Payer: Page 197


  • 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
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    Yujin Kim/Healthcare Dive
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    Trendline

    Payer/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 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 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 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 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
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    Fotolia
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    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 Sept. 16, 2015
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    Dollar Photo Club
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    Drug reform bill would allow Medicare to negotiate prices

    Will unleashing government negotiating power have the desired impact?

    By Heather Caspi • Sept. 16, 2015
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    Fotolia
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    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
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    Fotolia
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    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
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    NICHOLAS KAMM/AFP/Getty Images, Edited by: Kendall Davis/Biopharma Dive
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    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 Sept. 15, 2015
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    Google
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    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 Sept. 15, 2015
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    Dollar Photo Club
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    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