Payer: Page 196
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Anthem CEO not anticipating divestitures with Cigna purchase
CEO Joe Swedish is expressing optimism as he seeks to close the proposed deal.
By Heather Caspi • Oct. 2, 2015 -
Nursing homes billing Medicare for excessive therapy
The OIG says Medicare's payment system for nursing homes needs a face-lift.
By Heather Caspi • Oct. 2, 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 -
Deep Dive
Disrupt this: ICD-10 one step in healthcare innovation
ICD-10 flipped the script on healthcare billing but it's not the only disruption healthcare will experience in coming years.
By Jeff Byers • Oct. 1, 2015 -
Report finds health prices not tied to use
Health Care Cost Institute analysis finds some markets have both high prices and use, among other findings.
By Jeff Byers • Oct. 1, 2015 -
OCR will launch phase 2 of HIPAA audits in 'early 2016'
Responses to an HHS Office of Inspector General report reveal a vague timeline.
By Jeff Byers • Oct. 1, 2015 -
Deep Dive
Hell freezes over: ICD-10 becomes a reality
As late as last year, the AMA publicly said it wanted ICD-10 buried for good. But a significant CMS concession helped clear the way.
By Randy Lilleston • Oct. 1, 2015 -
Federal employee health program premiums to increase an average 6.4%
Government officials said the increases are in line with certain estimated private-sector plan markups.
By Jeff Byers • Sept. 30, 2015 -
More nonprofit hospitals expected to enter health insurance business
It's an upward trend despite significant risks, Moody's says.
By Heather Caspi • Sept. 30, 2015 -
Survey: consumers spend less than 30 minutes researching plans
Many would rather clean their toilets than research benefits, respondents say.
By Heather Caspi • Sept. 30, 2015 -
GAO seeks improved oversight of Medicare Advantage network adequacy
CMS has not verified the accuracy of networks or the availability of those providers listed.
By Heather Caspi • Sept. 30, 2015 -
Hawaii proposes waiver on some ACA provisions
The proposal, which seeks to waive SHOP participation in 2017, is the first of its kind in the U.S.
By Jeff Byers • Sept. 29, 2015 -
HHS OIG uncovers $30M worth of mysterious Medicare ambulance rides
It’s not a Scooby-Do plot point.
By Jeff Byers • Sept. 29, 2015 -
House agrees to ACA tweak to block 'small employer' definition expansion
Some believe such an expansion could shake up the small-group insurer market.
By Jeff Byers • Sept. 29, 2015 -
California law allows midwives to care for Medi-Cal patients
Licensed midwives provide another choice for low-cost, high-value care, advocates say.
By Heather Caspi • Sept. 29, 2015 -
D.C. insurance marketplace tests shopping tool
Consumers can now compare plans based on out-of-pocket costs and doctor availability.
By Heather Caspi • Sept. 29, 2015 -
New York health Co-op ordered to shut its doors
The mandate affects 108,000 individual plans signed up through the health exchange.
By Jeff Byers • Sept. 29, 2015 -
30% of payers submitted 2014 ACA provider fee forms late
Many of the late filers told the IRS they were unaware of the new Form 8963 filing requirement.
By Heather Caspi • Sept. 28, 2015 -
Psychiatric group argues mega-mergers bad for mental healthcare access
The American Psychiatric Association has joined the AMA, the AHA and the AAFP in warning regulators against the proposed deals.
By Heather Caspi • Sept. 28, 2015 -
FDA
CMS switches up Medicare clinical lab test payments with proposed rule
The initiative would start a data collection process to set new payment rates.
By Jeff Byers • Sept. 27, 2015 -
Sanders, Democrats intro bill to repeal 'Cadillac tax'
Another bill sets its sight on the controversial measure.
By Jeff Byers • Sept. 25, 2015 -
AHIMA debuts ICD-10 code checking service
The healthcare organization will help answer coding questions beginning Oct. 12. For a price.
By Jeff Byers • Sept. 25, 2015 -
Employee insurance deductibles rising faster than earnings
A Kaiser survey shows such deductibles have risen six times faster than earnings since 2010.
By Nina Flanagan • Sept. 24, 2015 -
Montgomery County Planning Commission
Aetna, Anthem say megamergers will benefit consumers, maintain competition
Insurance CEOs assure Senate subcommittee mergers won't affect the market.
By Nina Flanagan • Sept. 24, 2015 -
California's new website compares medical costs, insurance payments
California Healthcare Compare provides comparison shopping for medical consumers.
By Nina Flanagan • Sept. 24, 2015 -
Blue Cross Blue Shield Association release floodwall of data, welcome Axis
The database has already allowed one company to identify potential healthcare savings of more than $3 million.
By Jeff Byers • Sept. 24, 2015
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