Payer: Page
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Deep Dive
Health insurance market entrants face cold, lonely path ahead
Those intrepid enough to step into the "extremely difficult" business climate will have to overcome the already-established relationships between enrollees and other plans.
By Heather Caspi • March 8, 2016 -
The rise of long-term care plans in life insurance plans
Hybrid policies provide long-term care with life insurance or a fixed annuity.
By Nina Flanagan • March 8, 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 -
Deep Dive
'Doctorpreneurs' breathing new life into healthcare seed funding
Instead of building something that works great outside of healthcare, and trying to force-fit it into healthcare, innovators must take the opposite approach—working first with investors or partners
By Meg Bryant • March 8, 2016 -
Is a Maryland health exchange getting a 'free pass' on its budget?
Watchdogs suggest state legislators should be asking questions--many of them.
By Heather Caspi • March 8, 2016 -
Fine furthers Tenet rough patch
While the company sorts through setbacks and losses, its stock price is looking up.
By Heather Caspi • March 8, 2016 -
New Hampshire upgrades healthcare cost comparison website
The state, already considered to have the best such tool, continues forging ahead.
By Heather Caspi • March 7, 2016 -
Savvy healthcare consumers may not truly impact health care spending
A recent research report digs into consumer-driven healthcare – and finds it may not save as much money as employers believe.
By Tom Starner • March 7, 2016 -
Maryland co-op taps into special sauce, announces record revenue
Evergreen Health is bucking the co-op trend with its strong 2015 results.
By Heather Caspi • March 7, 2016 -
Medicaid expansion approved for Flint residents affected by lead exposure
Michigan's demonstration to expand Medicaid coverage and services in Flint will last for five years.
By Ana Mulero • March 4, 2016 -
SCOTUS: States can't force health insurers to share claims data
Justice Anthony Kennedy said Vermont’s law and others like it interfere with “nationally uniform” health plan administration.
By Meg Bryant • March 4, 2016 -
Deep Dive
HIMSS16: Arien Malec warns MACRA preparation needs to begin now
Every dollar for how you’re going to get paid by CMS is going to change, Malec says.
By Jeff Byers • March 3, 2016 -
CMS to terminate Medicare contract for IHS hospital
The Rosebud Indian Health Service (IHS) hospital has two weeks to correct its patient safety problems.
By Heather Caspi • March 3, 2016 -
Long-term solution sought for ACA health insurer tax
State Medicaid agencies say the current one-year suspension should only be viewed as a start.
By Heather Caspi • March 3, 2016 -
Obama administration ties 30% of Medicare payments to quality
Its timeline for shifting Medicare payments from quantity to quality of care is ahead of schedule as the goal was to reach this percentage by the end of the year.
By Ana Mulero • March 3, 2016 -
Chicago co-op loses $90.8M in 2015
Land of Lincoln Health, a Chicago-based health insurance company, operates as the only co-op in Illinois.
By Nina Flanagan • March 3, 2016 -
Medical Mutual acquires HealthSpan's insurance
HealthSpan, a former Kaiser Permanente of Ohio insurance company, said their operation was too small to be viable in the market.
By Nina Flanagan • March 3, 2016 -
Blue Shield of CA pink slips up to 460 employees
The California health plan said reducing administrative costs will help make plans more affordable.
By Meg Bryant • March 2, 2016 -
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
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