Payer: Page 185
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Insurers lobby FCC for guidance on consumer contact
The Telephone Consumer Protection Act (TCPA) was clarified last summer by the FCC to include text messages but provided an exception for "healthcare providers" without defining the term.
By Nina Flanagan • March 10, 2016 -
Utah compromises with small Medicaid expansion
Democrats have complained it's nothing compared to a full Medicaid expansion.
By Heather Caspi • March 10, 2016 -
Amateria1121 [CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0)], from Wikimedia Commons
Oregon considers software vendors for health insurance marketplace
The state is reviewing proposals from four companies to develop a new software platform for its health insurance marketplace.
By Nina Flanagan • March 10, 2016 -
This New Jersey lawyer is using statistics to target possible Medicare fraudsters
While the government can and does bring cases against alleged fraudsters, a more successful route has been qui tam lawsuits,
By Meg Bryant • March 9, 2016 -
CMS challenged over changes to Medicare Advantage retiree plan rates
On average the proposed payments to insurers would increase in 2017--but not for retiree plans.
By Heather Caspi • March 9, 2016 -
AHIP Policy 2016: HCCI chair calls for national healthcare data warehouse to improve transparency, decrease costs
The growth of healthcare spending is slowing down but it is still increasing.
By Ana Mulero • March 9, 2016 -
A peek into the recently unsealed whistleblower lawsuit against Humana
A physician has accused the insurer of promoting upcoding to maximize Medicare Advantage payments. The question now begs whether the case has any bearing on Aetna's pending aquisition of the insurer.
By Heather Caspi • March 9, 2016 -
Aetna/Humana is cause for concern for Medicare Advantage market, analysis says
If previous mergers are any indication, divestitures are not a solution.
By Heather Caspi • March 9, 2016 -
Deep Dive
Health insurance market entrants face cold, lonely path ahead
Those intrepid enough to step into the "extremely difficult" business climate will have to overcome the already-established relationships between enrollees and other plans.
By Heather Caspi • March 8, 2016 -
The rise of long-term care plans in life insurance plans
Hybrid policies provide long-term care with life insurance or a fixed annuity.
By Nina Flanagan • March 8, 2016 -
Deep Dive
'Doctorpreneurs' breathing new life into healthcare seed funding
Instead of building something that works great outside of healthcare, and trying to force-fit it into healthcare, innovators must take the opposite approach—working first with investors or partners
By Meg Bryant • March 8, 2016 -
Is a Maryland health exchange getting a 'free pass' on its budget?
Watchdogs suggest state legislators should be asking questions--many of them.
By Heather Caspi • March 8, 2016 -
Fine furthers Tenet rough patch
While the company sorts through setbacks and losses, its stock price is looking up.
By Heather Caspi • March 8, 2016 -
New Hampshire upgrades healthcare cost comparison website
The state, already considered to have the best such tool, continues forging ahead.
By Heather Caspi • March 7, 2016 -
Savvy healthcare consumers may not truly impact health care spending
A recent research report digs into consumer-driven healthcare – and finds it may not save as much money as employers believe.
By Tom Starner • March 7, 2016 -
Maryland co-op taps into special sauce, announces record revenue
Evergreen Health is bucking the co-op trend with its strong 2015 results.
By Heather Caspi • March 7, 2016 -
SCOTUS: States can't force health insurers to share claims data
Justice Anthony Kennedy said Vermont’s law and others like it interfere with “nationally uniform” health plan administration.
By Meg Bryant • March 4, 2016 -
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 Ana Mulero • 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 -
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 Ana Mulero • March 3, 2016 -
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 Jeff Byers • March 3, 2016 -
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 Meg Bryant • March 2, 2016
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