Payer: Page 190
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How a California initiative aims to cap hospital executives' pay
While hospitals execs would be impacted by the caps, the state would also need to formulate a plan to enforce them.
By Heather Caspi • Jan. 28, 2016 -
CMS gives telehealth green light for face-to-face Medicaid visits
In addition, CMS recently launched its first home health patient experience of care star ratings.
By Ana Mulero • Jan. 28, 2016 -
N.Y. slows Medicaid spending growth to 1.4%
Though costs are being better contained, debate over funding remains.
By Heather Caspi • Jan. 27, 2016 -
Centene misplaces hard drives; 950,000 affected
The bad news comes as Centene is working to close a merger deal with HealthNet.
By Meg Bryant • Jan. 27, 2016 -
Cruz control: GOP candidate fesses up to having health insurance
The cheapest option for the Cruz family would be to find coverage through the Washington, DC, healthcare exchange, but that would amount to an endorsement of Obamacare.
By Meg Bryant • Jan. 27, 2016 -
How some insurers are tackling opioid abuse through social work
The plans are betting beefing up their social worker ranks will enable real recoveries and cut costs.
By Heather Caspi • Jan. 27, 2016 -
CMS puts preventable readmissions of minorities, poor under the microscope
A new CMS guide offers strategies for addressing the underlying reasons for such readmissions.
By Heather Caspi • Jan. 27, 2016 -
After delays, Iowa's Medicaid privatization poised for March 1 launch
The federal government delayed the original launch date by two months due to low provider sign-up in the new managed care system.
By Meg Bryant • Jan. 27, 2016 -
Healthcare tops U.S. News & World Report's '100 Best Jobs' list
According to the 2016 list, orthodontics, followed by dentistry and computer system analytics, reigns supreme.
By Ana Mulero • Jan. 27, 2016 -
Deep Dive
All eyes are on ACA co-ops' health for 2016
Aside from monitoring the co-ops themselves, the federal government may need to take some action to support them.
By Heather Caspi • Jan. 27, 2016 -
Case debates whether California's top 4 health plans are insurers
If recategorized as insurers, the plans could owe billions in back taxes.
By Heather Caspi • Jan. 26, 2016 -
Deep Dive
Could direct primary care go mainstream?
Proponents of the model are finding a growing market.
By Heather Caspi • Jan. 26, 2016 -
How is the federal government spending more on healthcare programs than Social Security?
The ACA's Medicare expansions and exchanges spiked healthcare spending, according to a recent CBO analysis.
By Ana Mulero • Jan. 26, 2016 -
Utah grappling with Medicaid expansion
Utah lawmakers are proposing a variety of Medicaid expansion plans, hoping to find a resolution this year.
By Nina Flanagan • Jan. 26, 2016 -
Standardized ACA plans could lower out-of-pocket costs
First, however, issuers would have to opt in to the voluntary design.
By Heather Caspi • Jan. 26, 2016 -
Employers cutting insurance costs by excluding outpatient surgery
New regulations requiring large employers to provide health insurance is resulting in dubious cost-cutting measures, such as excluding coverage of outpatient surgeries.
By Nina Flanagan • Jan. 26, 2016 -
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 -
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