Payer: Page 191
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HIV drug access more limited in marketplace plans
An analysis finds significantly broader access under employer-sponsored plans than marketplace plans.
By Heather Caspi • Nov. 16, 2015 -
Employee healthcare costs to surpass $5K for first time
The shifting of healthcare costs onto employees has escalated their burden to record levels.
By Heather Caspi • Nov. 13, 2015 -
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 -
Special enrollment proposed for pregnancies under ACA
The Healthy MOM Act aims to make pregnancy a qualifying life event.
By Heather Caspi • Nov. 13, 2015 -
Obesity continues to trend upward despite combative efforts
New data has thwarted hopes obesity levels were getting under control.
By Heather Caspi • Nov. 13, 2015 -
Deep Dive
Will NIST's draft mobile cybersecurity guide hold up to scrutiny?
Some question if an EMM solution will meet the needs of many healthcare organizations.
By Heather Caspi • Nov. 12, 2015 -
AMA not pleased with megamergers, wrote a letter about it
The mergers will reduce competition and could inadvertently harm patient care, the organization stated.
By Jeff Byers • Nov. 12, 2015 -
High variability found in antidepressant coverage, report finds
A report details a case for broad formularies and full transparency.
By Heather Caspi • Nov. 11, 2015 -
Blue Shield of California files suit against whistleblower
In response to the suit, its former exec says he won't back down on his criticisms.
By Heather Caspi • Nov. 11, 2015 -
RWJF ranks counties on health to identify state health gaps
The report builds on the premise that “ZIP codes matter” in healthcare.
By Heather Caspi • Nov. 11, 2015 -
Supreme Court hears debate over insurer injury payments
Can health insurers demand reimbursement from injury payments that have already been spent?
By Heather Caspi • Nov. 11, 2015 -
Deep DiveThe mystery of the disappearing PPO plans
Just 33% of 2015 silver plan PPOs remain available for 2016, a study finds.
By Heather Caspi • Nov. 11, 2015 -
Deep Dive
7 buzzwords heard at the HIMSS Connected Health Conference
HIMSS President and CEO Steve Lieber discusses the evolutionary language of connected health.
By Jeff Byers • Nov. 11, 2015 -
S&P: Risk corridor program funds near depletion
The report warns external funding will probably need to be added in 2016.
By Heather Caspi • Nov. 10, 2015 -
Report: Half of California's undocumented immigrants could qualify for Medi-Cal
The study comes as a new push to extend coverage in the state.
By Randy Lilleston • Nov. 10, 2015 -
VA wasted at least $21M on ineligible Medicaid recipients
Recently, VA Gov. Terry McAuliffe (D) stated he would continue to attempt to implement Medicaid expansion for the state.
By Jeff Byers • Nov. 10, 2015 -
Can Colorado become the first state to opt out of the ACA?
State residents will vote on a measure that would start a tax-funded universal healthcare system.
By Jeff Byers • Nov. 10, 2015 -
Insurance commissioners plea to expand narrow provider networks
The National Association of Insurance Commissioners say narrow networks largely don't provide specialized care.
By Nina Flanagan • Nov. 10, 2015 -
CMS announces 2016 Medicare Part B deductibles will remain relatively 'flat'
"[M]ost people with Medicare Part B will be 'held harmless' from any increase in premiums in 2016," the agency stated.
By Jeff Byers • Nov. 10, 2015 -
House panel advances controversial mental health reform bill
Republicans and Democrats on the House panel have clashed over the bill's approach to mental health.
By Heather Caspi • Nov. 9, 2015 -
GOP, co-op administrators play the blame game over closures
Finger-pointing was widespread at a hearing last week examining the recent failures of about half of the ACA's health insurance co-ops.
By Heather Caspi • Nov. 9, 2015 -
Humana to pull marketplace plans serving 100,000
The plans were attracting higher utilization from sick patients than was expected when they were priced.
By Heather Caspi • Nov. 9, 2015 -
CMS addresses underpayment for dual-eligibles
The agency has reversed its position following persistent complaints from impacted health plans.
By Heather Caspi • Nov. 6, 2015 -
CMS loses 2 more Pioneer ACOs, prepares Next Generation model
The program has dropped from 32 participants in 2012 to 16 as of this month.
By Heather Caspi • Nov. 6, 2015 -
Uninsured rate drops to record 9%
A steep decline from 2013 to 2015 has put the nation's uninsured rate in the single digits.
By Heather Caspi • Nov. 6, 2015 -
Humana to pilot telehealth program for elderly in Arizona
Humana will pilot the program in Arizona, Washington, plus 13 additional states.
By Nina Flanagan • Nov. 5, 2015
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