Payer: Page
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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 -
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 Jeff Byers • Sept. 2, 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 announces value-based Medicare Advantage model
The program is designed to improve beneficiary health and reduce avoidable high-care costs.
By Jeff Byers • 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 Jeff Byers • 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 -
NLRB rules companies responsible for violations by contractors
NLRB just changed the game.
By Jeff Byers • Aug. 28, 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 Randy Lilleston • 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 Jeff Byers • 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 -
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 Randy Lilleston • 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 -
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