Alaska Medicaid expansion goes into effect Tuesday

The state Supreme Court denied a bid Monday from lawmakers to block Gov. Bill Walker's move to expand coverage to more Alaskans.

By Jeff Byers • Sept. 1, 2015

CMS says test proves readiness for ICD-10 claims

The agency touted an 87% acceptance rate for test claims.

By Heather Caspi • Aug. 31, 2015

Explore the 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

State regulators approve major health insurance rate hikes

Insurance companies are justified in raising rates as much as 36%, regulators say. 

By Heather Caspi • Aug. 31, 2015

Nevada Health CO-OP becomes 4th health co-op to fail

The failure follows those in Louisiana and Iowa this year, and Vermont in 2013.

By Heather Caspi • Aug. 28, 2015

NLRB rules companies responsible for violations by contractors

NLRB just changed the game. 

By Jeff Byers • Aug. 28, 2015

Moody's upgrades nonprofit hospital ratings for first time since 2008

Increased demand and better cost management are cited as reasons for the change.

By Randy Lilleston • Aug. 27, 2015

Carolinas HealthCare to beef up psych residency program with $3M gift

The gift from the Leon Levine Foundation will be used to create a four-year residency program in efforts to bolster mental healthcare services in the area. 

By Sy Mukherjee • Aug. 27, 2015

ACOs saved more than $400M in 2014

CMS releases Medicare financial and quality results that calculate the savings.

By Jeff Byers • Aug. 26, 2015

Highmark Health pushes to speed up healthcare tech adoption

A program from the healthcare delivery and financing system evaluates patient care technologies not yet covered by insurance carriers.

By Heather Caspi • Aug. 26, 2015

Federal healthcare spending projections creep upward

The Congressional Budget Office nudged its spending forecast up by a mere tenth of a percentage point -- but that represents an estimated $272 billion.

By Randy Lilleston • Aug. 26, 2015

Insurers debate coverage for female libido pill

Insurance coverage could make or break Addyi, which would otherwise cost women up to $400 per month.

By Heather Caspi • Aug. 26, 2015

Survey suggests more consumers selecting alternative health plans

Shifts in the industry are empowering patients to consider new insurance options, a new survey suggests.

By Heather Caspi • Aug. 26, 2015

Late tax filers gamble with next year's healthcare subsidies

Those who procrastinate too long may get a surprise when they renew their health coverage.

By Heather Caspi • Aug. 26, 2015

RWJF report details state variation in narrow networks

Are the networks, with their lower premiums, really paying off for consumers?

By Heather Caspi • Aug. 25, 2015

ZOOM+ opens new ER alternative in Portland, OR

The new clinic model aims to do more than urgent care but cost less than an ER.

By Heather Caspi • Aug. 25, 2015

$25M Medicare scam may herald bigger woes

The case centers around an illegal market for new Medicare Advantage enrollees overseas.

By Heather Caspi • Aug. 24, 2015

More than 2 million ACA enrollees forgo cost-sharing reductions

The specific form of subsidy is only available to those purchasing 'silver' plans.

By Heather Caspi • Aug. 24, 2015

Aetna employs 6 lobbying firms in pursuit of Humana deal

The company is gunning hard for government approval.

By Heather Caspi • Aug. 21, 2015

Provider-owned health plans have higher premiums, study says

The findings contradict expectations that provider-owned plans would achieve lower costs.

By Heather Caspi • Aug. 21, 2015

Iowa Medicaid drops 20-year tie with Magellan Health

Four new companies will manage the state's Medicaid mental health and substance abuse benefits. 

By Nina Flanagan • Aug. 20, 2015

Colorado payers collaborate to benefit behavioral health

Six commercial insurers have put aside their competitive differences to drive change.

By Heather Caspi • Aug. 19, 2015

MA insurers cite health reform, drug prices for losses

Many insurers in the state are still working to overcome financial distress.

By Heather Caspi • Aug. 19, 2015

Study: Health exchange websites have improved consumer support

While progress has been made, additional measures are recommended.

By Heather Caspi • Aug. 19, 2015

'Tax season' special enrollment was underwhelming

The second chance did not move as many as expected to obtain healthcare coverage.

By Heather Caspi • Aug. 18, 2015

Providers opting out of Medicare bundled payments

As CMS adds new contracts to the program, many of its initial enrollees have dropped out.

By Julie Henry • Aug. 17, 2015