Payer: Page 213
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MedStar's investment losses overcome managed-care revenue growth
MedStar lost $21.9 million during Q3 of this year despite significant growth in its managed care operations.
Dec. 8, 2014 -
New CMS rule aims to nix providers who don't pay fines
Will CMS' new rule succeed in keeping providers who can't pay fines out of the system?
By Marisa Torrieri • Dec. 4, 2014 -
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 -
Gallup: Insured patients avoid care due to cost
Are the desire to avoid excessively costly care in patients and the need to control population health costs competing incentives?
By Anne Zieger • Dec. 3, 2014 -
Aetna sues Highmark over provider contract
Highmark's decision to terminate its contract for Jefferson Hospital takes away one of Aetna's key market advantages.
By Katie Bo Williams • Dec. 2, 2014 -
Indiana's ACA challenge on hold until next year
The suit, which argues that ACA premium subsidies shouldn't be allowed, won't be heard by a federal judge until the Supreme Court rules on King v. Burwell.
By Anne Zieger • Dec. 2, 2014 -
Medicare plans big changes to ACO rules
The new proposal would extend the penalty-free period for Medicare ACOs to as much as six years if they meet key conditions.
By Anne Zieger • Dec. 2, 2014 -
Health plans often offer outdated in-network physician lists
Physicians say that health plans don't always bother to update in-network directories despite complaints about inaccurate listings.
By Anne Zieger • Dec. 1, 2014 -
Study: Providers increasingly outsourcing revenue cycle management
While revenue cycle management costs run from $30 to $90 per transaction, outsourcing RCM lowers expenses, researchers say.
By Anne Zieger • Nov. 26, 2014 -
Deep Dive
Why physician compensation is flat for some doctors
"The numbers look flat at first glance but they're actually really not," says a divisional VP of physician consulting and placement firm Merritt Hawkins.
By Marisa Torrieri • Nov. 25, 2014 -
Why private-practice oncologists are dwindling
Is the Affordable Care Act accelerating the trend?
By Marisa Torrieri • Nov. 25, 2014 -
HHS hopes to block group health plans without inpatient benefits
The ACA currently allows large employers to offer health plans that lack inpatient coverage, in the process barring workers from getting subsidies to purchase their own plans.
By Anne Zieger • Nov. 25, 2014 -
Republicans file long-awaited lawsuit challenging ACA
The lawsuit contends that President Obama has bypassed Congress to take "unilateral actions" in implementing the ACA, according to House Speaker John Boehner.
By Anne Zieger • Nov. 24, 2014 -
Medication spending makes double-digit jump in 2014
It will rise by 11.7% this year, according to a new survey—and expensive new drugs are a major source of the hike.
By Randy Lilleston • Nov. 21, 2014 -
Deep Dive
The Friday Dive: Is whistleblower action declining?
Healthcare Dive's editor looks back on the biggest news from the last week.
By Katie Bo Williams • Nov. 21, 2014 -
Health groups urge Congress to keep next year's ICD-10 deadline
As the groups noted, HHS projects that any additional delays could cost payers and providers as much as $6.6 billion.
By Anne Zieger • Nov. 20, 2014 -
New government data on Obamacare premiums shows encouraging trends
Initial 2015 Obamacare data from 38 states shows an increased number of insurers and improved competition.
By Marisa Torrieri • Nov. 19, 2014 -
Study: Big-city hospitals face higher readmission penalties
Reasons for the trend could include that urban areas have unfavorable demographics, including lower rates of education and higher unemployment.
By Anne Zieger • Nov. 19, 2014 -
ICD-10: Maybe not the crisis hospitals anticipated?
Is the ongoing hue and cry from providers justified? New numbers suggest not.
By Anne Zieger • Nov. 19, 2014 -
Deep Dive
3 things hospitals anticipate from the ACA's second enrollment period
Does the smooth launch of the second open enrollment period bode well for hospitals? Some experts sound a cautionary note.
By Judy Packer-Tursman • Nov. 18, 2014 -
Which state had a troubled exchange roll-out on Saturday?
Last year's open enrollment period was a technological disaster. This year went much smoother for Healthcare.gov, but at least one state exchange did face problems.
By Katie Bo Williams • Nov. 17, 2014 -
ACA premiums rising this year for existing enrollees
Americans who are already enrolled in ACA plans will still get subsidies, but those subsidies may not go as far as they did last year.
By Anne Zieger • Nov. 17, 2014 -
Deep Dive
The Friday Dive: CVS reveals drug utilization data
Healthcare Dive's editor looks back on the biggest news from the last week.
By Katie Bo Williams • Nov. 14, 2014 -
Report: Out-of-pocket costs skyrocket for employees
Premium costs have also almost doubled since 2010 for the average person with an employer-sponsored plan.
By Katie Bo Williams • Nov. 13, 2014 -
UnitedHealth restructures management after key exec leaves
The giant health insurer didn't say what triggered the departure of health insurance division leader Gail Boudreaux, who some thought was poised to take over as CEO someday.
By Anne Zieger • Nov. 13, 2014 -
Halbig case on hold until SCOTUS rules on King
Premium subsidies for plans purchased on the federal exchange hang in the balance.
By Katie Bo Williams • Nov. 12, 2014
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