How much do physicians trust insurance companies?

"Dismal" trust levels could impede risk-based healthcare and payment models.

By Heather Caspi • Nov. 4, 2015

UnitedHealth positioned to benefit by others' megamergers

The company could profit from its competitors' growing pains, experts suggest.

By Heather Caspi • Nov. 4, 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

HCA to bury shareholder hatchet for $215M

The 2011 lawsuit to be settled alleged the company used misleading information when making its initial public offering.

By Jeff Byers • Nov. 4, 2015

Michigan health co-op to shutter operations

Yesterday, representatives at a contentious House Ways and Means Subcommittee on Health meeting vented their frustrations on why the co-ops are failing.

By Jeff Byers • Nov. 4, 2015

SHOP enrollment falls short of expectations

The marketplace for small employers is proving slow to catch on but that isn't bothering the Obama administration.

By Heather Caspi • Nov. 4, 2015

Montana becomes 30th state to expand Medicaid

After a three-year battle to achieve a bipartisan compromise, some experts hope more states will follow.

By Heather Caspi • Nov. 4, 2015

HealthCare.gov testing whether consumers will use physician search feature

CMS stated a pilot prescription drug check feature will roll out in the coming weeks.

By Jeff Byers • Nov. 3, 2015

Health Alliance Plan, HealthPlus Sign like each other so much, they agreed to merge

The merger will establish a company that’s one of the largest health insurers in Michigan.

By Jeff Byers • Nov. 3, 2015

New York health co-op forced by government hand to close early

Health Republic Insurance of New York will end all policies on Nov. 30.

By Jeff Byers • Nov. 3, 2015

California slaps Blue Shield, Anthem with fines over inaccurate provider directories

“These inaccuracies limited enrollee access to care that resulted in an unacceptable consumer experience and must be fixed.”

By Jeff Byers • Nov. 3, 2015

Health Affairs: Severe obesity cost U.S. $69B

Approximately 27% of the cost of severe obesity was paid for by private health plans in 2013.

By Jeff Byers • Nov. 3, 2015

With final rule, Medicare to pay for end-of-life consultations

CMS proposed Medicare start reimbursing for end-of-life consults back in July. 

By Nina Flanagan • Nov. 3, 2015

2016 OPPS rule finalizes two-midnight policy, doesn't take criticism

Hospital admissions lasting less than two midnights can qualify as exceptions to be payable under Medicare Part A.

By Heather Caspi • Nov. 3, 2015

CMS to Arizona co-op: No market exchange for you

Meritus, the 11th health cooperative to shut its doors, was reportedly caught off-guard by last week's order for supervision.

By Heather Caspi • Nov. 3, 2015

CMS releases final rule on essential services for Medicaid beneficiaries

The provisions aim to enhance meaningful access to healthcare services.

By Heather Caspi • Nov. 2, 2015

Proposed rule addresses wellness programs' collection of health info

Voluntary programs would be allowed to seek limited genetic information.

By Heather Caspi • Nov. 2, 2015

Nonprofit hospitals poor at informing patients about charity care

A study finds the hospitals "far from perfect" on meeting requirements to tell patients about their options.

By Heather Caspi • Nov. 2, 2015

UnitedHealthcare expands pilot of bundled payments for chemo

The insurer is also working on a deal to purchase workers' comp and pharmacy benefits company Helios.

By Heather Caspi • Oct. 30, 2015

Aetna to rejoin Colorado small-group market

However, the insurer will no longer offer subsidized health insurance benefits in Utah, Kansas, and D.C.

By Heather Caspi • Oct. 30, 2015

HHS: Switch health plans, save money

Despite average increases in premiums, those who shop around are likely to be able to save.

By Heather Caspi • Oct. 30, 2015

House passes budget deal, Medicare changes included

The bill now heads to the Senate.

By Jeff Byers • Oct. 29, 2015

Anthem Blue Cross reimburses California customers $8.3M

One expert stated "this settlement...holds the insurance company accountable to the terms they promised." 

By Nina Flanagan • Oct. 29, 2015

Blue Shield of California removing two hospitals from network

Insurer states rates would have been higher if the insurer kept the dropped hospitals. 

By Nina Flanagan • Oct. 29, 2015

High costs, narrow networks drive insured patients to ED

An ACEP survey suggests high deductibles and narrow networks are damaging the healthcare system.

By Heather Caspi • Oct. 28, 2015

CMS: ACA plan prices to increase by average of 7.5%

Customers are being encouraged to shop around to limit the impact of price increases.

By Heather Caspi • Oct. 28, 2015