Payer: Page
-
US Court of Appeals revives lawsuit against Aetna
The ruling makes no distinction between assignment of benefits and assignment of a legal claim to those benefits.
By Heather Caspi • Sept. 16, 2015 -
Drug reform bill would allow Medicare to negotiate prices
Will unleashing government negotiating power have the desired impact?
By Heather Caspi • Sept. 16, 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 -
Is Medicare penalizing hospitals with high admission rates?
Newly published research concludes Medicare may penalize hospitals with such rates based on patients they serve.
By Jeff Byers • Sept. 15, 2015 -
Google Capital invests $32.5M in Oscar Health
A Google employee said the potentially disruptive insurer stood out because it has the potential to lower consumer healthcare costs.
By Jeff Byers • Sept. 15, 2015 -
States face 4 challenge areas rolling out Medicaid ACOs
Integration of long-term care is among the factors that will make or break Medicaid ACOs.
By Heather Caspi • Sept. 15, 2015 -
Study: ACA key to rise in chronic disease diagnosis
People with health insurance are more likely to be diagnosed with chronic conditions than the uninsured.
By Nina Flanagan • Sept. 15, 2015 -
In 2014, hospital discharges took a dive
Modern Healthcare analysis finds U.S. patient discharges dropped about 8% from 2013 to 2014.
By Jeff Byers • Sept. 14, 2015 -
Under ACA, 400,000 immigrants lose health coverage
That’s almost four times the amount as last year.
By Jeff Byers • Sept. 14, 2015 -
House hearing on mega-mergers creates clash of titans
Thursday marked the first official chance for critics to argue against the Aetna/Humana and Anthem/Cigna deals.
By Heather Caspi • Sept. 14, 2015 -
Deep Dive
Are you prepared for the ICD-10 deadline?
“There is no grace period.”
By Julie Henry • Sept. 11, 2015 -
New York-based plan Excellus experiences third largest HIPAA breach, affects 10M
The company is working with the FBI to determine the scope of the breach.
By Heather Caspi • Sept. 11, 2015 -
CA Assembly approves assisted suicide bill
The bill will go to the state Senate, who is expected to pass the measure.
By Jeff Byers • Sept. 10, 2015 -
300,000 dropped health coverage since March
Premiums were obtained via HealthCare.gov and state exchanges.
By Nina Flanagan • Sept. 10, 2015 -
AMA names 10 least competitive states for health insurance
The doctor organization aims to identify markets where competition could reach unacceptably low levels.
By Heather Caspi • Sept. 9, 2015 -
Maryland's top ACA health plan raises rates up to 26%
Will enrollees be able and willing to pay the increase?
By Heather Caspi • Sept. 9, 2015 -
CMS announces plan to address health equity in Medicare
Equity is often forgotten in the drive to meet patient needs, CMS says.
By Heather Caspi • Sept. 9, 2015 -
Obama signs executive order giving paid sick leave to federal contractors
An estimated 44 million private sector workers do not have paid sick leave time access, according to The White House.
By Jeff Byers • Sept. 9, 2015 -
Mergers give no love to health insurers, AMA says
Nearly half of US could experience diminished competition in local health markets, the group claims.
By Jeff Byers • Sept. 9, 2015 -
Highmark Health to reduce marketplace offerings
Highmark is looking to narrow its products and networks.
By Heather Caspi • Sept. 9, 2015 -
Louisiana takes possession of failed co-op
The nonprofit health insurer is now being run by the state insurance commissioner.
By Heather Caspi • Sept. 9, 2015 -
Deep Dive
Customer service key for North Shore-LIJ health plan success
The provider-owned plan, which saw a 160% membership increase and tripling of revenue in the past year, intends to keep a personal feel as it grows.
By Heather Caspi • Sept. 9, 2015 -
HCA growth strategy bucks industry trends
The company plans to expand, but not through acquisitions.
By Heather Caspi • Sept. 4, 2015 -
New Jersey on the hook for $32M in improper Medicare payments
Federal investigators found issues with the state's claims for personal care assistance.
By Heather Caspi • Sept. 2, 2015 -
Blue Shield of California exec salary given $24M bump, audit finds
Much of the money appears to have been given to retiring executives, the Los Angeles Times’ review of the audit found.
By Jeff Byers • Sept. 2, 2015 -
Judge's ruling further muddies contraception/insurance waters
It creates a new challenge against a key provision of the ACA by saying moral objections, not just religious ones, are a reason for an employer to exempt contraception coverage.
By Heather Caspi • Sept. 2, 2015
Previous
