Payer: Page 200


  • A calculator and stethoscope rest on a medical bill.
    Image attribution tooltip
    Getty Images
    Image attribution tooltip
    Deep Dive

    The 16 most absurd ICD-10 codes

    Behold, the 16 weirdest codes with a little advice from Healthcare Dive on how to handle these cases should they come into your ER. 

    By Aug. 15, 2015
  • Aetna Foundation takes on ZIP code health disparities

    Will the integration of health and social data provide a roadmap for policy change?

    By Heather Caspi • Aug. 12, 2015
  • Explore the Trendline
    Image attribution tooltip
    Yujin Kim/Healthcare Dive
    Image attribution tooltip
    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
  • Image attribution tooltip
    Fotolia
    Image attribution tooltip

    Research examines challenges in publishing reliable provider directories

    The trend toward scrutiny means payers need to get directories right or risk litigation and regulatory action.

    By Heather Caspi • Aug. 12, 2015
  • Image attribution tooltip
    Fotolia
    Image attribution tooltip

    Investors keep the faith as Oscar piles up losses

    The potentially disruptive healthcare insurer predicts it will be profitable by the end of 2016.

    By Heather Caspi • Aug. 12, 2015
  • Deep Dive

    Transitional care poised to increase impact on health insurance

    Entrepreneurs are rising up to provide dedicated service in this evolving healthcare space.

    By Heather Caspi • Aug. 12, 2015
  • Image attribution tooltip
    Fotolia
    Image attribution tooltip

    1.8M households at risk of losing ACA subsidies next year

    Incomplete tax returns could prevent some enrollees from receiving subsidies.

    By Heather Caspi • Aug. 12, 2015
  • Study examines payer cost burden of Hepatitis C

    The costs involved in HCV management go far beyond specialty drug prices, researchers say.  

    By Heather Caspi • Aug. 12, 2015
  • Image attribution tooltip
    Fotolia
    Image attribution tooltip

    UnitedHealthcare signs in-network care deal with NY hospital system

    The deal will give members access to huge network of hospitals and physicians.

    By Julie Henry • Aug. 12, 2015
  • SafeGuard awarded $300M Medicare fraud-prevention contract

    The ontract allows SafeGuard to investigate kickbacks, falsifying information and other types of fraud.

    By Julie Henry • Aug. 10, 2015
  • Illinois Blue Cross BlueShield unveils value-based care model

    The new model will use quality and cost data to inform decision-making.

    By Julie Henry • Aug. 10, 2015
  • Boeing expands plans to negotiate with local health systems

    More employees with have an option to choose new health plans.

    By Nina Flanagan • Aug. 6, 2015
  • Mental health 'parity' law falls short, advocates say

    They claim the law gives insurance companies too much leeway in determining treatment, but insurers face their own challenges in following the legislation.

    By Aug. 5, 2015
  • Another healthcare data hack affects 3.9M people

    Medical Informatics Engineering said data breach exposed names, address, Social Security numbers, birthdates and health records. 

    By Nina Flanagan • Aug. 5, 2015
  • Image attribution tooltip
    Fotolia
    Image attribution tooltip

    Obama admin to states: Cut insurers' big rate hike requests

    The White House is concerned about premium growth, but some payers are certain to push back on cost concerns. 

    By Sy Mukherjee • Aug. 5, 2015
  • Image attribution tooltip
    Fotolia
    Image attribution tooltip

    TeamHealth moves to buy IPC Healthcare

    The deal puts TeamHealth in a position to offer a broad spectrum of healthcare services.

    By Aug. 5, 2015
  • Deep Dive

    AMA accepts the (nearly) inevitable, prepares for ICD-10

    It joins CMS in efforts to ease the coding transition. 

    By Nina Flanagan • Aug. 5, 2015
  • Image attribution tooltip
    Fotolia
    Image attribution tooltip

    Aetna beats Q2 estimates on medical cost savings

    The insurance giant topped analyst expectations by 26 cents a share.

    By Aug. 5, 2015
  • Replacement for Charity Hospital opens in New Orleans

    Almost 10 years after Hurricane Katrina, the new $1.1 billion facility begins service.

    By Julie Henry • Aug. 4, 2015
  • Sharing rewards leads to huge cost savings for CareFirst

    Initiative is capitalizing on the industry trend linking payment to quality.

    By Julie Henry • Aug. 3, 2015
  • Health Care Service Corp. CEO retiring

    Current EVP and Chief Strategy Officer Paula Steiner will take the reins from Patricia Hemingway Hall.

    By Julie Henry • Aug. 3, 2015
  • Cigna says low utilization keeping costs down

    Service use expected to rise with the improving economy.

    By Julie Henry • Aug. 3, 2015
  • Image attribution tooltip
    Fotolia
    Image attribution tooltip

    Medicare turns 50 with 55 million Americans covered

    CMS releases state-by-state Medicare and Medicaid enrollment numbers.

    By Nina Flanagan • July 30, 2015
  • Image attribution tooltip
    Dollar Photo Club
    Image attribution tooltip

    Humana Q2 profits hit by medical costs

    The company has missed analyst expectations for several quarters.

    By Nina Flanagan • July 30, 2015
  • Image attribution tooltip
    Getty
    Image attribution tooltip

    Health Net fined $350k for giving customers wrong information

    This marks the second time the company is said to have misinformed Medicare customers.

    By Heather Caspi • July 29, 2015
  • Image attribution tooltip
    Fotolia
    Image attribution tooltip

    Covered California announces average premium increase of 4% for 2016

    Are state officials keeping rates artificially low?

    By Heather Caspi • July 29, 2015