Study: Pre-diabetes found in half of all 45-year-olds

The study results indicate half the population with normal blood sugar will develop pre-diabetic levels.

By Nina Flanagan • Nov. 25, 2015

Health insurance marketing in the age of the ACA

The changing health insurance landscape has necessitated changes in companies' strategies to gain market share. 

By Heather Caspi • Nov. 24, 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

Anthem, Aetna optimistic about ACA exchanges in spite of losses

The insurers remain committed although money and enrollment in plans has been lost.

By Nina Flanagan • Nov. 24, 2015

New ACA requirements driving up improper Medicaid payments, says CMS

CMS CMO Dr. Patrick Conway said improper Medicaid payment rates would have decreased without ACA's new requirements.

By Nina Flanagan • Nov. 24, 2015

Planned Parenthood sues Texas over Medicaid money

In a joint program, does the state or federal government decide what providers can participate?

By Heather Caspi • Nov. 24, 2015

Survey: Healthcare costs holding steady thanks to 'Cadillac tax' strategies

Additionally, fewer employers are considering dropping coverage entirely, according to Mercer.

By Jeff Byers • Nov. 23, 2015

Healthcare consumers recouped nearly $470M in 2014 from premium rebates

In 2014, 5.5 million consumers received money after insurance companies failed to meet a minimum spending requirement.

By Ned Pagliarulo • Nov. 23, 2015

Annual cost of specialty drugs surpasses median household income

An AARP Policy Institute report aims to highlight the financial impact of soaring drug costs even though the insured don't pay retail prices.

By Heather Caspi • Nov. 23, 2015

CMS reiterates intent to make good on risk corridors payments

Can CMS really come through, and do it while insurers need it most?

By Heather Caspi • Nov. 23, 2015

Senate fast-tracks House reconciliation bill to repeal pieces of the ACA

The legislation is poised for action, but may get stuck between GOP criticism it either goes too far or not far enough.

By Heather Caspi • Nov. 23, 2015

Life after ICD-10: ICD-11 is coming

Designed to be more EHR-friendly, the World Health Organization is working towards its ICD-11 approval goal of 2017.

By Randy Lilleston • Nov. 21, 2015

CMS' 2017 ACA marketplace proposed rule seeks to streamline direct enrollment

The proposed rule includes changes on a variety of proposals and improvements to the premium stabilization programs.

By Jeff Byers • Nov. 20, 2015

HHS, OptumLabs join forces on healthcare research

The partnership will first compare and contrast trends in claims records for healthcare costs purposes.

By Heather Caspi • Nov. 20, 2015

Pavlov's pigeons? Birds taught to accurately identify breast cancer in X-ray imagery

Pigeons' diagnostic ability to detect cancerous tissue in images rivaled the success rate of pathologists.

By Ned Pagliarulo • Nov. 20, 2015

Future unclear for UnitedHealth in ACA marketplace

The insurance giant hints that it might leave the exchanges unless conditions improve.

By Jeff Byers • Nov. 19, 2015

VA reveals healthcare network overhaul plan, says it needs $421M

The ambitious proposal would combine seven programs into a single system.

By Nina Flanagan • Nov. 19, 2015

Study: Better high blood pressure control linked to Medicaid beneficiaries

They are more knowledgeable about their health than people without insurance living below the poverty line, according to the study.

By Nina Flanagan • Nov. 19, 2015

HHS feels the heat from medical groups over 27 states denying bariatric surgery

The action is non-compliant with the ACA, advocates say.

By Nina Flanagan • Nov. 19, 2015

ACA plan-shopping saves money, report says

The Kaiser Family Foundation found individuals who switch plans offered via HealthCare.gov may save hundreds of dollars a year.

By Jeff Byers • Nov. 18, 2015

Why Maryland's rate-setting experiment should get attention

Could other states get the buy-in to follow Maryland's lead?

By Heather Caspi • Nov. 18, 2015

Montana Blue Cross/Blue Shield becomes first insurer to oversee Medicaid expansion

The company remains confident the expansion will be ready by a Jan. 1, 2016 deadline.

By Heather Caspi • Nov. 18, 2015

NY puts hold on processing of defunct Health Republic claims

Hospitals and providers stand to lose millions if their claims remain unpaid.

By Heather Caspi • Nov. 18, 2015

Texas hospital cut from Medicare and Medicaid programs

The provider is facing funding fallout from its September patient shooting.

By Heather Caspi • Nov. 18, 2015

SEC questions Congress' turf in health policy/insider trading case

A New York judge has enabled a deeper look into a suspected leak of government healthcare policy.

By Heather Caspi • Nov. 18, 2015

CVS Health refill programs boost medication adherence, cut waste

Can refill programs solve the $300 billion medication adherence problem? 

By Ned Pagliarulo • Nov. 17, 2015