Payer: Page 198


  • In 2014, hospital discharges took a dive

    Modern Healthcare analysis finds U.S. patient discharges dropped about 8% from 2013 to 2014.

    By Sept. 14, 2015
  • Under ACA, 400,000 immigrants lose health coverage

    That’s almost four times the amount as last year.

    By Sept. 14, 2015
  • Explore the Trendline
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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
  • House hearing on mega-mergers creates clash of titans

    Thursday marked the first official chance for critics to argue against the Aetna/Humana and Anthem/Cigna deals.

    By Heather Caspi • Sept. 14, 2015
  • Deep Dive

    Are you prepared for the ICD-10 deadline?

    “There is no grace period.”

    By Julie Henry • Sept. 11, 2015
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    New York-based plan Excellus experiences third largest HIPAA breach, affects 10M

    The company is working with the FBI to determine the scope of the breach.

    By Heather Caspi • Sept. 11, 2015
  • 300,000 dropped health coverage since March

    Premiums were obtained via HealthCare.gov and state exchanges. 

    By Nina Flanagan • Sept. 10, 2015
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    CA Assembly approves assisted suicide bill

    The bill will go to the state Senate, who is expected to pass the measure.

    By Sept. 10, 2015
  • AMA names 10 least competitive states for health insurance

    The doctor organization aims to identify markets where competition could reach unacceptably low levels.

    By Heather Caspi • Sept. 9, 2015
  • Obama signs executive order giving paid sick leave to federal contractors

    An estimated 44 million private sector workers do not have paid sick leave time access, according to The White House.

    By Sept. 9, 2015
  • Mergers give no love to health insurers, AMA says

    Nearly half of US could experience diminished competition in local health markets, the group claims.

    By Sept. 9, 2015
  • Maryland's top ACA health plan raises rates up to 26%

    Will enrollees be able and willing to pay the increase?

    By Heather Caspi • Sept. 9, 2015
  • Louisiana takes possession of failed co-op

    The nonprofit health insurer is now being run by the state insurance commissioner.

    By Heather Caspi • Sept. 9, 2015
  • Highmark Health to reduce marketplace offerings

    Highmark is looking to narrow its products and networks.

    By Heather Caspi • Sept. 9, 2015
  • Deep Dive

    Customer service key for North Shore-LIJ health plan success

    The provider-owned plan, which saw a 160% membership increase and tripling of revenue in the past year, intends to keep a personal feel as it grows.

    By Heather Caspi • Sept. 9, 2015
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    CMS announces plan to address health equity in Medicare

    Equity is often forgotten in the drive to meet patient needs, CMS says.

    By Heather Caspi • Sept. 9, 2015
  • HCA growth strategy bucks industry trends

    The company plans to expand, but not through acquisitions.

    By Heather Caspi • Sept. 4, 2015
  • New Jersey on the hook for $32M in improper Medicare payments

    Federal investigators found issues with the state's claims for personal care assistance.

    By Heather Caspi • Sept. 2, 2015
  • AHIP guides insurers on boosting adult immunizations

    As part of a cost-saving preventative care strategy, AHIP is pushing adult vaccines. 

    By Heather Caspi • Sept. 2, 2015
  • Universities debate grad student insurance subsidies

    Subsidizing health insurance for graduate students could violate rules under the ACA.

    By Heather Caspi • Sept. 2, 2015
  • Blue Shield of California exec salary given $24M bump, audit finds

    Much of the money appears to have been given to retiring executives, the Los Angeles Times’ review of the audit found. 

    By Sept. 2, 2015
  • CMS announces value-based Medicare Advantage model

    The program is designed to improve beneficiary health and reduce avoidable high-care costs.

    By Sept. 2, 2015
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    DOJ: Louisiana governor lacks 'sufficient reasons' to cancel Planned Parenthood Medicaid funding

    In a filing before a Wednesday hearing, the Department of Justice says the action appears to violate Medicaid Act.

    By Sept. 2, 2015
  • Judge's ruling further muddies contraception/insurance waters

    It creates a new challenge against a key provision of the ACA by saying moral objections, not just religious ones, are a reason for an employer to exempt contraception coverage.

    By Heather Caspi • Sept. 2, 2015
  • Medicaid growth drives health coverage in Colorado

    While state officials celebrate the lowest uninsured rate ever, critics warn taxpayers will suffer.

    By Heather Caspi • Sept. 2, 2015
  • Deep Dive

    Collaborative Health Systems is leading the charge toward program goals

    CHS, with the most ACOs in the MSSP program, discusses savings, improvements of Medicare ACOs.

    By Heather Caspi • Sept. 2, 2015