Payer: Page 185
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Why 1,800 Aetna plan holders may lose access to Boston Children's Hospital
Stalled contract negotiations between the two agencies are nearing the February 15 deadline.
By Nina Flanagan • Jan. 26, 2016 -
NY Gov. Cuomo's budget lacks funds for $15 healthcare minimum wage
When the minimum wage is raised to $15 an hour for healthcare and human services workers, the estimated cost to the healthcare sector will be $3 billion.
By Ana Mulero • Jan. 26, 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 -
Analysts name top 3 healthcare stocks to watch this year
At a recent panel discussion, analysts revealed they were optimistic for healthcare stocks overall in 2016, with one in particular catching their eyes.
By Heather Caspi • Jan. 25, 2016 -
What you need to know about Cigna's temporary ban from the Medicare Advantage program
The insurer has been temporarily barred from marketing to or enrolling new customers.
By Heather Caspi • Jan. 25, 2016 -
Why a think tank says Humana/Aetna deal pricey for seniors
A merger would result in less competition, and therefore higher Medicare Advantage premiums, the group says.
By Heather Caspi • Jan. 25, 2016 -
HCA asks appeals court to overturn $434M judgment
The healthcare system claims it fulfilled capital improvement obligations related to the 2003 purchase of Kansas City-based Health Midwest.
By Meg Bryant • Jan. 22, 2016 -
St. Luke's-Montefiore partnership approved
The two NY-based hospitals continue the ongoing M&A trend within the healthcare industry.
By Ana Mulero • Jan. 22, 2016 -
Supreme Court sides with injured beneficiaries in blow to payers
The decision could be costly to payers.
By Meg Bryant • Jan. 22, 2016 -
CMS seeks to recoup $1.2B over ACA co-op failures
CMS Acting Administrator Andy Slavitt defended the agency's controls over the remaining co-ops.
By Heather Caspi • Jan. 22, 2016 -
Obama officials subpoenaed for ACA documents
GOP lawmakers claim the White House has stonewalled efforts to obtain information about payments under a program to help needy residents and some legal immigrants get health insurance.
By Meg Bryant • Jan. 22, 2016 -
Oscar Health's value may reach $3B with latest financing round
Fidelity leads investors with $150 million of capital committed to date.
By Nina Flanagan • Jan. 21, 2016 -
Survey: Those with high-deductible plans not price shopping
Having "skin in the game" is not enough to encourage provider comparisons.
By Heather Caspi • Jan. 21, 2016 -
Private HIX enrollment up 35% in 2016
While enrollment continues to grow, it lags among large employers, Accenture finds.
By Heather Caspi • Jan. 21, 2016 -
Tenet creates 2 new board seats in deal with largest shareholder
The arrangement de-risks Tenet's recently troubled stock.
By Heather Caspi • Jan. 21, 2016 -
CMS details new special enrollment limitations
The updates aim to stabilize the marketplace and make it more attractive to insurers.
By Heather Caspi • Jan. 21, 2016 -
Study finds ACA plan cost sharing stayed steady from 2014 to 2015
The authors conclude stable prices for ACA plans do not reflect greater cost-sharing by enrollees.
By Heather Caspi • Jan. 20, 2016 -
Deep Dive
BCBSA finds payers applying data to tailor marketplace offerings
Payers are becoming more sophisticated in managing their marketplace offerings, but market instability remains a concern.
By Heather Caspi • Jan. 20, 2016 -
Another ACA challenge bites the dust
While Obamacare escaped yet another challenge brought by conservative opponents, the Supreme Court is set to hear a different challenge later this year regarding the measure's contraceptive mandate.
By Heather Caspi • Jan. 20, 2016 -
UnitedHealth reports losses of $720M from exchange plans
The insurer's latest data indicate losses higher than previously estimated.
By Heather Caspi • Jan. 20, 2016 -
Minnesota hospital system acquires insurer PreferredOne
The acquisition continues the trend in which providers and insurers are teaming up to drive cost-effective patient care.
By Heather Caspi • Jan. 20, 2016 -
CMS: MU still in full effect, shift to value-based care will take time
In a blog post, federal officials set to clarify the "will they/won't they?" tension over the meaningful use program.
By Meg Bryant • Jan. 20, 2016 -
Hawaii to consider first public LTC insurance program
The state could be the first to offer residents public long-term care insurance.
By Heather Caspi • Jan. 19, 2016 -
Cleveland physician group to disband due to big losses
After losing $117 million during the first nine months, HealthSpan Partners plans to drop care provision and focus on insurance.
By Heather Caspi • Jan. 19, 2016 -
Oscar announces high-profile new hires
Challenges for the execs include growth management and expansion strategy.
By Heather Caspi • Jan. 19, 2016 -
Questions on ACA program funding left unanswered
Two congressmen believe the Basic Health Program's funding has not been approved.
By Ana Mulero • Jan. 19, 2016