Minnesota hospital system acquires insurer PreferredOne

The acquisition continues the trend in which providers and insurers are teaming up to drive cost-effective patient care. 

By Heather Caspi • Jan. 20, 2016

UnitedHealth reports losses of $720M from exchange plans

The insurer's latest data indicate losses higher than previously estimated. 

By Heather Caspi • Jan. 20, 2016

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

Another ACA challenge bites the dust

While Obamacare escaped yet another challenge brought by conservative opponents, the Supreme Court is set to hear a different challenge later this year regarding the measure's contraceptive mandate.

By Heather Caspi • Jan. 20, 2016

CMS: MU still in full effect, shift to value-based care will take time

In a blog post, federal officials set to clarify the "will they/won't they?" tension over the meaningful use program.

By Meg Bryant • Jan. 20, 2016

Hawaii to consider first public LTC insurance program

The state could be the first to offer residents public long-term care insurance.

By Heather Caspi • Jan. 19, 2016

Cleveland physician group to disband due to big losses

After losing $117 million during the first nine months, HealthSpan Partners plans to drop care provision and focus on insurance.

By Heather Caspi • Jan. 19, 2016

Questions on ACA program funding left unanswered

Two congressmen believe the Basic Health Program's funding has not been approved.

By Ana Mulero • Jan. 19, 2016

Sanders' new healthcare plan leaves much to the imagination

Some say the "single-payer" plan, lacking certain details, is still no plan at all.

By Heather Caspi • Jan. 19, 2016

Oscar announces high-profile new hires

Challenges for the execs include growth management and expansion strategy.

By Heather Caspi • Jan. 19, 2016

Meet MACRA, health IT's next great hope

As meaningful use is set to be phased, MACRA switches focus to value-based payments. 

By Nina Flanagan • Jan. 19, 2016

Is risk adjustment having a 'reverse Robin Hood' effect?

With one former HHS official calling risk adjustment a "dark art," small insurers are paying up to industry giants under the controversial ACA provision. 

By Heather Caspi • Jan. 15, 2016

MetLife weighs sale of domestic retail units

Driving factors to separate parts of its U.S. retail business are costs and a tighter regulatory environment, MetLife Chairman and CEO Steven Kandarian said. 

By Meg Bryant • Jan. 15, 2016

Obama tries to lure Medicaid expansion holdouts

The proposal seeks to offer newcomers as good a deal on Medicaid expansion as the earliest adopters.

By Heather Caspi • Jan. 15, 2016

10 negotiating tactics to stay in the M&A game

Hogan Lovell's attorney Torrey McClary shares some negotiations tips to avoid disruptions and ensure all members of the negotiating team agree to the same terms and goals.

By Meg Bryant • Jan. 15, 2016

ACA enrollees driving growth, higher than expected, insurers say

Anthem said 2015 enrollment is expected to be above their predictions. The high number of insurance enrollees, according to HCA's CEO, is expected to drive more growth for hospitals.

By Nina Flanagan • Jan. 14, 2016

WEDI CEO Devin Jopp resigns

As head of WEDI, Jopp played a leading role in advancing ICD-10. 

By Meg Bryant • Jan. 14, 2016

Kindred Healthcare doles out $125M to settle Medicare scheme allegations

The organization allegedly provided unneeded therapy services to nursing home patients. 

By Nina Flanagan • Jan. 14, 2016

Aetna's Bertolini vows to stay the course on ACA exchanges

Aetna’s public health exchanges account for 5% of total membership and 6% of operating revenues — hardly enough to “break the bank,” CEO Mark Bertolini said.

By Meg Bryant • Jan. 14, 2016

KPMG: Healthcare M&A activity projected to be among top sectors through 2016

A survey showed healthcare is projected to be the third most active sector for M&A through 2016, following the technology and biopharma sectors.

By Nina Flanagan • Jan. 14, 2016

State attorneys general work with DOJ to review pending mega-mergers

Additional scrutiny may make it harder for the industry's two largest mergers to get approval.

By Heather Caspi • Jan. 13, 2016

Biggest U.S. nonprofit health system embraces transparent pricing

The move by Ascension’s St. John Health System reveals true cost more than ever.

By Heather Caspi • Jan. 13, 2016

Late sign-ups for ACA plans get tighter limits

Highly promoted late-enrollment opportunities are now being scaled back.

By Heather Caspi • Jan. 13, 2016

Louisiana Gov. Edwards signs order to expand Medicaid

The governor, sworn in this Monday, wasted no time signing an executive order that will make 300,000 state residents eligible for the program.

By Jeff Byers • Jan. 13, 2016

Report: Disadvantaged population can impact hospital's performance

The findings are likely to intensify debate among those who argue social factors in risk adjustment enables lower-quality care for riskier patients and reduces incentives to improve.

By Meg Bryant • Jan. 13, 2016

U.S. task force finalizes breast screening recs, muddies guideline waters

The recommendations put the government at odds with American Cancer Society guidelines issued last October.

By Meg Bryant • Jan. 13, 2016