Payer: Page 205


  • Do rising CEO salaries really impact healthcare costs?

    The median healthcare CEO salary in 2014 was $13.6 million, higher than any other industry, and some analysts are up in arms. 

    By Nina Flanagan • May 28, 2015
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    IronHealth announces bundled payment protection

    The healthcare unit of Ironshore Inc. is offered a two-tiered product that it promises offers "unparalleled financial risk protection for providers."

    By Heather Caspi • May 27, 2015
  • Explore the Trendline
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    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
  • Spousal coverage taking a hit, survey shows

    As costs continue to rise, spousal coverage has become a target for cutbacks.

    By Heather Caspi • May 27, 2015
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    Challenged ACA language was inadvertent, authors say

    Four inadvertent words could still doom the ACA. 

    By Heather Caspi • May 27, 2015
  • Deep Dive

    Will scrutiny press insurers into covering high-cost drugs?

    Are more expensive lawsuits like the one settled recently by Anthem on the horizon for payers?

    By Heather Caspi • May 27, 2015
  • Covered California adopts specialty drug cap

    While insurers supported the caps, they note that the core expense of the drugs still remains.

    By Heather Caspi • May 27, 2015
  • Sweeping Medicaid managed care rule sets MLR at 85%

    The long-awaited "uber rule" has already drawn criticism from health plans.

    By May 27, 2015
  • Feds suggest compromise for Florida LIP funding

    The administration is willing to partially fund Florida's expiring hospital reimbursement program.

    By Heather Caspi • May 26, 2015
  • UPDATED: CEO Karen Ignagni to leave AHIP

    "The AHIP job is one of the sexier jobs in Washington," said one headhunter. "High profile with lots of internal and external resources and the comp doesn't hurt either."

    By May 21, 2015
  • CMS soon to release new Medicaid managed care regulations

    What should the industry expect to see in the proposal?

    By Nina Flanagan • May 21, 2015
  • CareFirst BlueCross BlueShield breach impacts 1.1M

    "We have constant monitoring going on, every second of every day, but the nature of this attack was sophisticated enough that we couldn't detect it," CEO Chet Burrell said. 

    By May 20, 2015
  • Study: 1 in 4 with insurance can't afford care because of high deductibles

    One report author suggested insurers be required to offer at least one silver plan that covers basic outpatient services and drugs before the deductible.

    By Heather Caspi • May 20, 2015
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    Deep Dive

    How will the Cadillac tax change health plans?

    "Creating plans with prices below the surtax threshold is likely to become harder for payers over time," says one healthcare economist. 

    By Heather Caspi • May 20, 2015
  • Aetna fined $4.5M in Missouri over lack of autism benefits

    Déjà vu: The insurer also agreed to pay a similar fine in 2012.

    By Heather Caspi • May 20, 2015
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    Anthem sued for denying Hep C drug coverage

    Will legal action force payers to cover high-cost drug treatments?

    By Heather Caspi • May 20, 2015
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    Steep premium hikes expected on 2016 exchange

    BlueCross BlueShield of Tennessee is seeking a 36.3% hike.

    By Heather Caspi • May 19, 2015
  • Molina to purchase troubled Medicaid business from HealthPlus

    The sale is part of an attempt to save the rest of HealthPlus.

    By Heather Caspi • May 19, 2015
  • Meet the consulting firm that advises clients not to pay big hospital bills

    ...and provides legal counsel to back them up. 

    By Nina Flanagan • May 14, 2015
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    Knee surgery most popular 'preference-sensitive' treatment among newly-insured, study says

    The study may also provide data that regulators need to push back on insurers proposing big rate hikes for 2016.

    By Nina Flanagan • May 14, 2015
  • Investors believe Aetna merger with Cigna or Humana may be 'imminent'

    The incentive behind the possible consolidation could stem from a boom in Medicare business.

    By May 13, 2015
  • Hawaii health exchange headed toward shutdown

    Officials at the Hawaii Health Connector are trying to save the system in the face of severe budget issues.

    By Heather Caspi • May 13, 2015
  • Deep Dive

    Will Blue Shield of California eventually convert to for-profit?

    Advocates believe that with enough pressure, the company will have to consider the question—and moreover, that nonprofit plans in other states may see similar scrutiny. 

    By Heather Caspi • May 13, 2015
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    Uninsured lack confidence, want more info on plans, survey says

    Nearly 90% of marketplace enrollees wanted more information on how to use their plans.

    By Heather Caspi • May 13, 2015
  • Anthem takes minimal hit to image over data breach

    Some consumers view the brand more favorably thanks to its handling of the breach that impacted almost 80 million. 

    By Heather Caspi • May 13, 2015
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    Hospital reduces c-section rates to avoid being cut from network

    The improvements were driven by a new level of data-sharing that sparked some heated physician objections. 

    By , Julie Henry • May 13, 2015