Payer: Page
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California moves on new insurer tax package
If it passes, the tax would hit nine health plans that the state does not currently tax.
By Heather Caspi • Feb. 29, 2016 -
Blue Cross firms ducking out on ACA commissions
Blue Cross insists its commitment to offering health plans under Obamacare is unchanged.
By Meg Bryant • Feb. 26, 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 -
Private insurance data illuminates potential areas for cost savings
Research shows that consolidation of outpatient practices leads to higher cancer treatment costs.
By Meg Bryant • Feb. 26, 2016 -
More insured not translating to less bad debt for hospitals
The number of people enrolled in high deductible health plans has grown under the ACA.
By Meg Bryant • Feb. 26, 2016 -
Zenefits aims to 'grow in a controlled way' by laying off 17% of workforce
It's part of new CEO David Sack's continued mission to 'refocus' the controversy-plagued tech company.
By Kathryn Moody • Feb. 26, 2016 -
UPMC argues for liability insurer to pony up $12.5M for antitrust settlement
UPMC is trying to move a settlement forward and pass the bill to United Educators Insurance.
By Heather Caspi • Feb. 25, 2016 -
FDA
Deep DivePrecision medicine: So close, yet so far away
“Just on a chemical basis, some targets are easy and some targets are hard … and the hard ones require more cost for a company."
By Meg Bryant • Feb. 25, 2016 -
Health Republic Insurance slams feds with $5B suit; claims withheld ACA funds
The insurer filed an action lawsuit against the U.S. for not coming through with promised ACA funds.
By Shalina Chatlani • Feb. 25, 2016 -
Kansas' $1B price tag for not expanding Medicaid
The Kansas Hospital Administration says the state is losing $1 billion in federal funds by not expanding Medicaid.
By Nina Flanagan • Feb. 25, 2016 -
BCBSA study highlights savings of outpatient care
In addition to costing less, outpatient care can achieve similar or better results, the study says.
By Heather Caspi • Feb. 25, 2016 -
Tenet near settlement on Georgia kickback charges, posts 2015 Q4 loss
While uncompensated care grew overall, Tenet’s six Medicaid expansion states saw a drop in uninsured admissions.
By Meg Bryant • Feb. 24, 2016 -
After receiving $12.5M last year, this health benefits startup laid off 25% of its staff
The company raised the cash in venture capital funding last year but is looking to stay lean during tough times.
By Meg Bryant • Feb. 24, 2016 -
Coming this spring: CMS' MIPS payment model details
CMS is investing $650 million to help more than 140,000 physicians make the shift to a value-based payment model.
By Meg Bryant • Feb. 24, 2016 -
Oscar gets estimated $2.7B value after $400M Fidelity fiscal infusion
Some suggest the large investment provides validation for the insurer in light of the recent collapse in tech valuations.
By Heather Caspi • Feb. 24, 2016 -
California health plan tax supporters optimistic
Legislation that would expand a tax on health plans could be decided this week.
By Heather Caspi • Feb. 24, 2016 -
Wyoming, Maine see further efforts toward Medicaid expansion
Supporters in each state hope the next attempt will be the charm.
By Heather Caspi • Feb. 24, 2016 -
Deep Dive
Study challenges Medicare payment differential for outpatient settings
Does it make sense for physician offices to get a different rate than off-campus hospital outpatient departments?
By Heather Caspi • Feb. 23, 2016 -
Downplayed merger meeting hints at deals among BCBS insurers
Will the cycle of industry consolidation push some of the Blue plans into a deal?
By Heather Caspi • Feb. 23, 2016 -
Deep Dive
Cash discounts for bypassing insurance stirs up debate, administrative unease
The process may provide a short-term gain for all involved, but could it hurt in the long run?
By Heather Caspi • Feb. 22, 2016 -
CMS sends overhauled Medicaid 'uber rule' to OMB
The "uber rule," which upgrades Medicaid managed care for the first time in over 10 years, could be published in May, a full year after its proposal.
By Heather Caspi • Feb. 22, 2016 -
UPMC claims to bump Highmark as top Western Pa. insurer
If the finding is true, it has good and bad implications for both parties.
By Heather Caspi • Feb. 22, 2016 -
51 hospitals reach $23M settlement as DOJ concludes cardiac device investigation
A whistleblower alleged the hospitals implanted cardiac devices in elderly patients in violation of Medicare coverage requirements.
By Meg Bryant • Feb. 19, 2016 -
California slow to warm up to Oscar
Oscar’s slow start in California illustrates the difficulty competing with market strongholds like Anthem and Blue Shield.
By Meg Bryant • Feb. 19, 2016 -
Why Covered California could become first in the U.S. to set commissions for ACA signups
The exchange feels such rules are needed to ensure health plans don’t use commissions as a way of avoiding sicker, more costly consumers.
By Meg Bryant • Feb. 19, 2016 -
CMS' proposed Medicare Advantage 2017 rates spark insurer shares boost
Insurer shares rose after CMS released its 2017 proposed Medicare Advantage rates, signaling good news for carriers.
By Jeff Byers & Shalina Chatlani • Feb. 19, 2016
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