Payer: Page
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CMS pulls memo detailing possible changes to Medicare's drug reimbursements for docs
Medicare may be planning to test changes to doctors' payments for drugs under Part B, according to a memo from the Centers for Medicare and Medicaid Services. The agency said the release of the memo was "premature."
By Ned Pagliarulo • Feb. 10, 2016 -
Molina doubled profits in 2015 after Medicaid expansion
The insurer increased their membership with low-income members who gained coverage under Medicaid expansions.
By Ana Mulero • Feb. 10, 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 -
Moda agrees to raise $179M to stay in business, removed from Oregon's reins
After a lifted state takeover of the insurer, the carrier agreed to generate $179 million to continue business.
By Ana Mulero • Feb. 10, 2016 -
HealthCare.gov could receive Covered California facelift
The Golden State's insurance exchange stands out as a potential model among active purchaser exchanges for the federal marketplace.
By Heather Caspi • Feb. 10, 2016 -
Deep Dive
Does Google really plan to be a payer?
Recent rumors have spurred industry experts to speculate what Google's entrance as a payer would look like.
By Heather Caspi • Feb. 9, 2016 -
Zenefits CEO steps down over broker compliance problems
BuzzFeed News discovered last year that the company had apparently allowed unlicensed brokers to sell insurance products.
By Kathryn Moody • Feb. 9, 2016 -
Obama's 2017 budget highlights healthcare's critical areas
On Tuesday, President Barack Obama released the 2017 budget. While the GOP declared the proposal dead on arrival, the request outlines major healthcare reform areas.
By Jeff Byers • Feb. 9, 2016 -
Novartis strikes rare P4P deals with Aetna & Cigna, will price heart med based on outcomes
In the deal with Cigna, the price of Entresto will be tied to the reduction in the proportion of planholders admitted to the hospital for heart failure.
By Ned Pagliarulo • Feb. 9, 2016 -
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 -
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 -
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 -
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 -
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 -
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 -
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 -
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 -
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
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