Payer: Page 197
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Economists call for worldwide universal health coverage
A declaration in The Lancet argues it's the "economically smart thing to do."
By Heather Caspi • Sept. 23, 2015 -
NCQA swaps health plan rankings for ratings
The new system emphasizes outcomes and patient satisfaction.
By Heather Caspi • Sept. 23, 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 -
17.6M have gained health coverage through ACA
HHS plans to go after the remaining 10.5 million eligible and uninsured individuals.
By Heather Caspi • Sept. 23, 2015 -
JAMA: Pioneer ACOs reducing low-benefit services
A report concludes healthcare improved after participation in an ACO alternative payment model.
By Heather Caspi • Sept. 23, 2015 -
CMS reports stable Medicare Advantage premiums, record enrollment
The ACA is cited for keeping costs down coupled with increased quality of care.
By Heather Caspi • Sept. 23, 2015 -
Deep Dive
Survey: Consumerism demands improved healthcare customer service
Effortlessness may weigh most heavily with healthcare consumers used to choosing the path of least resistance.
By Heather Caspi • Sept. 23, 2015 -
Wyoming burns through most of hospital subsidy fund
The state has given $1.3 million -- out of an earmarked $2 million -- to 18 hospitals since July.
By Jeff Byers • Sept. 22, 2015 -
False Medi-claims allegations result in $115M price-tag
Adventist Health System, which operates healthcare facilities in 10 states, agrees to settle improper compensation allegations.
By Jeff Byers • Sept. 22, 2015 -
Insurance startup raises $100M to impact senior care through data
Clover Health is taking aim at the big Medicare health insurance companies through its use of data.
By Heather Caspi • Sept. 21, 2015 -
Circuit court rules against ACA's contraception mandate
The federal appeals court decision could push the case to the Supreme Court.
By Jeff Byers • Sept. 18, 2015 -
New insurance option impacts federal employee health rates
While the government expects a neutral budget impact, enrollees will see changes in their premiums.
By Heather Caspi • Sept. 18, 2015 -
Cigna CEO says Anthem deal will increase choice
A reduction in the number of major health insurers will not harm competition, according to Cigna CEO David Cordani.
By Heather Caspi • Sept. 18, 2015 -
Medicare Advantage enrollment hits close to 18M members
CMS data show program enrollment up by 7.3% since 2014.
By Jeff Byers • Sept. 17, 2015 -
U.S. Census: Uninsured Americans down 13.3% from 2013
Federal data show people without health insurance for the entire 2014 calendar year was 10.4%.
By Nina Flanagan • Sept. 17, 2015 -
Banner Health all-in for Cerner EHR
Banner Health ditches a $115 million Epic EHR system at two recently acquired hospitals.
By Nina Flanagan • Sept. 17, 2015 -
Deep Dive
Questions surround payer impact of transgender care
Will coverage utlimately prove cost-effective?
By Heather Caspi • Sept. 16, 2015 -
Repealing ACA's individual mandate would save $300B, CBO says
“That total consists of a $311 billion decrease in direct spending partially offset by a $6 billion decrease in revenues,” the newly released report stated.
By Jeff Byers • Sept. 16, 2015 -
Drug reform bill would allow Medicare to negotiate prices
Will unleashing government negotiating power have the desired impact?
By Heather Caspi • Sept. 16, 2015 -
US Court of Appeals revives lawsuit against Aetna
The ruling makes no distinction between assignment of benefits and assignment of a legal claim to those benefits.
By Heather Caspi • Sept. 16, 2015 -
California legislators pass medical marijuana regulation
The regulation will change everything for patients but little for the healthcare industry.
By Heather Caspi • Sept. 16, 2015 -
Why Medicare ACOs have yet to generate savings
Performance has fallen short of predictions 2014 would achieve savings up to $320 million.
By Heather Caspi • Sept. 16, 2015 -
Is Medicare penalizing hospitals with high admission rates?
Newly published research concludes Medicare may penalize hospitals with such rates based on patients they serve.
By Jeff Byers • Sept. 15, 2015 -
Google Capital invests $32.5M in Oscar Health
A Google employee said the potentially disruptive insurer stood out because it has the potential to lower consumer healthcare costs.
By Jeff Byers • Sept. 15, 2015 -
Study: ACA key to rise in chronic disease diagnosis
People with health insurance are more likely to be diagnosed with chronic conditions than the uninsured.
By Nina Flanagan • Sept. 15, 2015 -
States face 4 challenge areas rolling out Medicaid ACOs
Integration of long-term care is among the factors that will make or break Medicaid ACOs.
By Heather Caspi • Sept. 15, 2015