Iowa Medicaid drops 20-year tie with Magellan Health

Four new companies will manage the state's Medicaid mental health and substance abuse benefits. 

By Nina Flanagan • Aug. 20, 2015

Colorado payers collaborate to benefit behavioral health

Six commercial insurers have put aside their competitive differences to drive change.

By Heather Caspi • Aug. 19, 2015

Explore the 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

MA insurers cite health reform, drug prices for losses

Many insurers in the state are still working to overcome financial distress.

By Heather Caspi • Aug. 19, 2015

Study: Health exchange websites have improved consumer support

While progress has been made, additional measures are recommended.

By Heather Caspi • Aug. 19, 2015

'Tax season' special enrollment was underwhelming

The second chance did not move as many as expected to obtain healthcare coverage.

By Heather Caspi • Aug. 18, 2015

Providers opting out of Medicare bundled payments

As CMS adds new contracts to the program, many of its initial enrollees have dropped out.

By Julie Henry • Aug. 17, 2015

The 16 most absurd ICD-10 codes

Behold, the 16 weirdest codes with a little advice from Healthcare Dive on how to handle these cases should they come into your ER. 

By Katie Bo Williams • Aug. 15, 2015

Aetna Foundation takes on ZIP code health disparities

Will the integration of health and social data provide a roadmap for policy change?

By Heather Caspi • Aug. 12, 2015

Research examines challenges in publishing reliable provider directories

The trend toward scrutiny means payers need to get directories right or risk litigation and regulatory action.

By Heather Caspi • Aug. 12, 2015

Investors keep the faith as Oscar piles up losses

The potentially disruptive healthcare insurer predicts it will be profitable by the end of 2016.

By Heather Caspi • Aug. 12, 2015

Transitional care poised to increase impact on health insurance

Entrepreneurs are rising up to provide dedicated service in this evolving healthcare space.

By Heather Caspi • Aug. 12, 2015

Study examines payer cost burden of Hepatitis C

The costs involved in HCV management go far beyond specialty drug prices, researchers say.  

By Heather Caspi • Aug. 12, 2015

1.8M households at risk of losing ACA subsidies next year

Incomplete tax returns could prevent some enrollees from receiving subsidies.

By Heather Caspi • Aug. 12, 2015

UnitedHealthcare signs in-network care deal with NY hospital system

The deal will give members access to huge network of hospitals and physicians.

By Julie Henry • Aug. 12, 2015

SafeGuard awarded $300M Medicare fraud-prevention contract

The ontract allows SafeGuard to investigate kickbacks, falsifying information and other types of fraud.

By Julie Henry • Aug. 10, 2015

Illinois Blue Cross BlueShield unveils value-based care model

The new model will use quality and cost data to inform decision-making.

By Julie Henry • Aug. 10, 2015

Boeing expands plans to negotiate with local health systems

More employees with have an option to choose new health plans.

By Nina Flanagan • Aug. 6, 2015

Mental health 'parity' law falls short, advocates say

They claim the law gives insurance companies too much leeway in determining treatment, but insurers face their own challenges in following the legislation.

By Randy Lilleston • Aug. 5, 2015

Another healthcare data hack affects 3.9M people

Medical Informatics Engineering said data breach exposed names, address, Social Security numbers, birthdates and health records. 

By Nina Flanagan • Aug. 5, 2015

Obama admin to states: Cut insurers' big rate hike requests

The White House is concerned about premium growth, but some payers are certain to push back on cost concerns. 

By Sy Mukherjee • Aug. 5, 2015

AMA accepts the (nearly) inevitable, prepares for ICD-10

It joins CMS in efforts to ease the coding transition. 

By Nina Flanagan • Aug. 5, 2015

Aetna beats Q2 estimates on medical cost savings

The insurance giant topped analyst expectations by 26 cents a share.

By Randy Lilleston • Aug. 5, 2015

TeamHealth moves to buy IPC Healthcare

The deal puts TeamHealth in a position to offer a broad spectrum of healthcare services.

By Randy Lilleston • Aug. 5, 2015

Replacement for Charity Hospital opens in New Orleans

Almost 10 years after Hurricane Katrina, the new $1.1 billion facility begins service.

By Julie Henry • Aug. 4, 2015

Sharing rewards leads to huge cost savings for CareFirst

Initiative is capitalizing on the industry trend linking payment to quality.

By Julie Henry • Aug. 3, 2015