Payer: Page


  • Medicaid growth drives health coverage in Colorado

    While state officials celebrate the lowest uninsured rate ever, critics warn taxpayers will suffer.

    By Heather Caspi • Sept. 2, 2015
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    DOJ: Louisiana governor lacks 'sufficient reasons' to cancel Planned Parenthood Medicaid funding

    In a filing before a Wednesday hearing, the Department of Justice says the action appears to violate Medicaid Act.

    By Sept. 2, 2015
  • Explore the Trendline
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    Yujin Kim/Healthcare Dive
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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
  • CMS announces value-based Medicare Advantage model

    The program is designed to improve beneficiary health and reduce avoidable high-care costs.

    By Sept. 2, 2015
  • Universities debate grad student insurance subsidies

    Subsidizing health insurance for graduate students could violate rules under the ACA.

    By Heather Caspi • Sept. 2, 2015
  • AHIP guides insurers on boosting adult immunizations

    As part of a cost-saving preventative care strategy, AHIP is pushing adult vaccines. 

    By Heather Caspi • Sept. 2, 2015
  • Deep Dive

    Collaborative Health Systems is leading the charge toward program goals

    CHS, with the most ACOs in the MSSP program, discusses savings, improvements of Medicare ACOs.

    By Heather Caspi • Sept. 2, 2015
  • Alaska Medicaid expansion goes into effect Tuesday

    The state Supreme Court denied a bid Monday from lawmakers to block Gov. Bill Walker's move to expand coverage to more Alaskans.

    By Sept. 1, 2015
  • CMS says test proves readiness for ICD-10 claims

    The agency touted an 87% acceptance rate for test claims.

    By Heather Caspi • Aug. 31, 2015
  • State regulators approve major health insurance rate hikes

    Insurance companies are justified in raising rates as much as 36%, regulators say. 

    By Heather Caspi • Aug. 31, 2015
  • Nevada Health CO-OP becomes 4th health co-op to fail

    The failure follows those in Louisiana and Iowa this year, and Vermont in 2013.

    By Heather Caspi • Aug. 28, 2015
  • Moody's upgrades nonprofit hospital ratings for first time since 2008

    Increased demand and better cost management are cited as reasons for the change.

    By Aug. 27, 2015
  • Carolinas HealthCare to beef up psych residency program with $3M gift

    The gift from the Leon Levine Foundation will be used to create a four-year residency program in efforts to bolster mental healthcare services in the area. 

    By Sy Mukherjee • Aug. 27, 2015
  • ACOs saved more than $400M in 2014

    CMS releases Medicare financial and quality results that calculate the savings.

    By Aug. 26, 2015
  • Deep Dive

    Highmark Health pushes to speed up healthcare tech adoption

    A program from the healthcare delivery and financing system evaluates patient care technologies not yet covered by insurance carriers.

    By Heather Caspi • Aug. 26, 2015
  • Late tax filers gamble with next year's healthcare subsidies

    Those who procrastinate too long may get a surprise when they renew their health coverage.

    By Heather Caspi • Aug. 26, 2015
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    Federal healthcare spending projections creep upward

    The Congressional Budget Office nudged its spending forecast up by a mere tenth of a percentage point -- but that represents an estimated $272 billion.

    By Aug. 26, 2015
  • Survey suggests more consumers selecting alternative health plans

    Shifts in the industry are empowering patients to consider new insurance options, a new survey suggests.

    By Heather Caspi • Aug. 26, 2015
  • Insurers debate coverage for female libido pill

    Insurance coverage could make or break Addyi, which would otherwise cost women up to $400 per month.

    By Heather Caspi • Aug. 26, 2015
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    RWJF report details state variation in narrow networks

    Are the networks, with their lower premiums, really paying off for consumers?

    By Heather Caspi • Aug. 25, 2015
  • ZOOM+ opens new ER alternative in Portland, OR

    The new clinic model aims to do more than urgent care but cost less than an ER.

    By Heather Caspi • Aug. 25, 2015
  • $25M Medicare scam may herald bigger woes

    The case centers around an illegal market for new Medicare Advantage enrollees overseas.

    By Heather Caspi • Aug. 24, 2015
  • More than 2 million ACA enrollees forgo cost-sharing reductions

    The specific form of subsidy is only available to those purchasing 'silver' plans.

    By Heather Caspi • Aug. 24, 2015
  • Aetna employs 6 lobbying firms in pursuit of Humana deal

    The company is gunning hard for government approval.

    By Heather Caspi • Aug. 21, 2015
  • Provider-owned health plans have higher premiums, study says

    The findings contradict expectations that provider-owned plans would achieve lower costs.

    By Heather Caspi • Aug. 21, 2015