Payer: Page 191
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Could Medicaid expansion be inevitable for state holdouts?
HHS Secretary Sylvia Burwell said that certain economic drivers, like high numbers of hospital closings and unpaid services, may eventually sway the remaining 19 states to expand Medicaid.
By Nina Flanagan • Feb. 9, 2016 -
New U.S. employer alliance highlights the battle for employee health data
The Health Transformation Alliance, whose members provide health benefits for a combined four million employees and family members, is sparking debate with its plan to pool employee health data to improve health outcomes.
By Heather Caspi • Feb. 9, 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 -
Did the ACA plans cause this Blue Cross parent to lay off workers?
The layoffs come as an aftermath of HCSC's financial losses after taking on enrollees who bought health plans on ACA exchanges.
By Ana Mulero • Feb. 8, 2016 -
Cigna announces encouraging final quarter profit
Predictions for 2016, meanwhile, factor in Cigna's suspension from enrollment and marketing of its Medicare Advantage plans.
By Heather Caspi • Feb. 8, 2016 -
Humana sued over denial of colorectal cancer screenings
Exact Sciences is questioning Humana's legal basis for denying coverage in some states.
By Heather Caspi • Feb. 8, 2016 -
HHS touts enrollment of 12.7 million in ACA health plans
While the government is pleased, some insurers are not.
By Heather Caspi • Feb. 8, 2016 -
Deep Dive
Will Maryland's pioneering healthcare system become the nation's new roadmap?
Health advocates and lawmakers are watching closely to see if the only state with an all-payer payment model is successful.
By Nina Flanagan • Feb. 6, 2016 -
Obama proposes way to make 'Cadillac' tax more palatable
The president wants to recast the ACA excise tax on high-cost health plans to reflect regional differences.
By Meg Bryant • Feb. 5, 2016 -
HHS proposes to modernize privacy rules on substance abuse records
While the proposed revisions signal the growing need to share health data as healthcare models become increasingly integrated, some believe the patients affected by the rule may not understand what consent they will be signing away.
By Jeff Byers • Feb. 5, 2016 -
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 -
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 -
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 -
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 -
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 -
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 -
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 -
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 -
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 -
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 -
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 -
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 -
Montgomery County Planning Commission
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
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