Payer: Page
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CMS outlines star rating system for Medicare-Medicaid plans
Is a separate rating system necessary for dual eligible demonstrations?
By Heather Caspi • Nov. 17, 2015 -
Ohio hospitals slap HHS with lawsuit over two-midnight rule
An estimated $564,106 is on the annual line for six hospitals.
By Jeff Byers • Nov. 17, 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 -
Hips don't lie: A look inside CMS' joint replacement bundled payment rule
This model is being tested in 67 geographic areas throughout the country and set to begin April, 1, 2016, which everyone hopes is not the version of a government practical joke.
By Jeff Byers • Nov. 17, 2015 -
HealthCare.gov enrollment 'solid' during first week
New customers represented about one-third of enrollees this year's opening week.
By Heather Caspi • Nov. 16, 2015 -
Mass. insurers aim to curb opioid abuse, costs of addiction
With addictions driving up health costs, some state insurers have little choice than to get involved.
By Heather Caspi • Nov. 16, 2015 -
Alabama thinking on Medicaid expansion
The state may be willing to do it, under certain conditions.
By Heather Caspi • Nov. 16, 2015 -
HIV drug access more limited in marketplace plans
An analysis finds significantly broader access under employer-sponsored plans than marketplace plans.
By Heather Caspi • Nov. 16, 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 -
Special enrollment proposed for pregnancies under ACA
The Healthy MOM Act aims to make pregnancy a qualifying life event.
By Heather Caspi • Nov. 13, 2015 -
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 -
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 -
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 -
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 -
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
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