Payer: Page 189
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Deep Dive
Opioid-related deaths have never been higher. Here's how the government is stepping in.
While the FDA and president are calling for greater scrutiny over opioids, states like Ohio are seeing hard work pay off in opioid prescription reduction efforts.
By Jeff Byers • Feb. 4, 2016 -
Republicans lose bid to override Obama's ACA repeal veto
The GOP is now looking toward a presidential win to take down the health law.
By Heather Caspi • Feb. 4, 2016 -
Analyses argue Sanders' single-payer plan doesn't add up
Two high-profile new analyses challenge Bernie Sanders' math.
By Heather Caspi • Feb. 4, 2016 -
Michigan-based HealthPlus, Health Alliance approved for merger
The combined insurers weigh in at a total of a 650,000-member plan.
By Heather Caspi • Feb. 4, 2016 -
Covered California director pulls no punches over UnitedHealth's ACA complaints
The state exchange's Peter Lee argues UnitedHealth's difficulties are due to its own mistakes.
By Heather Caspi • Feb. 4, 2016 -
Deep Dive
Healthcare Influencers: We sat down with beWellnm CEO Amy Dowd at NHPC16
Dowd elaborated on the state exchange's response when 15,000-17,000 individuals lost their plan coverage through Blue Cross and Blue Shield of Mexico.
By Jeff Byers • Feb. 3, 2016 -
No details on how Aetna would integrate Humana
Aetna's one promise is to run its government-related businesses from Louisville.
By Heather Caspi • Feb. 3, 2016 -
Is healthcare proving pivotal in presidential race?
While healthcare is playing a prominent role in debate, it may play a smaller role in voters' decisions.
By Heather Caspi • Feb. 3, 2016 -
Ohio health co-op drops major hospital system
The change was announced just as open enrollment was coming to a close.
By Heather Caspi • Feb. 3, 2016 -
Boston Children's Hospital, Aetna announce conflict resolution
The pair have reached a deal on reimbursement rates to end their contract dispute.
By Heather Caspi • Feb. 3, 2016 -
Deep Dive
Wellness trends raise eyebrows in 2016
Companies may soon have more on the line in terms of employee health.
By Heather Caspi • Feb. 3, 2016 -
On-demand healthcare's allure predicted to net $1B in 2017
Willingness of large payers to reimburse for such services are driving investment interests.
By Meg Bryant • Feb. 3, 2016 -
How EMR miscommunication can contribute to $1.7B in US malpractice claims
Poor communication continues to be a major factor in malpractice claims, 22 years after a Boston Globe reporter’s death propelled the problem into the national spotlight.
By Meg Bryant • Feb. 3, 2016 -
Centene raises Health Net bond offering to $2.4B
The Centene-Health Net deal, valued at $6.8 billion, would create a managed care company with more than 10 million members and close to $37 billion in revenue.
By Nina Flanagan • Feb. 2, 2016 -
Report: UnitedHealth subsidiary marketing itself on ACA exchanges
Amid talks of leaving ACA's public exchanges, a 4site Health report finds UnitedHealth subsidiary Harken Health is marketing new health insurance products on the exchanges in Atlanta and Chicago.
By Nina Flanagan • Feb. 2, 2016 -
Aetna: ACA plans remain 'unprofitable,' Medicare, Medicaid business growing
The company's Medicare and Medicaid plans helped its government revenues rise to $5.3 billion.
By Jeff Byers • Feb. 1, 2016 -
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 -
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