Payer: Page 208
-
Humana tackles obesity with Weight Watchers partnership
Does the offering provide sufficient incentive for weight loss?
By Heather Caspi • Feb. 26, 2015 -
Health Care Cost Institute launches price comparison site
"There are some [medical providers] who’ve said this is really going to affect our bottom line and be really difficult for us to deal with," said the Institute's executive director.
By Heather Caspi • Feb. 26, 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 -
Fallout from Anthem breach extends to other Blues
Legal experts are watching to see whether other plans will be held liable for the activities of their business associate, Anthem.
By Heather Caspi • Feb. 25, 2015 -
CMS to monitor Medicare Advantage provider directories
The agency is coming down on insurers with problematic in-network provider lists.
By Heather Caspi • Feb. 25, 2015 -
Deep Dive
Will late ACA enrollments be a benefit or a burden to insurers?
The addition of a second enrollment period for 2015 could swing the balance of healthy vs. sick.
By Heather Caspi • Feb. 25, 2015 -
Cleveland Clinic considers launching insurance plan
Yet another big provider is considering a move into the payer market.
By Katie Bo Williams • Feb. 25, 2015 -
Gallup: Uninsured rates fall to seven-year low
Arkansas and Kentucky chart the biggest drops.
Feb. 25, 2015 -
Humana, Aetna predict Medicare Advantage funding dip in 2016
But at least one big Medicare Advantage issuer regarded the CMS rate cut proposal as good news.
Feb. 25, 2015 -
Plans without hospital benefits blocked under ACA
The decision addresses what some considered a loophole for large employers.
By Heather Caspi • Feb. 24, 2015 -
CMS proposes 1% pay cut for Medicare Advantage
...but the agency says it will result in an average pay boost for issuers.
By Katie Bo Williams • Feb. 23, 2015 -
Ascension subsidiary to buy MI health insurer for $50M
The subsidiary states that its "primary business is to own and operate businesses that are part of the population health management platform of Ascension."
By Katie Bo Williams • Feb. 21, 2015 -
Justice Department examines Humana's risk-adjustment practices
Humana is not the first Medicare Advantage insurer eyed over their patient risk scores.
By Heather Caspi • Feb. 20, 2015 -
Anthem moves on from breach with new acquisition
Anthem's plans with Simply Healthcare Holdings had been in the works long before the breach.
By Heather Caspi • Feb. 20, 2015 -
Deep Dive
Can physician-led ACOs keep physicians independent?
The new partnership between the Texas Medical Association and BCBS has been widely misreported as an ACO but in fact has a much broader scope.
By Katie Bo Williams • Feb. 19, 2015 -
USDA
UnitedHealthcare set to part ways with Carolinas HealthCare
One of the impacted hospitals has begun notifying UnitedHealthcare members that they will have to pay out-of-network prices.
By Heather Caspi • Feb. 19, 2015 -
Dignity credits CA provider fee program for 300% jump in operating surplus
The program, which benefits California hospitals that serve Medi-Cal patients, was on hold for much of 2014 pending an extension.
By Heather Caspi • Feb. 19, 2015 -
Boeing contracts with two ACOs for individually-designed plans
Open enrollment started Jan. 1 for Boeing's 30,000 eligible employees.
By Heather Caspi • Feb. 19, 2015 -
CMS to implement new payment model for oncology care
Interested payers are encouraged to apply to participate.
By Heather Caspi • Feb. 18, 2015 -
Deep Dive
3 off-the-wall things insurers are doing to increase engagement
Innovative companies are upping the ante well beyond the average wellness program.
By Heather Caspi • Feb. 18, 2015 -
Should uninsured get a second shot at enrollment after seeing penalties?
The uninsured are now set to get penalized twice—for 2014 and 2015—before they can do anything about it.
By Heather Caspi • Feb. 18, 2015 -
FDA
Priority Health 'the first' to cover comprehensive genetic testing
The decision may be groundbreaking, but is it the most informed?
By Heather Caspi • Feb. 18, 2015 -
IL academic hospitals face tough cuts with Humana, Blues
"This is really a cost play," said one health benefits consultant.
Feb. 18, 2015 -
Assurant Health raises premiums after losing big in 2014
The insurer blames a policy change for leaving them with sicker-than-expected planholders. Will risk adjustment and reinsurance provisions keep them afloat?
By Heather Caspi • Feb. 17, 2015 -
Anthem provides identity theft protection after hack
The offering appears to be prompted, as opposed to proactive.
By Heather Caspi • Feb. 17, 2015 -
Glitches snag Obamacare sign-ups, prompt extensions
Enrollment is still being offered to some of those who were unable to finish on time.
By Heather Caspi • Feb. 17, 2015
Previous
