthcare tops U.S. News & World Report's '100 Best Jobs' list
According to the 2016 list, orthodontics, followed by dentistry and computer system analytics, reigns supreme.
By Ana Mulero • Jan. 27, 2016 -
Deep Dive
All eyes are on ACA co-ops' health for 2016
Aside from monitoring the co-ops themselves, the federal government may need to take some action to support them.
By Heather Caspi • Jan. 27, 2016 -
Case debates whether California's top 4 health plans are insurers
If recategorized as insurers, the plans could owe billions in back taxes.
By Heather Caspi • Jan. 26, 2016 -
Deep Dive
Could direct primary care go mainstream?
Proponents of the model are finding a growing market.
By Heather Caspi • Jan. 26, 2016 -
How is the federal government spending more on healthcare programs than Social Security?
The ACA's Medicare expansions and exchanges spiked healthcare spending, according to a recent CBO analysis.
By Ana Mulero • Jan. 26, 2016 -
Utah grappling with Medicaid expansion
Utah lawmakers are proposing a variety of Medicaid expansion plans, hoping to find a resolution this year.
By Nina Flanagan • Jan. 26, 2016 -
Standardized ACA plans could lower out-of-pocket costs
First, however, issuers would have to opt in to the voluntary design.
By Heather Caspi • Jan. 26, 2016 -
Employers cutting insurance costs by excluding outpatient surgery
New regulations requiring large employers to provide health insurance is resulting in dubious cost-cutting measures, such as excluding coverage of outpatient surgeries.
By Nina Flanagan • Jan. 26, 2016
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