Payer: Page 212
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Medicare recognizes interventional cardiology
The change in designation should open up reimbursement opportunities for interventionalists in the private sector as well.
By Katie Bo Williams • Jan. 6, 2015 -
Montgomery County Planning Commission
CVS to favor Gilead hep C meds over AbbVie's, setting up showdown with Express Scripts
That's according to a report from CNBC.
By Sy Mukherjee • Jan. 5, 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 -
CMS extends contracts with RAC managers
The same four companies will remain responsible for identifying and correcting improper Medicare payments.
By Katie Bo Williams • Jan. 5, 2015 -
Kaiser mental health workers to strike over poor care
The union claims that Kaiser doesn't staff its psychiatry departments with enough clinicians.
Jan. 5, 2015 -
87% of Obamacare enrollees up for financial aid, HHS says
Enrollees are younger and more of them are asking for help to pay for insurance.
By Marisa Torrieri • Jan. 2, 2015 -
CA Insurance Commissioner: Insurers illegally dropping members
Insurance companies are dropping patients on California’s ACA exchange, and the insurance commissioner is not happy about it.
Dec. 30, 2014 -
Walgreens quietly cuts ties with three ACOs
What does this mean for the future involvement of Walgreens in ACO partnerships?
By Marisa Torrieri • Dec. 29, 2014 -
CMS releases ICD-10 testing results
The percentage of claims accepted grew to 87% by the end of the test, despite deliberately-included errors in the codes, put there to see if CMS would catch them.
Dec. 26, 2014 -
Anthem to expand FL Medicare, Medicaid presence with $1B acquisition
Simply Healthcare execs said the deal should help the company reach more of Florida's 3.6 million Medicaid eligibles and 3.5 million Medicare eligibles.
Dec. 23, 2014 -
89 ACOs to join Medicare Shared Savings Program next year
Does increased participation in the program mean that it can attain long-term success?
Dec. 23, 2014 -
Deep Dive
The 5 biggest successes and 5 biggest failures of 2014
A glimpse at the most outstanding ups and downs of this year in healthcare.
By Marisa Torrieri • Dec. 23, 2014 -
Insurers extend ACA coverage deadline in 37 states
Still, consumers better start scrambling for coverage ASAP.
By Marisa Torrieri • Dec. 22, 2014 -
CMS announces important ICD-10 testing dates
The new testing period for a sample group of providers will run April 26 through May 1, 2015.
By Marisa Torrieri • Dec. 22, 2014 -
Arkansas 'private option' in danger
Has Arkansas found a solution for red states refusing to expand Medicaid?
Dec. 19, 2014 -
Study: Docs spend more when they train in pricier locales
Where a physician does his or her residency has an impact on spending down the line.
By Marisa Torrieri • Dec. 16, 2014 -
TN governor announces unique Medicaid expansion plan
Enrollees will choose between two coverage tracks.
By Katie Bo Williams • Dec. 15, 2014 -
Alabama governor signals interest in Medicaid
For months, Alabama’s governor has said no to Medicaid expansion, but that "no" has turned into a "maybe."
Dec. 15, 2014 -
Number of Americans with unpaid medical bills spikes to 42.9M
This is a provider problem as well as a consumer problem.
By Marisa Torrieri • Dec. 12, 2014 -
Deductible-only plans chart big numbers on ACA exchanges
Some insurers are taking the Keep-It-Simple-Stupid approach and coming out as big winners in the latest ACA open enrollment.
Dec. 12, 2014 -
Partners HealthCare affiliate poised to report big losses
Is Sovaldi the culprit?
By Marisa Torrieri • Dec. 11, 2014 -
Spending bill expected to raise Obamacare premiums
What will the repercussions of rate raises be on consumer spending?
By Marisa Torrieri • Dec. 11, 2014 -
Deep Dive
Value-based compensation for physicians: Slow and steady wins the race?
Hospitals and physician groups are looking for more ways to incorporate quality metrics, but new survey data shows sluggish progress.
By Marisa Torrieri • Dec. 11, 2014 -
Oscar to reward members whose fitness band data looks good
Oscar co-founder Mario Schlosser was inspired by Flo, the perky Progressive Insurance TV commercial spokeswoman. But are there risks to the program?
Dec. 10, 2014 -
CA Blue Shield jumps into Medicaid market with acquisition
The purchase of another health plan marks the insurer's first foray into Medi-Cal.
By Marisa Torrieri • Dec. 10, 2014 -
Many docs listed as serving Medicaid patients actually don't
Are there enough incentives for providers to keep serving beneficiaries?
By Marisa Torrieri • Dec. 10, 2014
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