Payer: Page 206
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Feds address birth control, transgender care following noncompliance reports
Insurers must comply with the newly-clarified regs within 60 days.
By Heather Caspi • May 13, 2015 -
White House targets two top ACA complaints
Some new regulations will target insurers, but AHIP is placing at least part of the blame on providers.
By Heather Caspi • May 12, 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 -
Medicare reimbursement for telemedicine close to $14M in 2014
CMS has paid out more than $57 million for telemedicine since 2001—much less than the Congressional Budget Office's estimate at the time.
By Nina Flanagan • May 12, 2015 -
Molina Healthcare revenues jump 53%
The company cites enrollment growth, greater administrative cost efficiency and steady medical care costs.
By Julie Henry • May 11, 2015 -
Blue Shield of California to face state hearing over $1.25B Care1st acquisition
Consumer advocates maintain the insurer is not serving as a nonprofit.
By Julie Henry • May 11, 2015 -
Highmark agrees to pay all unpaid UPMC claims since January
The state is taking a strong stance to protect healthcare consumers caught in the mix.
By Heather Caspi • May 8, 2015 -
UnitedHealthcare to pay $11.5M over alleged payment denials in NC
Similar lawsuits have been filed against the company by medical societies in Connecticut, New York and Tennessee.
By Nina Flanagan • May 7, 2015 -
Former CEO to pay $8M for former billing fraud scheme
The head of a Nevada endoscopy center allegedly told staff to falsify anesthesia records when preparing insurance claims for reimbursement.
By Nina Flanagan • May 7, 2015 -
Deep Dive
Two reports show women's health coverage disconnect, but will it impact payers?
The root of the issue may be insufficient communication over "appropriate" medical management. Or it could be a matter of insufficient enforcement.
By Heather Caspi • May 6, 2015 -
Kaiser goes against grain, proposes to cut rates in Oregon
If the cut is approved, there will be only one plan cheaper for individuals.
By Heather Caspi • May 6, 2015 -
UnitedHealthcare to extend telehealth coverage to 20M
The insurer has arrangements with three telehealth provider networks.
By Heather Caspi • May 6, 2015 -
Allegheny awaits approval on $175M from Highmark for renovations
The provider anticipates an influx of patients from UPMC. But will patients change health systems or change insurers?
By Heather Caspi • May 6, 2015 -
DaVita settles whistleblower case for $495M
This is DaVita's third whistleblower suit since 2012.
By Julie Henry • May 6, 2015 -
Head of Minnesota exchange to step down
Leitz's interim replacement becomes the third chief executive in less than two years at MNsure.
By Heather Caspi • May 5, 2015 -
USDA
California bill would expand coverage to illegal immigrants
The bill might be controversial, but it's not far-fetched.
By Heather Caspi • May 5, 2015 -
Almost half of state exchanges struggling financially
High IT costs and low enrollment numbers are causing financial stress. Will states turn over operations to the feds?
By Julie Henry • May 5, 2015 -
Is Obamacare's controversial 'Cadillac tax' headed for the scrap yard?
The excise tax on high-cost health insurance plans is scheduled to go into effect in 2018 under the ACA.
By Tom Starner • May 4, 2015 -
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 -
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
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