Payer: Page 194
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It's official: Shareholders OK Aetna-Humana merger
Antitrust scrutiny is the next hurdle the companies need to overcome.
By Jeff Byers • Oct. 20, 2015 -
Deep Dive
SIIA Conference: Is direct contracting ready for takeoff?
A panel from all sides of the aisle discuss the medical travel trend.
By Jeff Byers • Oct. 19, 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 -
Cigna withdraws Florida marketplace plans due to 'abuse'
The company plans to return in 2017 with modified offerings.
By Heather Caspi • Oct. 19, 2015 -
UnitedHealth to enter 11 more marketplaces, revenue up 27% in Q3
The company is looking to exchanges as a strong growth market for 2016.
By Heather Caspi • Oct. 19, 2015 -
Oregon, Colorado latest in series of health co-op closures
Reduced risk corridor funding has been the nail in the coffin for several co-ops.
By Heather Caspi • Oct. 19, 2015 -
HCA earnings suggest ACA market boom winding down
Does a weak third-quarter for HCA signal anything deeper for the industry at large?
By Heather Caspi • Oct. 19, 2015 -
Deep Dive
The ripeness for the behavioral health market is now
As it remains to be seen which companies will be the most successful, renewed focus on mental health is spurring on investors.
By Nina Flanagan • Oct. 19, 2015 -
Aetna, Humana shareholders gearing up for Monday vote
The controversial merger requires the approval of the majority of the two companies' shareholders.
By Heather Caspi • Oct. 16, 2015 -
HHS projects 10 million to have marketplace plans by late 2016
While HHS is touting the expected increase, oberservers note it's a small one.
By Heather Caspi • Oct. 16, 2015 -
Massachusetts to notify insurers reaching excessive cost growth
The new process is part of the state's effort to limit increases in healthcare costs.
By Heather Caspi • Oct. 16, 2015 -
Study asks if high deductible health plans are working
By avoiding healthcare services to save money, enrollees could find themselves paying more in the long run.
By Heather Caspi • Oct. 16, 2015 -
Maryland health exchange site didn't protect patient information, audit finds
A state audit also discovered million dollar contracts were awarded without ensuring the money was properly spent.
By Nina Flanagan • Oct. 15, 2015 -
Study: Decreases in 'low-value' services not significant
Three of seven 'low-value' healthcare services have slightly decreased.
By Nina Flanagan • Oct. 15, 2015 -
CMS says HealthCare.gov will honor Do Not Track requests
Users will not be tracked when they opt out.
By Nina Flanagan • Oct. 15, 2015 -
Latest attempt at Utah Medicaid expansion poised for defeat
The proposal is deemed "doomed" due to lack of bipartisan support.
By Heather Caspi • Oct. 14, 2015 -
Tennessee health co-op to stop offering coverage in 2016
Another health co-op bites the dust.
By Jeff Byers • Oct. 14, 2015 -
HealthCare.gov to get revamped for decision support
Officials hope customers will enjoy an easier and more informative shopping experience.
By Heather Caspi • Oct. 14, 2015 -
IRS announces 4.3% PCORI fee increase
The fee will apply to policy and health plan years that end from Oct. 1, 2015 to Oct. 1, 2016.
By Jeff Byers • Oct. 14, 2015 -
Texas insurers, providers engage in balance billing battle
While industry groups blame each other, advocates say the blame is shared.
By Heather Caspi • Oct. 14, 2015 -
Minnesota exchange struggles as insurers leave with customers
The trend is likely to continue until lawmakers intervene, experts say.
By Heather Caspi • Oct. 14, 2015 -
Pittsburgh plans switch to self-insurance
The move is projected to save $7 million while improving benefits.
By Heather Caspi • Oct. 14, 2015 -
Kentucky Health Co-op closing due to financial hardships
Close to 51,000 members will have to find other insurance by Dec. 31.
By Nina Flanagan • Oct. 13, 2015 -
AHIP surveys find 'Cadillac tax' a drag on employers
Employers add their thoughts to the Cadillac tax discussion. To no surprise, it's not favorable.
By Jeff Byers • Oct. 13, 2015 -
15M uninsured individuals eligible for Medicaid or subsidized coverage
A Kaiser Family Foundation report provides state-level data on people without insurance who are eligible for Medicaid or subsidized ACA coverage, and on those who are ineligible.
By Jeff Byers • Oct. 13, 2015 -
Gov. Brown signs bill to cover illegal children with health insurance
In addition, New York City plans to expand low-cost healthcare to uninsured immigrants under a pilot program next year.
By Nina Flanagan • Oct. 13, 2015