Payer: Page 186
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Wisconsin turns heads with ACA fee challenge, rejection of funding
Instead of raising objections to the ACA, some suggest Wisconsin cash in on the millions available to it.
By Heather Caspi • March 2, 2016 -
EmblemHealth partners with NYC
The insurer says it will give city employees better access to care.
By Heather Caspi • March 2, 2016 -
AHA urges DOJ to challenge Anthem-Cigna merger
The group warns the merger could lead to Blue Cross Blue Shield dominance in the insurance market.
By Heather Caspi • March 2, 2016 -
Universal Health may opt out of Medicare bundle payments
Medicare's Bundled Payments for Care Improvement Initiative includes 2,100 acute care hospitals.
By Nina Flanagan • March 1, 2016 -
HMOs making a comeback, seeking new identity
The presence of HMOs on ACA exchanges is increasing as insurers are changing some of their features.
By Heather Caspi • March 1, 2016 -
Deep Dive
How do slashed ACA commissions affect insurers and brokers?
The tactic is impacting enrollment and the ACA landscape, experts say.
By Heather Caspi • March 1, 2016 -
Aetna CEO backs exchanges despite losses
Earlier this month, Aetna CEO Mark Bertolini questioned the stability of the insurance exchanges and said Aetna lost money in individual coverage last year.
By Ana Mulero • Feb. 29, 2016 -
CMS reveals final changes to 2017 ACA marketplace
Under the rule, released Monday, CMS aims to reduce the number of consumers who have surprise out-of-pocket costs at in-network facilities.
By Ana Mulero • Feb. 29, 2016 -
California moves on new insurer tax package
If it passes, the tax would hit nine health plans that the state does not currently tax.
By Heather Caspi • Feb. 29, 2016 -
Blue Cross firms ducking out on ACA commissions
Blue Cross insists its commitment to offering health plans under Obamacare is unchanged.
By Meg Bryant • Feb. 26, 2016 -
Private insurance data illuminates potential areas for cost savings
Research shows that consolidation of outpatient practices leads to higher cancer treatment costs.
By Meg Bryant • Feb. 26, 2016 -
More insured not translating to less bad debt for hospitals
The number of people enrolled in high deductible health plans has grown under the ACA.
By Meg Bryant • Feb. 26, 2016 -
Zenefits aims to 'grow in a controlled way' by laying off 17% of workforce
It's part of new CEO David Sack's continued mission to 'refocus' the controversy-plagued tech company.
By Kathryn Moody • Feb. 26, 2016 -
UPMC argues for liability insurer to pony up $12.5M for antitrust settlement
UPMC is trying to move a settlement forward and pass the bill to United Educators Insurance.
By Heather Caspi • Feb. 25, 2016 -
FDA
Deep DivePrecision medicine: So close, yet so far away
“Just on a chemical basis, some targets are easy and some targets are hard … and the hard ones require more cost for a company."
By Meg Bryant • Feb. 25, 2016 -
Health Republic Insurance slams feds with $5B suit; claims withheld ACA funds
The insurer filed an action lawsuit against the U.S. for not coming through with promised ACA funds.
By Shalina Chatlani • Feb. 25, 2016 -
Kansas' $1B price tag for not expanding Medicaid
The Kansas Hospital Administration says the state is losing $1 billion in federal funds by not expanding Medicaid.
By Nina Flanagan • Feb. 25, 2016 -
BCBSA study highlights savings of outpatient care
In addition to costing less, outpatient care can achieve similar or better results, the study says.
By Heather Caspi • Feb. 25, 2016 -
Tenet near settlement on Georgia kickback charges, posts 2015 Q4 loss
While uncompensated care grew overall, Tenet’s six Medicaid expansion states saw a drop in uninsured admissions.
By Meg Bryant • Feb. 24, 2016 -
After receiving $12.5M last year, this health benefits startup laid off 25% of its staff
The company raised the cash in venture capital funding last year but is looking to stay lean during tough times.
By Meg Bryant • Feb. 24, 2016 -
Coming this spring: CMS' MIPS payment model details
CMS is investing $650 million to help more than 140,000 physicians make the shift to a value-based payment model.
By Meg Bryant • Feb. 24, 2016 -
Oscar gets estimated $2.7B value after $400M Fidelity fiscal infusion
Some suggest the large investment provides validation for the insurer in light of the recent collapse in tech valuations.
By Heather Caspi • Feb. 24, 2016 -
California health plan tax supporters optimistic
Legislation that would expand a tax on health plans could be decided this week.
By Heather Caspi • Feb. 24, 2016 -
Wyoming, Maine see further efforts toward Medicaid expansion
Supporters in each state hope the next attempt will be the charm.
By Heather Caspi • Feb. 24, 2016 -
Deep Dive
Study challenges Medicare payment differential for outpatient settings
Does it make sense for physician offices to get a different rate than off-campus hospital outpatient departments?
By Heather Caspi • Feb. 23, 2016
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