Payer: Page 204
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Survey: Execs expect ICD-10 to launch on schedule
...but 46% did not take advantage of the end-to-end testing.
By Julie Henry • May 4, 2015 -
Kaiser report: Medicaid expansion bolstered Ascension significantly
Ascension saw a 40% drop in charity care costs in expansion states vs. only a 6% drop at hospitals in non-expansion states.
By Heather Caspi • May 1, 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 -
Pennsylvania pushes for arbitration in UPMC-Highmark dispute
Highmark said it would welcome enforcement of the state-brokered consent decree, while UPMC is questioning the state's request.
By Heather Caspi • April 30, 2015 -
Deep Dive
State rate regulation: Is there one future or 50?
Even with new federal involvement, states continue to move in individual directions. Is there a consistent trend?
By Heather Caspi • April 29, 2015 -
Blue Cross and Blue Shield of Illinois announces four new ACOs
The new agreements will impact a combined total of more than 111,000 patients.
By Heather Caspi • April 29, 2015 -
Assurant Health 'a casualty of the ACA,' to be sold off
The company, which specializes in heath plans for small employers and individuals, might be a tough sell.
By Katie Bo Williams • April 29, 2015 -
Aetna raises forecast after jump in first-quarter earnings
Shares of the company are at an all-time high following enrollment gains and Q1 growth in earnings and revenue.
By Julie Henry • April 29, 2015 -
Consumer Watchdog sues Cigna for discrimination against HIV/AIDS patients
Are mail-order programs a violation of the Affordable Care Act?
By Katie Bo Williams • April 28, 2015 -
Centene doubles Q1 profit as Medicaid managed care market booms
The company credited huge growth in membership for the spike.
By Katie Bo Williams • April 28, 2015 -
Deep Dive
How tiered-network health plans impact the hospital bottom line
Over a three-year study period, 44% of hospitals switched tiers, mostly due to a decrease in prices.
By Julie Henry • April 28, 2015 -
UnitedHealthcare, Carolinas HealthCare reach deal after two-month stalemate
The new contract continues coverage for enrollees at the Charlotte-area health system.
By Heather Caspi • April 28, 2015 -
Study: EHRs can validate insurance coverage in real time
Leveraging this capability can help with insurance retention, the authors note.
By Julie Henry • April 27, 2015 -
BCBS to open health insurance marketplace for retirees
The exchange will help retirees transition from group plans to individual coverage.
By Julie Henry • April 27, 2015 -
Humana acquires home health provider Your Home Advantage
Regulators have expressed concerns that insurers are using at-home diagnosis to inflate patient risk scores.
By Katie Bo Williams • April 22, 2015 -
Blue Cross Blue Shield of Michigan launches emergency care initiative
The company now has 21 Collaborative Quality Initiatives around the state.
By Heather Caspi • April 22, 2015 -
Deep Dive
The two ways AHIP says medical device regulation is inadequate
The trade group is spearheading efforts toward an improved pre- and post-market biomedical infrastructure.
By Heather Caspi • April 22, 2015 -
UPDATED: Nemours lawsuit seeks $15M from UnitedHealthcare for unpaid bills
The foundation has taken aim at UnitedHealthcare's Medicaid contracts in several states.
By Heather Caspi • April 22, 2015 -
Los Angeles health plan to accept cash payments
The service makes it easier for people without bank accounts to maintain health coverage.
By Heather Caspi • April 22, 2015 -
BCBS of Massachusetts approves previously-disputed double mastectomies
The insurer says its denial of eight procedures was a matter of confusion, but the incident has raised questions about whether it overstepped.
By Heather Caspi • April 21, 2015 -
Value of health plan startup Oscar skyrockets to $1.5B
"Now we feel ready to expand our products to other states," said founder Joshua Kushner.
By Julie Henry • April 21, 2015 -
CMS releases data on reinsurance contributions, issues rate filing date
The agency did not hit ACA guidelines for reinsurance contributions.
By Julie Henry • April 20, 2015 -
Equal Employment office issues guidance on wellness programs
The proposed rule addresses concerns that wellness programs could be discriminatory or non-voluntary.
By Heather Caspi • April 17, 2015 -
CMS proposes 1.4% rate increase for skilled nursing facilities
The increase matches the 2014 hike, but is a drop from the $750-million boost that SNFs received in 2015.
By Katie Bo Williams • April 16, 2015 -
Vermont in limbo over large businesses entering exchange
Following the failure of the state's single-payer plan, questions remain about how to move forward.
By Heather Caspi • April 15, 2015 -
Study: Narrow networks proving popular cost-savers
New McKinsey Center data suggests narrow plans have overcome early criticism.
By Heather Caspi • April 15, 2015
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