Payer: Page
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ACA rate hikes range wildly among states
National averages mean little given the localized nature of the markets, experts say.
By Heather Caspi • May 25, 2016 -
AHIP highlights insurer support of behavioral health
Numerous case studies illustrate a proactive stance.
By Heather Caspi • May 25, 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 -
Improper Medicare, Medicaid payments cost $89B in 2015, official tells House panel
The improper payment rate under the Medicare fee-for-service plan was largely driven by documentation errors and ACA requirements, a CMS administrator said.
By Ana Mulero • May 24, 2016 -
Medicare pilot program saves money, improves care via house calls
Independence at Home saved $25 million during its first year.
By Nina Flanagan • May 24, 2016 -
Demand for short-term health insurance policies continues to grow
The Obama administration hoped to get rid of this kind of coverage with the ACA.
By Nina Flanagan • May 24, 2016 -
Majority of California counties expand care to undocumented adults
The state is also considering a bill to allow undocumented adults to buy plans through the state exchange.
By Heather Caspi • May 24, 2016 -
Bickering between Anthem and Cigna casts shadow on merger
Signs of frustration have been revealed as the pair tangle over merger tardiness, errors and more.
By Heather Caspi • May 24, 2016 -
Deep Dive
EEOC rules aim to clarify employer wellness programs
Do wellness programs in the workplace really save employers money?
By Nina Flanagan • May 23, 2016 -
Intermountain Healthcare selects Cleveland Clinic exec as president, CEO
Dr. A. Marc Harrison, who has served as chief of international business development for Cleveland Clinic and as the CEO of Cleveland Clinic Abu Dhabi, will assume his new positions when Dr. Charles W. Sorenson retires on October 15.
By Ana Mulero • May 23, 2016 -
USDA
Hospitals prop up 'grassroots' group opposing insurance mergers
The Campaign for Consumer Choice is not what it appears on the surface.
By Heather Caspi • May 23, 2016 -
Lawmakers pitch Obamacare alternative
Every U.S. adult would get a $2,500 tax credit to purchase health insurance under the proposal.
By Meg Bryant • May 20, 2016 -
Insurer exit RU: UnitedHealth to leave NJ, Humana exits CO
The decision to pull out of New Jersey marks the 27th state exchange that UnitedHealth will leave next year.
By Meg Bryant • May 20, 2016 -
Mental health gets top billing for US medical expenditures
The fastest spending growth is in diseases of the liver, pancreas and gallbladder, a Health Affairs study notes.
By Meg Bryant • May 20, 2016 -
Deep Dive
MACRA backers tell providers: Now is your last chance to sway the outcome
As the deadline for public comment approaches, industry insiders such as Farzad Mostashari, Sen. Sheldon Whitehouse and Arien Malec discuss their reactions to MACRA and why providers need to weigh in on the proposed rule.
By Jeff Byers • May 20, 2016 -
Bipartisan bill seeks fairer way to adjust for hospital readmissions
The proposed legislation would compare hospitals with similar Medicare and Medicaid populations to determine readmissions adjustments.
By Meg Bryant • May 20, 2016 -
Indiana surgery centers sue UnitedHealthcare over unpaid bills
The question is what passes for payment.
By Heather Caspi • May 19, 2016 -
New York insurers request to raise ACA individual plan rates by 17%
The increases raise concerns that the ACA will face stronger backlash.
By Heather Caspi • May 19, 2016 -
Deep Dive
CMS rule change may be key for ACA co-ops' survival
The 11 remaining co-ops now have access to additional sources of funding. Will it be enough to make them profitable?
By Nina Flanagan • May 19, 2016 -
Cerner hit with fourth overtime lawsuit
The supplier allegedly failed to pay overtime to help desk employees who were asked to work 48 hours a week.
By Nina Flanagan • May 19, 2016 -
Harken Health digs in, adds health centers in Atlanta, Chicago
UnitedHealth invested $65 million to get Harken Health and its enhanced primary care model up and running.
By Meg Bryant • May 18, 2016 -
US uninsured rate hits all-time low in 2015
Will 2017's projected premium increases send the 9.1% rate back up?
By Heather Caspi • May 18, 2016 -
Highmark sues feds for $196M in owed ACA risk corridors payments
The insurer is taking little consolation in the government's promise to backfill payments in future years.
By Heather Caspi • May 18, 2016 -
Transgender surgery increasingly covered by U.S. employers
One in 10 companies with 500 or more employees cover transgender surgery, according to a recent survey.
By Meg Bryant • May 18, 2016 -
Deep Dive
HHS issues rule against transgender discrimination
Here's what providers need to know.
By Julie Henry • May 18, 2016 -
Deep Dive
Will Medicaid expansion holdouts finally give in?
HHS Secretary Sylvia Burwell cites two main reasons why non-expansion states will eventually get on board.
By Julie Henry • May 18, 2016
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