Payer: Page
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Healthcare tops U.S. News & World Report's '100 Best Jobs' list
According to the 2016 list, orthodontics, followed by dentistry and computer system analytics, reigns supreme.
By Ana Mulero • Jan. 27, 2016 -
Deep Dive
All eyes are on ACA co-ops' health for 2016
Aside from monitoring the co-ops themselves, the federal government may need to take some action to support them.
By Heather Caspi • Jan. 27, 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 -
Case debates whether California's top 4 health plans are insurers
If recategorized as insurers, the plans could owe billions in back taxes.
By Heather Caspi • Jan. 26, 2016 -
Deep Dive
Could direct primary care go mainstream?
Proponents of the model are finding a growing market.
By Heather Caspi • Jan. 26, 2016 -
How is the federal government spending more on healthcare programs than Social Security?
The ACA's Medicare expansions and exchanges spiked healthcare spending, according to a recent CBO analysis.
By Ana Mulero • Jan. 26, 2016 -
NY Gov. Cuomo's budget lacks funds for $15 healthcare minimum wage
When the minimum wage is raised to $15 an hour for healthcare and human services workers, the estimated cost to the healthcare sector will be $3 billion.
By Ana Mulero • Jan. 26, 2016 -
Utah grappling with Medicaid expansion
Utah lawmakers are proposing a variety of Medicaid expansion plans, hoping to find a resolution this year.
By Nina Flanagan • Jan. 26, 2016 -
Employers cutting insurance costs by excluding outpatient surgery
New regulations requiring large employers to provide health insurance is resulting in dubious cost-cutting measures, such as excluding coverage of outpatient surgeries.
By Nina Flanagan • Jan. 26, 2016 -
Montgomery County Planning Commission
Why 1,800 Aetna plan holders may lose access to Boston Children's Hospital
Stalled contract negotiations between the two agencies are nearing the February 15 deadline.
By Nina Flanagan • Jan. 26, 2016 -
Standardized ACA plans could lower out-of-pocket costs
First, however, issuers would have to opt in to the voluntary design.
By Heather Caspi • Jan. 26, 2016 -
What you need to know about Cigna's temporary ban from the Medicare Advantage program
The insurer has been temporarily barred from marketing to or enrolling new customers.
By Heather Caspi • Jan. 25, 2016 -
Why a think tank says Humana/Aetna deal pricey for seniors
A merger would result in less competition, and therefore higher Medicare Advantage premiums, the group says.
By Heather Caspi • Jan. 25, 2016 -
Analysts name top 3 healthcare stocks to watch this year
At a recent panel discussion, analysts revealed they were optimistic for healthcare stocks overall in 2016, with one in particular catching their eyes.
By Heather Caspi • Jan. 25, 2016 -
CMS seeks to recoup $1.2B over ACA co-op failures
CMS Acting Administrator Andy Slavitt defended the agency's controls over the remaining co-ops.
By Heather Caspi • Jan. 22, 2016 -
St. Luke's-Montefiore partnership approved
The two NY-based hospitals continue the ongoing M&A trend within the healthcare industry.
By Ana Mulero • Jan. 22, 2016 -
HCA asks appeals court to overturn $434M judgment
The healthcare system claims it fulfilled capital improvement obligations related to the 2003 purchase of Kansas City-based Health Midwest.
By Meg Bryant • Jan. 22, 2016 -
Supreme Court sides with injured beneficiaries in blow to payers
The decision could be costly to payers.
By Meg Bryant • Jan. 22, 2016 -
Obama officials subpoenaed for ACA documents
GOP lawmakers claim the White House has stonewalled efforts to obtain information about payments under a program to help needy residents and some legal immigrants get health insurance.
By Meg Bryant • Jan. 22, 2016 -
Oscar Health's value may reach $3B with latest financing round
Fidelity leads investors with $150 million of capital committed to date.
By Nina Flanagan • Jan. 21, 2016 -
Survey: Those with high-deductible plans not price shopping
Having "skin in the game" is not enough to encourage provider comparisons.
By Heather Caspi • Jan. 21, 2016 -
Tenet creates 2 new board seats in deal with largest shareholder
The arrangement de-risks Tenet's recently troubled stock.
By Heather Caspi • Jan. 21, 2016 -
CMS details new special enrollment limitations
The updates aim to stabilize the marketplace and make it more attractive to insurers.
By Heather Caspi • Jan. 21, 2016 -
Private HIX enrollment up 35% in 2016
While enrollment continues to grow, it lags among large employers, Accenture finds.
By Heather Caspi • Jan. 21, 2016 -
Deep Dive
BCBSA finds payers applying data to tailor marketplace offerings
Payers are becoming more sophisticated in managing their marketplace offerings, but market instability remains a concern.
By Heather Caspi • Jan. 20, 2016 -
Study finds ACA plan cost sharing stayed steady from 2014 to 2015
The authors conclude stable prices for ACA plans do not reflect greater cost-sharing by enrollees.
By Heather Caspi • Jan. 20, 2016
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