Payer: Page 193
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Uninsured hospital stays fell sharply in states that expanded Medicaid, study finds
New research published in Health Affairs could help influence states on the fence over expanding Medicaid programs.
By Jeff Byers • Jan. 5, 2016 -
Deep Dive
Health insurers look toward breaking down the big data walls
Siloed data are big barriers when it comes to health plans utilizing big data, but starting small and adding clinical value could provide the ROI insurers are looking for.
By Heather Caspi • Jan. 5, 2016 -
ACA plans comp doctor visits to attract patients
Some marketplace health plans are using the tactic to stand out and, hopefully, lower costs down the line.
By Heather Caspi • Jan. 5, 2016 -
CMS, ONC open suggestion box on quality data submission
The agencies are looking to reduce the reporting burdens on providers and developers.
By Heather Caspi • Jan. 4, 2016 -
CMS releases draft plan on quality measure development
Quality measures for new payment models will further promote provider accountability.
By Heather Caspi • Jan. 4, 2016 -
New Kentucky governor scales back stance on Medicaid expansion reversal
Stating the current incarnation is unsustainable, Gov. Matt Bevin (R) is exploring an ACA federal waiver option as opposed to dismantling the expansion entirely.
By Heather Caspi • Jan. 4, 2016 -
Deep Dive
Keeping an eye on the prize: 8 healthcare topics to watch in 2016
From the 2016 presidential election to behavioral healthcare, the industry has its work cut out for it this year.
By Nina Flanagan • Jan. 4, 2016 -
CMS pushes back against risk score 'zombification'
The ACA's risk adjustment program, which shifts money between insurers, hinges on risk score credibility.
By Heather Caspi • Dec. 23, 2015 -
CMS online tool reveals Medicare drug spending disparities
The agency, while noting prescription drug spending increased by 12% in 2014, has launched a digital dashboard for the public to view drug spending and usage trends.
By Heather Caspi • Dec. 23, 2015 -
Deep Dive
8 takeaways from healthcare's 2015
From collapsing health co-ops and megamergers to the "Uber of healthcare," 2015 wasn't short on industry thrills and spills.
By Jeff Byers • Dec. 23, 2015 -
Three big insurers gain most Medicare Advantage members
If the Aetna acquisition of Humana goes forward, the combined organization would be the largest Medicare Advantage company in the U.S.
By Nina Flanagan • Dec. 22, 2015 -
Deep Dive
How regulations changed reimbursement in 2015, outlooks for 2016
Three industry experts weigh in on the changing reimbursement regulations, including their effects on Medicare Advantage and payer costs.
By Heather Caspi • Dec. 22, 2015 -
Private health exchanges puts employees in driver's seat to choose benefits
The rising model is, with expanded offerings like wellness and life benefits, are increasingly attractive for many competitive small and mid-sized companies.
By Heather Caspi • Dec. 22, 2015 -
Colorado to vote on single-payer healthcare in 2016
Whether or not residents like the plan, they may not like its pricetag.
By Heather Caspi • Dec. 22, 2015 -
CMS releases fee-for-service data on home health agencies
The data, which identifies individual agencies, are provided for transparency.
By Heather Caspi • Dec. 21, 2015 -
As Medicaid expands, so does room for error
Program expansion is leading to improved outlooks for some insurers, but nearly doubling the rate of improper payments.
By Heather Caspi • Dec. 21, 2015 -
Deep Dive
Is population health business poised to break out in 2016?
Providers, payers, and vendors are warming up to population health but challenges remain.
By Nina Flanagan • Dec. 21, 2015 -
Oscar credits ACA, simple message for enrollment spike
The insurer, known for its quirky ads and user-friendly mobile app, continues to work towards profitability and expansion.
By Heather Caspi • Dec. 21, 2015 -
Kaiser Permanente to teach a thing or two with new medical school
About 44 students will enter the inaugural class in fall 2019.
By Heather Caspi • Dec. 18, 2015 -
VA insurance coverage sends ReWalk stock through roof
The company's shares rose 76% following news veterans will now be eligible for robotic legs coverage.
By Heather Caspi • Dec. 18, 2015 -
Catholic Health, BlueCross BlueShield settle differences, renew agreement
After a lawsuit filed by BlueCross BlueShield of Western New York against Catholic Health was dropped, the organizations are primed to dive into a new three-year agreement.
By Nina Flanagan • Dec. 17, 2015 -
Arkansas task force focuses to finalize state's Medicaid recommendations
As talks continue, the Health Reform Legislative Task Force yesterday approved Governor Asa Hutchinson's efforts to seek federal waivers to explore Medicaid expansion in the state.
By Nina Flanagan • Dec. 17, 2015 -
Medi-Cal sued in Latino civil rights argument
With Latinos comprising the bulk of program recipients, they argue the system is separate and unequal.
By Heather Caspi • Dec. 16, 2015 -
Deep Dive
Payers weigh in on Cadillac tax, digitization and more for 2016
Industry stakeholders share their varied viewpoints, with many agreeing on similar themes.
By Heather Caspi • Dec. 16, 2015 -
UPDATED: President signs omnibus including 'Cadillac' and medical device tax delays
With the president's signature, the ACA's Cadillac tax will be kicked back to 2020 while the medical device tax will be suspended through 2017.
By Jeff Byers • Dec. 16, 2015
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