Payer: Page
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If CHIP is on its way out, what's next?
The CHIP program could cease to exist as early as 2017—in fact, some in Washington think it's a given.
By Julie Henry • July 22, 2015 -
Aetna promotes Humana deal internally
The memo appeared to have been sent to reassure employees who may be nervous about analysts' comments suggesting that the deal will face antitrust scrutiny.
By Heather Caspi • July 21, 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 -
Utah, Alaska move forward with Medicaid expansion plans
The two states are inching closer to opening up coverage to 100,000 and 40,000 Americans, respectively.
By Julie Henry • July 21, 2015 -
CMS testing new program that combines hospice and curative care
Medicare only pays for hospice benefits for teminally ill patients who are no longer receiving curative care—but 140 hospice providers will be participating in a new pilot that eases that restriction.
By Julie Henry • July 21, 2015 -
Humana, HCA reach agreement in Florida
Around 1.5 million Humana members had already received notice that the contract with HCA was expiring.
By Julie Henry • July 20, 2015 -
UnitedHealth shows 13% profit jump in second quarter
The company now projects revenue of $154 billion by the end of the year—an increase of $11 billion.
By Heather Caspi • July 17, 2015 -
Aetna ends relationship with agent who sold to homeless
The spate of enrollments sparked multiple tip-offs of suspected fraud—but agent Will Kennedy "makes no apology."
By Heather Caspi • July 17, 2015 -
Fake applicants trick HealthCare.gov for second time
In total, investigators were able to obtain $30,000 in fraudulent subsidies.
By Heather Caspi • July 17, 2015 -
Data breaches spur BCBS to offer free identity protection services
This may mark the first such free security plan offered in the health insurance sector.
By Nina Flanagan • July 16, 2015 -
Report: Medicaid managed care growing, but profits not guaranteed
How did provider-sponsored plans fare?
By Nina Flanagan • July 16, 2015 -
Nearly half of consumers with a chronic condition discovered via wellness program
Three out of four healthcare dollars are spent on people with one or more chronic condition—but many are believed to be going undiagnosed.
By Heather Caspi • July 15, 2015 -
NY law heralded as model for managing surprise medical bills
Will other states follow with similar consumer protection legislation?
By Heather Caspi • July 15, 2015 -
Health plan selection tool secures $4M in funding
Industry executives involved include: Tenet CEO Trevor Fetter, Amedisys CEO Paul Kusserow and Humana's former president of health and well-being services, Bruce Perkins.
By Heather Caspi • July 15, 2015 -
Alliance of healthcare giants pushes back against 'Cadillac tax'
Blue Cross, Pfizer and others are part of the "Alliance to Fight the Forty."
By Heather Caspi • July 15, 2015 -
Those newly-insured through Medicaid expansion proving costlier than expected
The findings may fuel arguments against expansion in the states that have yet to do it.
By Heather Caspi • July 14, 2015 -
Deep Dive
Medicare Advantage audits reveal $3.3M in errors
Given program growth, some researchers are calling for more transparency: "It's astonishing. [CMS is] dumping huge amounts of data in other areas."
By Julie Henry • July 13, 2015 -
Report finds backward slide on healthcare price transparency
45 states received an "F" in the third annual report from the Catalyst for Payment Reform and the Health Care Incentives Improvement Institute.
By Heather Caspi • July 10, 2015 -
Deep Dive
Why payers have struggled to participate in HIEs
A new study provides the first in-depth look at the payer perspective on HIEs.
By Heather Caspi • July 9, 2015 -
FDA
Theranos to partner with Capital BlueCross to provide DTC testing
The partnership will bring testing to 1.3 million enrollees on the East Coast. But questions are starting to emerge about the famous testing "disruptor."
By Nina Flanagan • July 9, 2015 -
Deep Dive
Same-sex marriage ruling raises questions for health plans
With little legal guidance in place, the world of health benefits for domestic partners is in flux.
By Heather Caspi • July 8, 2015 -
University Hospitals, Anthem create ACO for Medicare Advantage members
This is UH's tenth ACO. Its current organizations serve a combined 270,000 members.
By Heather Caspi • July 8, 2015 -
With Humana off the market, pressure mounts for Cigna/Anthem deal
If they do reach a deal, Cigna and Anthem will create the largest health insurance company in the U.S. with approximately 53 million members.
By Heather Caspi • July 7, 2015 -
Blue Shield of California slammed in state audit
The non-profit's operations were deemed "indistinguishable" from those of its for-profit competitors.
By Heather Caspi • July 7, 2015 -
Centene buys Health Net for $6.8B
Some analysts says that United may now swoop in with a bid for one or both companies.
By Katie Bo Williams • July 6, 2015 -
Aetna to buy Humana in $37B deal
Aetna CEO Mark Bertolini said that he hopes that first-mover advantage will lighten federal antitrust scrutiny.
By Katie Bo Williams • July 6, 2015
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