Payer: Page 199
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Obesity continues to trend upward despite combative efforts
New data has thwarted hopes obesity levels were getting under control.
By Heather Caspi • Nov. 13, 2015 -
Employee healthcare costs to surpass $5K for first time
The shifting of healthcare costs onto employees has escalated their burden to record levels.
By Heather Caspi • Nov. 13, 2015 -
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 -
Deep Dive
Will NIST's draft mobile cybersecurity guide hold up to scrutiny?
Some question if an EMM solution will meet the needs of many healthcare organizations.
By Heather Caspi • Nov. 12, 2015 -
AMA not pleased with megamergers, wrote a letter about it
The mergers will reduce competition and could inadvertently harm patient care, the organization stated.
By Jeff Byers • Nov. 12, 2015 -
High variability found in antidepressant coverage, report finds
A report details a case for broad formularies and full transparency.
By Heather Caspi • Nov. 11, 2015 -
RWJF ranks counties on health to identify state health gaps
The report builds on the premise that “ZIP codes matter” in healthcare.
By Heather Caspi • Nov. 11, 2015 -
Supreme Court hears debate over insurer injury payments
Can health insurers demand reimbursement from injury payments that have already been spent?
By Heather Caspi • Nov. 11, 2015 -
Blue Shield of California files suit against whistleblower
In response to the suit, its former exec says he won't back down on his criticisms.
By Heather Caspi • Nov. 11, 2015 -
Deep DiveThe mystery of the disappearing PPO plans
Just 33% of 2015 silver plan PPOs remain available for 2016, a study finds.
By Heather Caspi • Nov. 11, 2015 -
Deep Dive
7 buzzwords heard at the HIMSS Connected Health Conference
HIMSS President and CEO Steve Lieber discusses the evolutionary language of connected health.
By Jeff Byers • Nov. 11, 2015 -
S&P: Risk corridor program funds near depletion
The report warns external funding will probably need to be added in 2016.
By Heather Caspi • Nov. 10, 2015 -
Report: Half of California's undocumented immigrants could qualify for Medi-Cal
The study comes as a new push to extend coverage in the state.
By Randy Lilleston • Nov. 10, 2015 -
VA wasted at least $21M on ineligible Medicaid recipients
Recently, VA Gov. Terry McAuliffe (D) stated he would continue to attempt to implement Medicaid expansion for the state.
By Jeff Byers • Nov. 10, 2015 -
Can Colorado become the first state to opt out of the ACA?
State residents will vote on a measure that would start a tax-funded universal healthcare system.
By Jeff Byers • Nov. 10, 2015 -
CMS announces 2016 Medicare Part B deductibles will remain relatively 'flat'
"[M]ost people with Medicare Part B will be 'held harmless' from any increase in premiums in 2016," the agency stated.
By Jeff Byers • Nov. 10, 2015 -
Insurance commissioners plea to expand narrow provider networks
The National Association of Insurance Commissioners say narrow networks largely don't provide specialized care.
By Nina Flanagan • Nov. 10, 2015 -
House panel advances controversial mental health reform bill
Republicans and Democrats on the House panel have clashed over the bill's approach to mental health.
By Heather Caspi • Nov. 9, 2015 -
GOP, co-op administrators play the blame game over closures
Finger-pointing was widespread at a hearing last week examining the recent failures of about half of the ACA's health insurance co-ops.
By Heather Caspi • Nov. 9, 2015 -
Humana to pull marketplace plans serving 100,000
The plans were attracting higher utilization from sick patients than was expected when they were priced.
By Heather Caspi • Nov. 9, 2015 -
Uninsured rate drops to record 9%
A steep decline from 2013 to 2015 has put the nation's uninsured rate in the single digits.
By Heather Caspi • Nov. 6, 2015 -
CMS loses 2 more Pioneer ACOs, prepares Next Generation model
The program has dropped from 32 participants in 2012 to 16 as of this month.
By Heather Caspi • Nov. 6, 2015 -
CMS addresses underpayment for dual-eligibles
The agency has reversed its position following persistent complaints from impacted health plans.
By Heather Caspi • Nov. 6, 2015 -
Humana to pilot telehealth program for elderly in Arizona
Humana will pilot the program in Arizona, Washington, plus 13 additional states.
By Nina Flanagan • Nov. 5, 2015 -
Deep Dive
What you missed at the Health Affairs Food and Health briefing
Here’s what industry experts shared about the new integration between the food and health industries.
By Jeff Byers • Nov. 5, 2015 -
Let's make a deal! California and feds OK $6.2B Medicaid reform agreement
The majority of the funds, $3.3 billion, will go towards helping public hospitals improve safety and quality of patient care.
By Nina Flanagan • Nov. 5, 2015
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