Payer: Page
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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 -
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 -
Boston Children's Hospital, Aetna announce conflict resolution
The pair have reached a deal on reimbursement rates to end their contract dispute.
By Heather Caspi • Feb. 3, 2016 -
On-demand healthcare's allure predicted to net $1B in 2017
Willingness of large payers to reimburse for such services are driving investment interests.
By Meg Bryant • Feb. 3, 2016 -
How EMR miscommunication can contribute to $1.7B in US malpractice claims
Poor communication continues to be a major factor in malpractice claims, 22 years after a Boston Globe reporter’s death propelled the problem into the national spotlight.
By Meg Bryant • Feb. 3, 2016 -
Centene raises Health Net bond offering to $2.4B
The Centene-Health Net deal, valued at $6.8 billion, would create a managed care company with more than 10 million members and close to $37 billion in revenue.
By Nina Flanagan • Feb. 2, 2016 -
Report: UnitedHealth subsidiary marketing itself on ACA exchanges
Amid talks of leaving ACA's public exchanges, a 4site Health report finds UnitedHealth subsidiary Harken Health is marketing new health insurance products on the exchanges in Atlanta and Chicago.
By Nina Flanagan • Feb. 2, 2016 -
Aetna: ACA plans remain 'unprofitable,' Medicare, Medicaid business growing
The company's Medicare and Medicaid plans helped its government revenues rise to $5.3 billion.
By Jeff Byers • Feb. 1, 2016 -
State takeover of Moda shakes up Oregon insurance market
The company says it will exit the individual market though little impact was expected in its group insurance.
By Heather Caspi • Feb. 1, 2016 -
NHPC16: The troubling physician transition to a new healthcare model
Physicians are likely to be burdened by changes to the practices during the transition to value-based care.
By Ana Mulero • Feb. 1, 2016 -
Poll finds majority of adults happy with their health insurance
The findings suggest narrow networks are not generally an issue for consumers.
By Heather Caspi • Feb. 1, 2016 -
CMS proposes sharing of claims data with 'qualified entities'
A new proposed rule encourages data sharing in an effort to improve healthcare and health spending.
By Heather Caspi • Feb. 1, 2016 -
This Architrave Health co-founder filed suit against the company he helped create
The lawsuit alleges the former CEO was ousted after blowing the whistle on a fraudulent Medicare scheme.
By Meg Bryant • Jan. 29, 2016 -
CMS proposes ACO evaluation shake-up with new rule
The agency hopes the proposed changes will increase the number of ACOs.
By Ana Mulero • Jan. 29, 2016 -
Amid state insurance disruption, new Kentucky coalition seeks to tackle poor health outcomes head on
As Kynect is set to shut down, the collaboration will share best practices and help reduce care costs.
By Meg Bryant • Jan. 29, 2016 -
Fidelity Investments steps into the private health exchange ring
Despite slow growth in exchange adoption, big benefits companies are showing big interest in the space.
By Heather Caspi • Jan. 28, 2016 -
Anthem Q4 profits plunge from ACA plans
Despite the expenses of its individual market members, the company came in with strong overall earnings for the year.
By Heather Caspi • Jan. 28, 2016 -
How a California initiative aims to cap hospital executives' pay
While hospitals execs would be impacted by the caps, the state would also need to formulate a plan to enforce them.
By Heather Caspi • Jan. 28, 2016 -
CMS gives telehealth green light for face-to-face Medicaid visits
In addition, CMS recently launched its first home health patient experience of care star ratings.
By Ana Mulero • Jan. 28, 2016 -
N.Y. slows Medicaid spending growth to 1.4%
Though costs are being better contained, debate over funding remains.
By Heather Caspi • Jan. 27, 2016 -
After delays, Iowa's Medicaid privatization poised for March 1 launch
The federal government delayed the original launch date by two months due to low provider sign-up in the new managed care system.
By Meg Bryant • Jan. 27, 2016 -
CMS puts preventable readmissions of minorities, poor under the microscope
A new CMS guide offers strategies for addressing the underlying reasons for such readmissions.
By Heather Caspi • Jan. 27, 2016 -
Centene misplaces hard drives; 950,000 affected
The bad news comes as Centene is working to close a merger deal with HealthNet.
By Meg Bryant • Jan. 27, 2016 -
Cruz control: GOP candidate fesses up to having health insurance
The cheapest option for the Cruz family would be to find coverage through the Washington, DC, healthcare exchange, but that would amount to an endorsement of Obamacare.
By Meg Bryant • Jan. 27, 2016 -
How some insurers are tackling opioid abuse through social work
The plans are betting beefing up their social worker ranks will enable real recoveries and cut costs.
By Heather Caspi • Jan. 27, 2016